Investigation About Impact Of Psychological Capital And Job Stressors On Career Condition Of Operating Room Nurses

Objectives To investigate the psychological capital, job stressors and career condition of operating room nurses, and explore the predictors of operating room nurses career condition. Thus to provide reference and basis for the career education and management of operating room nurses.Methods Convenience sampling was used. From May to October in2012, a total of234operating room nurses had been interviewed and analyzed in three class A tertiary hospitals of Shandong province by questionnaires on psychological capital, nurse job stressors and career condition. SPSS16.0statistical software was used for data entry and analysis, including descriptive analysis, parametric analyses (t-test. ANOVA analysis), nonparametric analyses (chi-square test. Mann-Whitney U test for comparison between two groups, Kruskal-Wallis test for comparison including more than two groups), Pearson or Spearman correlation analysis and multiple linear stepwise regression analysis.Results A total of250questionnaires were distributed, of which244were returned and234(95.9%) were usable. Detailed informations were follows:1.The psychological capital score of operating room nurses was100.96±11.23. From high to low, the entries average of each demension was self efficacy(4.54±0.65), hope(4.36±0.69), toughness(4.15±0.75) and optimism(3.77±0.47). The scores of self efficacy and hope were high, while the optimism dimension score was lowest.2. The job stressors score of operating room nurses was87.64±7.08. From high to low, the entries average of each demension was nursing profession and work problem(2.84±0.42), work environment and resource problems(2.63±0.60), time allocation and workload problem(2.43±0.31), management and interpersonal problem(2.40±0.23) and patient care problem(2.37±0.20).3. The career condition score of operating room nurses was76.78±6.52. Professional identity, job satisfaction, organizational commitment dimension scores were respectively (28.39±4.87),(16.94±2.71) and (26.60±2.79). The median and interquartile range of intention to stay was respectively4and2.4. There were statistical differences of career condition score in different characteristics of social demography. The career condition score of the operating room nurses who were more than40years old, female, with monthly income more than￥1000, with bachelor degree or above, officially enrolled, with higher professional titles was higher than those who were20～30years old, male, with monthly income less than￥1000, with lower educational background, contractually enrolled, with lower professional titles.5. The career condition score was positively correlated to the score of psychological capital, self efficacy, hope and toughness. And it was negatively correlated to the scores of job stressors and time allocation and workload problem dimension.6. Multiple linear stepwise regression analysis for career condition score showed that, scores of hope dimension and psychological capital, education level(compared with nurses with technical secondary school degree or below, the career condition score of those who had bachelor degree or above was higher) and job stressors score(negatively) were predictor variables of career condition for operating room nurses, all of these could explain53.6%of the total variances.Conclusion1. The psychological capital score of operating room nurses was in a medium and higher level. Nurse managers should pay attention to take effective measures to improve optimistic and positive psychology of the nurses, so as to overall improve the mental health level of the nurses.2. The scores of job stressors and the dimensions were in a medium level, nursing profession and work problem was the major source of stress. We should focus on strengthening the specialized and multilevel nurse training, arranging reasonable workload and schedules, so as to improve the recognition and relieve the working pressure of nurses.3. The career condition score of operating room nurses was in a medium level, it was significantly correlated with age, sex, monthly income, educational level, employment way, professional title, psychological capital and the dimension scores(beside the optimistic dimension), scores of job stressors and time allocation and workload problem dimension. Scores of hope dimension and psychological capital, educational level were positive predictors, while the job stressors score was negative predictor of career condition for operating room nurses. Nurse managers should comprehensively realize the positive mental power, actively develop the psychological capital and reduce the working pressure, thereby promoting career development and organizational core competence of the operating room nurses.