急诊科护士变革疲劳的潜在剖面特征及其影响因素分析

doi:10.3761/j.issn.2096-7446.2026.03.017

Abstract

Abstract:

Objective Based on the latent profile analysis，the category characteristics，inter-category differences and influencing factors of change fatigue of nurses in emergency department were discussed.Methods From January to February 2025，nurses in the emergency department of eight tertiary hospitals in Inner Mongolia were selected by convenience sampling. The general information questionnaire，the Change Fatigue Scale，the Organizational Commitment Scale，the General Self-efficacy Scale and the Psychological Resilience Scale were used to investigate. Through latent profile analysis and disordered multi-classification Logistic regression，the potential category characteristics and influencing factors of nurses ’ change fatigue were explored.Results A total of 456 emergency nurses were included，and the total score of change fatigue was （26.01±7.38）. Through latent profile analysis，change fatigue was divided into three categories：low fatigue type（26.3%），medium fatigue type（55.9%） and high fatigue type（17.8%）. The analysis found that gender，education level，years of emergency work，organizational commitment，self-efficacy and psychological resilience were the main factors affecting change fatigue（P<0.05）.Conclusion The change fatigue of nurses in the emergency department is above the middle level and presents different types of characteristics. It is suggested that nursing managers should take targeted physical and mental intervention measures according to the characteristics of the categories to alleviate their fatigue level and improve nurses’ ability to cope with changes.

Key words: Emergency Department Nurses, Change Fatigue, Latent Profile Analysis, Influencing Factors

JIANG Xiuzhen, WANG Yanli, HE Huiling, WU Yan, MA Liying. Analysis of the latent profile characteristics and influencing factors of change fatigue of nurses in emergency department[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 344-350.

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References 27

[1]	Jane Muir K, Keim-Malpass J, LeBaron VT. Examining the cultural impacts of an emergency department move using ethnography[J]. Int Emerg Nurs, 2021, 59:101082. doi: 10.1016/j.ienj.2021.101082
[2]	McMillan K, Perron A. Ideological tensions amidst rapid and continuous organizational change in healthcare[J]. J Organ Change Manag, 2020, 33(6):1029-1039. doi: 10.1108/JOCM-02-2020-0061
[3]	左兴玉, 张玲玲. 三级甲等医院急诊科护士正念、职业韧性与功能性躯体症状的相关研究[J]. 职业与健康, 2024, 40(16):2235-2240.
	Zuo XY, Zhang LL. Correlation study on mindfulness,occupational resilience and functional somatic symptoms of nurses in emergency department of grade-a tertiary hospitals[J]. Occup Health, 2024, 40(16):2235-2240.
[4]	韩通, 郭娜. 护士变革疲劳的研究进展[J]. 护理研究, 2024, 38(20):3679-3681.
	Han T, Guo N. Research progress of nurses’ change fatigue[J]. Chin Nurs Res, 2024, 38(20):3679-3681.
[5]	怀其阳, 石雅楠, 邵梅, 等. 护士变革疲劳的研究进展[J]. 护士进修杂志, 2024, 39(20):2156-2159.
	Huai QY, Shi YN, Shao M, et al. Research progress on change fatigue of nurses[J]. J Nurses Train, 2024, 39(20):2156-2159.
[6]	范英, 徐诗聪, 谭嵛月, 等. 变革疲劳在护理领域的研究进展[J]. 中国护理管理, 2023, 23(12):1873-1877.
	Fan Y, Xu SC, Tan YY, et al. Research progress on change fatigue in the field of nursing[J]. Chin Nurs Manag, 2023, 23(12):1873-1877.
[7]	刘瑞之, 吴玉兰. 护士变革疲劳的研究进展[J]. 职业与健康, 2024, 40(14):2007-2012.
	Liu RZ, Wu YL. Research progress on change fatigue of nurses[J]. Occup Health, 2024, 40(14):2007-2012.
[8]	Schmiege SJ, Masyn KE, Bryan AD. Confirmatory latent class analysis[J]. Organ Res Meth, 2018, 21(4):983-1001. doi: 10.1177/1094428117747689
[9]	郑卫军, 何凡. 现况调查的样本量计算方法[J]. 预防医学, 2020, 32(6):647-648.
	Zheng WJ, He F. Sample size estimate for cross-sectional study[J]. Prev Med, 2020, 32(6):647-648.
[10]	Bernerth JB, Walker HJ, Harris SG. Change fatigue:Development and initial validation of a new measure[J]. Work Stress, 2011, 25(4):321-337. doi: 10.1080/02678373.2011.634280
[11]	张昕悦, 彭梦婷, 王颖, 等. 变革疲劳量表的汉化及信效度检验[J]. 护理研究, 2024, 38(24):4387-4391.
	Zhang XY, Peng MT, Wang Y, et al. Chinese version of the Change Fatigue Scale and its reliability and validity test[J]. Chin Nurs Res, 2024, 38(24):4387-4391.
[12]	Allen NJ, Meyer JP. The measurement and antecedents of affective,continuance and normative commitment to the organization[J]. J Occup Psychol, 1990, 63(1):1-18. doi: 10.1111/joop.1990.63.issue-1
[13]	林元吉. 角色压力源、焦崩对组织承诺的影响-两岸资讯从业人员之比较研究[D]. 台湾: 台湾中央大学, 2000.
	Lin YJ. The impact of role stressors and burnout on organizational commitment:A comparative study of information industry practitioners across the Taiwan Strait[D]. Taiwan: Central University,Taiwan, 2000.
[14]	Schwarzer R, Jerusalem M. Generalized Self-Efficacy Scale[M]// WeinmanJ, WrightS, JohnstonM. Measures in health psychology: A user’s portfolio. Causal and control beliefs. Windsor:NFER-NELSON, 1995:35-37.
[15]	Zhang JX, Schwarzer R. Measuring optimistic self-beliefs:a Chinese adaptation of the General Self-efficacy Scale[J]. Psychologia, 1995, 38(3):174-181.
[16]	Connor KM, Davidson JRT. Development of a new resilience scale:the Connor-Davidson Resilience Scale(CD-RISC)[J]. De-press Anxiety, 2003, 18(2):76-82.
[17]	Yu XN, Zhang JX. Factor analysis and psychometric evaluation of the Connor-Davidson Resilience Scale(CD-RISC) with Chinese people[J]. Soc Behav Pers, 2007, 35(1):19-30. doi: 10.2224/sbp.2007.35.1.19
[18]	Brown R, Wey H, Foland K. The relationship among change fatigue,resilience,and job satisfaction of hospital staff nurses[J]. J Nurs Scholarsh, 2018, 50(3):306-313. doi: 10.1111/jnu.2018.50.issue-3
[19]	Gao YQ, Ren HJ, Meng G, et al. The chain mediating role of resilience and change fatigue between intolerance of uncertainty and job burnout in nurses[J]. Sci Rep, 2025, 15(1):22469. doi: 10.1038/s41598-025-06803-2
[20]	黄玉霞. 急诊科护士心理健康、心理韧性与生活质量的相关性研究[D]. 延吉: 延边大学, 2021.
	Huang YX. A study on the correlation between mental health,psychological resilience and quality of life of emergency department nurses[D]. Yanji: Yanbian University, 2021.
[21]	师九曼. 逆境商对急诊科护士反馈寻求行为的影响研究:基于自我效能感的中介效应[D]. 苏州: 苏州大学, 2023.
	Shi JM. Study on the influence of adversity quotient on feedback-seeking behavior of emergency department nurses:based on the mediating effect of self-efficacy[D]. Suzhou: Soochow Uni-versity, 2023.
[22]	屈聪蕙. 护理人员结构授权、决策参与及组织承诺的关系研究[D]. 武汉: 华中科技大学, 2022.
	Qu CH. Research on the relationship among structural empowerment,decisional involvement and organizational commitment of nursing staff[D]. Wuhan: Huazhong University of Science and Technology, 2022.
[23]	Lv M, Zhai J, Zhang L, et al. Change fatigue among clinical nurses and related factors:a cross-sectional study in public hospitals[J]. Health Serv Insights, 2025, 18:11786329251318586.
[24]	Sarıgül SS, Uğurluoğlu Ö. Examination of the relationships between change fatigue and perceived organizational culture,burnout,turnover intention,and organizational commitment in nurses[J]. Res Theory Nurs Pract, 2023, 37(4):1-18.
[25]	Bryant S. The only constant is change[J]. Medsurg Nurs, 2020, 29(6):361-362.
[26]	李梦瑶, 黄康慧, 胡玉莲, 等. 护士职业疲劳现况及其影响因素研究[J]. 中华护理杂志, 2022, 57(7):853-858. doi: 10.3761/j.issn.0254-1769.2022.07.014
	Li MY, Huang KH, Hu YL, et al. The exploration of the influencing factors of occupation fatigue of nurses[J]. Chin J Nurs, 2022, 57(7):853-858. doi: 10.3761/j.issn.0254-1769.2022.07.014
[27]	Cooper AL, Leslie GD, Brown JA. Defining the influence of external factors on nurse resilience[J]. Int J Ment Health Nurs, 2022, 31(6):1523-1533. doi: 10.1111/inm.v31.6

Analysis of the latent profile characteristics and influencing factors of change fatigue of nurses in emergency department

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