eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution：China Association for Science and Technology
Sponsor：Chinese Nursing Association
中华急危重症护理杂志

Chinese Journal of Emergency and Critical Care Nursing >

2026 , Vol. 7 >Issue 6: 725 - 732

DOI: https://doi.org/10.3761/j.issn.2096-7446.2026.06.016

Career Development of Nurses

Analysis of the mediating effect of workplace friendship on the relationship between professional resilience and professional well-being of emergency department nurses

  • CHEN Cailing ,
  • WANG Rui ,
  • JIANG Zhaoquan ,
  • MA Guowei ,
  • SUN Pan ,
  • ZHU Xiang’an ,
  • ZHANG Lan
Expand
  • 1 Emergency Department， the Seventh Medical Center of Chinese PLA General Hospital， Beijing 100700， China
    2 Teaching and Research Section of Medical Nursing， School of Nursing，Jinzhou Medical University， Jinzhou 121001， China
    3 Patient Administration Department， the Seventh Medical Center of Chinese PLA General Hospital， Beijing 100700， China
    4 Medical Service Department， the Seventh Medical Center of Chinese PLA General Hospital， Beijing 100700， China

Received date: 2025-06-20

  Online published: 2026-06-02

Fold

Abstract

Objective To explore the mediating effect of workplace friendship on the professional resilience and professional well-being of emergency department nurses. To provide references for nursing managers to improve the professional well-being of emergency department nurses. Methods A convenience sampling method was used to select 642 emergency department nurses from 25 hospitals in Beijing，Hebei，Zhejiang，Guangdong，Sichuan，Henan and Jilin as the research subjects. A self-designed general information questionnaire，Workplace Friendship Scale，Professional Resilience Scale and Professional Well-Being Scale were used to investigate them，and the influencing factors were analyzed. Results The professional resilience score of emergency department nurses was（19.54 ± 4.04） points，the workplace friendship score was（44.90 ± 9.94） points，and the professional well-being score was（83.93 ± 22.57） points，all of which were at a moderately high level. Professional resilience was positively correlated with workplace friendship（P<0.001），professional resilience was positively correlated with professional well-being（P<0.001），and workplace friendship was positively correlated with professional well-being（P<0.001）. Workplace friendship played a partial mediating role between the professional resilience and professional well-being of emergency department nurses. The effect size was 0.197，with the mediation effect accounting for 59.7% of the total effect. Conclusion Workplace friendship plays a mediating role in promoting professional well-being through professional resilience. Nursing managers should focus on enhancing the professional resilience of emergency department nurses. By providing reasonable organizational support and fostering a positive culture，they can promote the development of workplace friendships，thereby improving the professional well-being of emergency department nurses.

Key words： Emergency Department; Nurses; Professional Resilience; Workplace Friendship; Professional Well-Being

Cite this article

CHEN Cailing , WANG Rui , JIANG Zhaoquan , MA Guowei , SUN Pan , ZHU Xiang’an , ZHANG Lan . Analysis of the mediating effect of workplace friendship on the relationship between professional resilience and professional well-being of emergency department nurses[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026 , 7(6) : 725 -732 . DOI: 10.3761/j.issn.2096-7446.2026.06.016

References

[1] 郭艳枫, 吕泳标, 李荣满, 等. 急诊科护士风险感知、护理工作环境与心理弹性的关系研究[J]. 重庆医学, 2024, 53(16):2525-2529.
  Guo YF, Lü YB, Li RM, et al. Study on relationship between risk perception and nursing working environment with mental resilience in emergency department nurses[J]. Chongqing Med, 2024, 53(16):2525-2529.
[2] Fisher CD. Happiness at work[J]. Int J Manag Rev, 2010, 12(4):384-412.
[3] Loukzadeh Z, Mazloom Bafrooi N. Association of coping style and psychological well-being in hospital nurses[J]. J Caring Sci, 2013, 2(4):313-319.
[4] 王亚飞, 张青, 刘宇苗. 护士职业韧性的研究进展[J]. 职业与健康, 2022, 38(7):1004-1008.
  Wang YF, Zhang Q, Liu YM. Research progress on career resilience of nurses[J]. Occup Health, 2022, 38(7):1004-1008.
[5] 马伟娜, 董培培, 黄冉冉, 等. 工作安全感、职业获益感在眼科护士职业韧性与职业成功中的中介作用[J]. 全科护理, 2024, 22(14):2698-2702.
  Ma WN, Dong PP, Huang RR, et al. The mediating role of job security and career benefit in professional resilience and career success of ophthalmic nurses[J]. Chin Gen Pract Nurs, 2024, 22(14):2698-2702.
[6] 贾文文, 王忠军, 温琳, 等. 企业员工职业成功与主观幸福感的关系[J]. 中国健康心理学杂志, 2015, 23(2):219-224.
  Jia WW, Wang ZJ, Wen L, et al. Relationship between emplo-yees’ career success and subjective well-being[J]. China J Health Psychol, 2015, 23(2):219-224.
[7] 和青森, 曹珊, 周雨洁. 职业韧性在临床护士职场友谊与工作绩效间的中介作用[J]. 护理学杂志, 2023, 38(19):48-51.
  He QS, Cao S, Zhou YJ. Mediating effect of career resilience between workplace friendship and work per-formance in clinical nurses[J]. J Nurs Sci, 2023, 38(19):48-51.
[8] Berman EM, West JP, Richter J. Workplace relations:friendship patterns and consequences(according to managers)[J]. Public Adm Rev, 2002, 62(2):217-230.
[9] Ellwardt L, Steglich C, Wittek R. The co-evolution of gossip and friendship in workplace social networks[J]. Soc Netw, 2012, 34(4):623-633.
[10] 孙振球, 徐勇勇. 医学统计学[M]. 4版. 北京: 人民卫生出版社,2014:238-240.
  Sun ZQ, Xu YY. Medical statistics[M]. 4th ed. Beijing: People’s Medical Publishing House,2014:238-240.
[11] Nielsen IK, Jex SM, Adams GA. Development and validation of scores on a two-dimensional workplace friendship scale[J]. Educ Psychol Meas, 2000, 60(4):628-643.
[12] 窦璐. 职场友谊、组织情感承诺与离职倾向:以酒店员工为例[J]. 现代财经(天津财经大学学报), 2015, 35(7):105-113.
  Dou L. Research on the influence of the workplace friendship on affective commitment,job satisfaction and turnover inten-tion of employees’ in service industry[J]. Mod Finance Econ (J Tianjin Univ Finance Econ), 2015, 35(7):105-113.
[13] London M. Relationships between career motivation,empower-ment and support for career development[J]. J Occup Organ Psychol, 1993, 66(1):55-69.
[14] 王巧铃. 知识型员工职业挫折感对工作投入的影响—职业韧性的调节作用[D]. 南京: 南京师范大学, 2015.
  Wang QL. The impact of knowledge workers’ job disillusion-ment on work engagement:the moderating role of resilience[D]. Nanjing: Nanjing Normal University, 2015.
[15] 胡冬梅, 马月丹, 那丽, 等. 医务工作者职业幸福感量表编制及信度和效度分析[J]. 中国医院统计, 2011, 18(2):127-129.
  Hu DM, Ma YD, Na L, et al. Formation and analysis of reliability and validity of the occupational well-being scale for medical workers[J]. Chin J Hosp Stat, 2011, 18(2):127-129.
[16] Physician N. Effect of nurse-physician teamwork in the emer-gency department nurse and physician perception of job sati-sfaction[J]. J Nurs Care, 2014, 3(1):1168-2167.
[17] 邓素琼, 聂婷瑶, 张萍, 等. 湖南省三级甲等医院硕士学历护士职业韧性对职业妥协的影响[J]. 职业与健康, 2025, 41(18):2484-2488.
  Deng SQ, Nie TY, Zhang P, et al. Impact of occupational resi-lience on occupational compromise among nurses with master’s degree in grade-a tertiary hospital in Hunan Provin-ce[J]. Occup Health, 2025, 41(18):2484-2488.
[18] 谈在祥, 孙煦. 论我国急诊“伤医”现象成因及其法律应对[J]. 中国卫生法制, 2022, 30(3):45-49,107.
  Tan ZX, Sun X. On the causes of the “injury doctor” pheno-menon in emergency departments in China and its legal response[J]. China Health Law, 2022, 30(3):45-49,107.
[19] 丁鲡, 谢莉玲, 周勤. 不同等级医院护士围绝经期综合征现状调查及影响因素分析[J]. 护理学杂志, 2022, 37(20):76-80.
  Ding L, Xie LL, Zhou Q. Occurrence and influencing factors of perimenopausal syndrome among clinical nurses in diffe-rent levels of hospitals[J]. J Nurs Sci, 2022, 37(20):76-80.
[20] 夏瑶瑶, 李颐, 钟雯, 等. 临床护士工作沉浸感与职业幸福感的相关性分析[J]. 护理实践与研究, 2022, 19(18):2726-2731.
  Xia YY, Li Y, Zhong W, et al. Correlation analysis between job immersion and occupational well-being of clinical nurses[J]. Nurs Pract Res, 2022, 19(18):2726-2731.
[21] 赵雨晴, 刘艺, 姜金霞, 等. 益处发现视角下急诊科护士职业幸福感潜在类别的影响因素分析[J]. 护理管理杂志, 2024, 24(8):668-672.
  Zhao YQ, Liu Y, Jiang JX, et al. The latent class of career happiness among emergency department nurses under the benefit finding perspective[J]. J Nurs Adm, 2024, 24(8):668-672.
[22] 赵瀛, 刘喜文, 张琳苑, 等. 军队医院护士职业幸福感现状调查及影响因素分析[J]. 职业与健康, 2021, 37(1):76-79.
  Zhao Y, Liu XW, Zhang LY, et al. Investigation on the status quo of nurses’ professional well-being in military hospitals and analysis of influencing factors[J]. Occup Health, 2021, 37(1):76-79.
[23] 万佳, 夏海鸥. 专科护士工作获得感源泉的质性研究[J]. 护理学杂志, 2023, 38(5):82-86,100.
  Wan J, Xia HO. Source of the sense of gain in work among specialist nurses:a qualitative study[J]. J Nurs Sci, 2023, 38(5):82-86,100.
[24] 程娟, 王正义, 尹玲娜. 民办院校青年教师职业幸福感的影响因素及对策研究[J]. 科教导刊, 2023(21):74-77.
  Cheng J, Wang ZY, Yin LN. A study on the influencing factors and countermeasures of young teachers’ professional happiness in private colleges and universities[J]. Guide Sci Educ, 2023(21):74-77.
[25] 李霞, 谢晋宇, 张伶. 职业韧性研究述评[J]. 心理科学进展, 2011, 19(7):1027-1036.
  Li X, Xie JY, Zhang L. General review on career resilience[J]. Adv Psychol Sci, 2011, 19(7):1027-1036.
[26] Masten AS. Resilience from a developmental systems perspec-tive[J]. World Psychiatry, 2019, 18(1):101-102.
[27] 韩翼, 肖素芳, 张云逸. 如何实现工作-家庭共同繁荣:基于资源增益视角[J]. 预测, 2020, 39(1):1-8.
  Han Y, Xiao SF, Zhang YY. Thriving at work and family:a resource enrichment perspective[J]. Forecasting, 2020, 39(1):1-8.
[28] Zhang YJ, Sun JM, Shaffer MA, et al. High commitment work systems and employee well-being:The roles of workplace friendship and task interdependence[J]. Hum Resour Manag, 2022, 61(4):399-421.
Options
Outlines

/

〈 〉