时间标签：数据日期 2026-10-31 · 生成时间 2026-11-01 05:30（Asia/Shanghai）｜ 检索窗口 PubMed edat 2026/10/28–2026/10/31 ｜ 情报发生日期 2026-10-31
研究问题
These challenges highlight the importance of understanding factors associated with work engagement in this workforce.；Although organizational conditions, work motivation, and work engagement have been examined in healthcare and other occupational groups, evidence specific to geriatric nursing assistants in Chinese aged care institutions remains limited.
方法
This was a cross-sectional questionnaire study.；The inclusion criteria were as follows: (1) currently employed as a geriatric nursing assistant in an aged care institution; (2) continuously employed for at least 6 months; and (3) willing to participate and able to provide informed consent.；The exclusion criteria were as follows: (1) non-nursing-assistant staff; (2) being on leave or absent from work during the survey period; and (3) having cognitive, hearing, or communication impairments that would affect questionnaire completion.；Returned questionnaires were excluded if they showed patterned responding across the multi-item scales, had an electronically recorded completion time of less than 2 min, or contained clearly inconsistent sociodemographic information.
核心结论
Most participants worked ≥ 10 h per day (66.1%), and 54.8% reported relatively heavy or very heavy daily workloads.；The four-factor model fitted the data significantly better than the one-factor model (χ² = 313.833, df = 54, χ²/df = 5.812, CFI = 0.928, TLI = 0.912, RMSEA = 0.121, 90% CI [0.108, 0.134], AIC = 361.833; Δχ² = 171.523, Δdf = 6, p < 0.001).；Overall, these findings provided partial support for the four-factor structure, while the interpersonal-climate dimension, particularly the low-loading item, warrants further psychometric evaluation. ‖ 结论：These findings highlight the potential relevance of organizational conditions and qualitatively different forms of work motivation to work engagement among geriatric nursing assistants.
局限
Nevertheless, the external-regulation model showed weaker absolute fit than the other three models, and its results should be interpreted cautiously.；Their positive associations with work engagement in the present cross-sectional models should therefore not be taken to imply that managers should deliberately increase guilt, pressure, surveillance, sanctions, or dependence on external rewards.；Because these outcomes were not measured in the present study, they should be examined directly in future research.
对本项目的价值
★☆☆☆☆ 生殖衰老提供「衰老速率可被激素轴调节」的天然实验窗口。设计 cross-sectional；最大样本量约 5,000。
全文来源
PMC JATS 全文（正文 52,853 字符，已过标题/DOI 逐字归属校验）
原文题录
- 英文标题：Indirect associations involving four work-motivation dimensions between perceived organizational climate and work engagement among geriatric nursing assistants in China: a cross-sectional study.
- 期刊与标识：BMC Nurs · PMID 42947092 · DOI 10.1186/s12912-026-05426-w
A 级证据分级：A 级（同行评议人体研究）
本文属人体研究证据，但需注意：观察性或小样本干预的结论不等于已证实临床获益；效应量与长期安全性仍需更大规模、更长随访的试验验证。
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