初级护士角色清晰度与强制公民行为之间的关系：来自网络分析和基于模拟的网络建模的证据

摘要(中文译文)

初级护士中的强制性公民行为（Compulsory Citizenship Behavior, CCB）可能损害职业幸福感和劳动力稳定性。角色清晰性被认为是一种重要的组织资源，但其与CCB的条目水平关联仍未被充分理解。此外，工作场所暴力（Workplace Violence, WPV）可能影响角色相关认知与强制性角色外行为之间的关联方式。本研究旨在探讨初级护士角色清晰性与CCB之间的网络关联，并比较有无WPV暴露护士之间的网络结构。对中国三省医院的初级护士进行了横断面调查。参与者完成了评估角色清晰性、CCB和WPV暴露的自我报告问卷。采用网络分析估计角色清晰性与CCB之间的条目水平关联。计算桥接中心性指数以识别在不同构念之间表现出较强统计连接的条目。在有无WPV暴露的护士之间进行了网络比较分析。进一步进行基于模拟的预测分析，以探讨所选节点的变化如何与整体网络的统计变化相关联。估计网络显示角色清晰性与CCB之间存在有意义的条目水平关联。若干条目表现出相对较高的期望影响或桥接期望影响，提示它们可能在统计网络中占据重要位置。有无WPV暴露护士之间的网络结构存在差异，表明WPV暴露可能与角色清晰性和CCB之间不同的连接模式相关。基于模拟的预测提示，所选节点的变化可能与估计网络模型中预测CCB水平的变化相对应。本研究为初级护士角色清晰性与CCB之间的网络关联提供了初步证据。研究结果提示，特定的角色相关条目和CCB相关条目可能作为未来组织评估或干预开发的潜在候选靶点。然而，由于本研究采用横断面自我报告设计和基于模拟的预测而非实验性干预，应避免因果解释。未来需要纵向和干预研究来验证这些关联背后的时间性和因果机制。

Abstract

Compulsory Citizenship Behavior (CCB) among junior nurses may undermine occupational wellbeing and workforce stability. Role clarity has been considered an important organizational resource, yet its item-level associations with CCB remain insufficiently understood. In addition, workplace violence (WPV) may shape the way in which role-related perceptions are associated with compulsory extra-role behaviors. This study aimed to explore the network associations between role clarity and CCB among junior nurses and to compare network structures between nurses with and without WPV exposure. A cross-sectional survey was conducted among junior nurses from hospitals in three provinces of China. Participants completed self-report questionnaires assessing role clarity, CCB, and WPV exposure. Network analysis was used to estimate item-level associations between role clarity and CCB. Bridge centrality indices were calculated to identify items that showed stronger statistical connections across constructs. Network comparison analyses were conducted between nurses with and without WPV exposure. Simulation-based prediction analysis was further performed to explore how changes in selected nodes might be statistically associated with changes in the overall network. The estimated networks showed meaningful item-level associations between role clarity and CCB. Several items demonstrated relatively high expected influence or bridge expected influence, suggesting that they may occupy important positions in the statistical network. Network structures differed between nurses with and without WPV exposure, indicating that WPV exposure may be associated with different patterns of connections between role clarity and CCB. Simulation-based prediction suggested that changes in selected nodes may correspond to changes in predicted CCB levels within the estimated network model. This study provides preliminary evidence on the network associations between role clarity and CCB among junior nurses. The findings suggest that specific role-related and CCB-related items may serve as potential candidates for future organizational assessment or intervention development. However, because this study used a cross-sectional self-report design and simulation-based prediction rather than experimental intervention, causal interpretations should be avoided. Future longitudinal and intervention studies are needed to verify the temporal and causal mechanisms underlying these associations.

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