目的 探讨三级综合医院护士工作成就感在职业召唤与离职意愿间的中介效应。 方法 2022年10-12月，采用便利抽样法选取山东省68家三级综合医院2237例护士，采用一般资料调查问卷、职业召唤量表、工作成就感量表、离职意愿量表对其进行调查。 结果 护士的职业召唤、工作成就感、离职意愿总分分别为(62.92±16.58)分、(82.11±17.42)分、(14.22±3.92)分；职业召唤及工作成就感与离职意愿均呈负相关(P＜0.001)，职业召唤与工作成就感呈正相关(P＜0.001)；工作成就感在职业召唤和离职意愿间起到部分中介作用，占总效应的44.7%。 结论 职业召唤可通过工作成就感影响护士的离职意愿，护理管理者应积极采取干预措施以提高护士的工作成就感，进一步实现护士的职业召唤，降低护士离职率。

Objective To explore the mediating effect of sense of work achievement between career calling and turnover intention among nurses in tertiary general hospital. Methods From October to December 2022,2237 nurses from 68 tertiary general hospitals were investigated by convenience sampling method with general information questionnaire,career calling scale,work achievement scale and turnover intention scale. Results The total scores of career calling,work achievement and turnover intention for nurses were(62.92±16.58),(82.11±17.42) and (14.22±3.92) respectively.Both career calling and work achievement were negatively correlated with turnover intention(P＜0.001),and career calling was positively correlated with work achievement(P＜0.001).Sense of work achievement was a partial mediator between career calling and turnover intention,which could account for 44.7% of the total effect. Conclusions Career calling of nurses may affect turnover intention through sense of achievement.Nursing managers should actively take intervention measures to improve work achievement of nurses,further fulfill career calling,and finally reduce the turnover rate of nurses.

R471