目的 了解急诊科护士工作嵌入现状并探讨其影响因素，为管理者制订留职策略和培养急诊护理人才提供依据。方法 2021年11月至2022年5月，采用便利抽样法选取杭州市6所三级综合性医院的267名急诊科护士为研究对象，采用工作嵌入量表、护士工作环境量表和心理资本量表等对其调查。结果 急诊科护士工作嵌入总分为（70.52±13.72）分，护士工作环境总分为（92.52±16.10）分，心理资本总分为（87.41±17.45）分。不同年龄、职位、聘用方式、工作年限、平均月收入和每月夜班频次的急诊科护士工作嵌入的得分差异均有统计学意义（均P＜0.05）。急诊科护士工作环境总分与工作嵌入总分呈正相关（r=0.866，P＜0.01）。护士工作环境、心理资本和平均月收入是影响急诊科护士工作嵌入的主要因素，可解释急诊科护士工作嵌入总变异程度的77.8%。结论 急诊科护士工作嵌入处于中等偏上水平。管理者可从改善护理工作环境、完善薪资收入和不断开发心理资本等方面，提升急诊科护士工作嵌入水平。

Objective To understand the current situation of job embeddedness of nurses in emergency department and explore the related influencing factors,so as to provide basis for managers to formulate retention strategies and cultivate emergency nursing talents.Methods A total of 267 emergency department nurses from 6 tertiary general hospitals in Hangzhou were selected as subjects by convenience sampling method from November 2021 to May 2022.Job embedding scale,nurse work environment scale and psychological capital scale were used to investigate the subjects.Results The total score of job embedment of nurses in emergency department was (70.52±13.72),and the total score of nurses’ work environment was (92.52±16.10).The total score of psychological capital was (87.41±17.45).There were statistically significant differences in job embedding scores among emergency department nurses with different ages,positions,employment methods,working years,average monthly income and monthly night shift frequency (all P＜0.05).The total score of work environment was positively correlated with the total score of work embedding (r=0.866,P＜0.01).Nurses’ work environment,psychological capital and average monthly income were the main factors affecting the job embeddedness of nurses in emergency department,which could explain 77.8% of the total variation of job embeddedness.Conclusions The job embeddedness of nurses in emergency department is above the medium level.Managers can improve the work embeddedness of nurses in emergency department by improving the working environment,improving the salary and developing psychological capital.

R47