基层医疗机构护士工作满意度对组织承诺影响的实证研究  

Empirical study on influence of job satisfaction on organizational commitment of nurses in basic level medical institutions

作　　者：孟润堂[1] 曾倩[1] 刘锋锋[1] 崔芳芳[1] 宇传华[1] 何振[2] 

机构地区：[1]武汉大学公共卫生学院流行病与卫生统计学系,湖北武汉430071 [2]武汉大学人民医院汉川医院麻醉科,湖北汉川431600

出　　处：《海南医学》2015年第8期1225-1228,共4页Hainan Medical Journal

基　　金：湖北医药学院学生科研基金项目(编号:2011XS16)

摘　　要：目的为建立合理有序基层护理服务梯队,探究基层医疗机构的护理人员工作满意度和组织承诺间的相互关系。方法采用便利抽样法,运用工作满意指数、中国职工组织承诺、一般人口资料量表调查汉川市12所基层医疗机构的206名注册护士。结果在基层医疗机构中,收入和工作任务是护士群体工作满意度排序最后两位的维度,而职业地位位次最高;经济和机会承诺是护士整体组织承诺列序最后的两个维度,而规范承诺位次最高;护士工作满意度中的收入、组织决策两个维度与组织承诺存在高度正相关(P<0.01),工作满意度与组织承诺呈正相关(P<0.05)。结论基层医疗机构的护士组织承诺水平受工作满意度影响,国家卫生部门尤其是医院管理者须采取多方面联合措施多管齐下,激起护士群体高层次的追求,逐步解决基层护理人员流动流失问题。Objective In order to establish a reasonable and orderly nursing service talent team ofgrassroots by exploring the correlation between job satisfaction and organizational commitment. Methods A total of 206 registered nurses from 12 hospitals in Hanchuan were recruited by convenience sampling method and were investigated with a scale including index of work satisfaction, China organization commitment questionnaire and demographic information. Results The scores of the six dimensions of job satisfaction in the questionnaire were ranked at an ascending sequence as follows： earning, task requirement, organizational decision, autonomy, mutual cooperation, and professional status. In terms of the score of each factor of organizational commitment were sorted from low to high order for opportunity commitment, economy commitment, affective commitment, ideal commitment and normative commitment. The work satisfaction degree was positively related with organizational commitment as well as significant positive correlations among their earning and organizational commitment, between their organizational decision and organizational commitment. Conclusion The job satisfaction of nurses in basic level medical institutions impacts their organizational commitment. The national health authorities, especially hospital administrator, should adopt various joint measures multi-pronged to stimulate the pursuit of nurses in high-level for solving the problem of nursing personnel flow erosion in grassroots hospital.

关 键 词：医院管理 人才流失 护士 工作满意度 组织承诺 基层医疗机构 

分 类 号：R195[医药卫生—卫生统计学]