公立医院护士心理契约对工作绩效的影响  

Effect of the psychological contract on job performance of nurses in public hospital

作　　者：黎丹丹 孟贝[1,3] 黄慧敏[1] 杨秀木[1,4] 齐玉龙[4] 

机构地区：[1]蚌埠医学院护理学院,安徽蚌埠233030 [2]泰康人寿保险有限责任公司安徽分公司,安徽合肥230001 [3]信阳职业技术学院,河南信阳464000 [4]蚌埠医学院全科医学教育发展研究中心,安徽蚌埠233030

出　　处：《蚌埠医学院学报》2017年第1期13-17,共5页Journal of Bengbu Medical College

基　　金：教育部人文社会科学研究规划基金(12YJAZH111);安徽省高校人文社科重点研究基地"蚌埠医学院全科医学教育发展研究中心"招标项目(SK2015A119&SK2016A0601);蚌埠医学院研究生科研创新计划资助项目(Byycx1416)

摘　　要：目的:探讨公立医院护士心理契约对工作绩效的影响。方法:采用护士心理契约量表和医院护士工作绩效评定量表,对某市523名二级以上公立医院护理人员进行问卷调查,采用描述性统计分析、pearson相关分析、多元逐步回归分析探讨心理契约与工作绩效的关系。结果:护士心理契约中医院责任和护士责任评分分别为(3.16±0.88)分和(4.49±0.58)分,工作绩效评分为(4.65±0.43)分;直线相关分析显示,护士心理契约各维度与任务绩效和情境绩效均呈正相关关系(P<0.05~P<0.01),与有损组织行为呈负相关关系(P<0.05~P<0.01);多元逐步回归分析结果显示,工作年限、医院性质、护士团队责任及护士发展责任4个影响因素进入回归方程。结论:护士感知到的心理契约处于中等水平,其中医院责任方面未满足部分高于护士责任方面,管理者应重视医院责任的满足;护士工作绩效处于较高水平,并主要受心理契约中护士责任方面的影响,建立和维护护士心理契约是提高护士工作绩效的重要措施。Objective：To explore the effects of the psychological contract on job performance of nurses in public hospital. Methods： Five hundred and twenty-three nurses from more than secondary public hospital were investigated using the nurses＇ psychological contract scale and hospital nurses＇ job performance rating scale. The relationship between the nurses＇ psychological contract and job performance was explored using the descriptive statistics analysis, pearson correlation analysis and multiple stepwise regression analysise. Results ：The mean scores of the hospital responsibility and nurse responsibility in psychological contract of nurses, and the job performance of nurses were（3.16 ± 0.88 ）, （4.49 ± 0.58 ） and（4.65 ± 0.43 ）, respectively. Pearson correlation analysis showed that the each dimension of the psychological contract of nurses was positively correlated with the task performance and contextual performanee（P 〈0.05 to P 〈0.01 ） ,and negatively correlated with the anti-production performance（P 〈0.05 to P 〈0.01 ）. Multiple stepwise regression analysis showed that the working year, hospital characteristics, nurse team responsibility and nurse development responsibility entered the regression equation of job performance. Conclusions： Nurses perceiving psychological contract is at the medium level,the un-satisfaetion of hospital responsibility is higher than that of nurses, and the manager should pay attention to the performance of hospital responsibility. The work performance of nurses is at a relatively high level, and which is mainly affected by the nurses＇ responsibility in psychological contract. To establish and maintain the psychological contract is an important measure to improve the job performance of nurses.

关 键 词：护理 心理契约 工作绩效 护士 

分 类 号：R47[医药卫生—护理学]