医务社会工作者职业紧张、组织支持与离职意愿的关系研究  

Study On the Relationship Between Ocupational Stress,Organizational Support and Turnover Intention of Medical Social Workers

作　　者：唐咏[1] 倪小琪 TANG Yong;NI Xiaoqi

机构地区：[1]深圳大学法学院社会学系 [2]深圳大学法学院,深圳518060

出　　处：《社会工作》2023年第2期84-95,110,F0003,共14页Journal of Social Work

摘　　要：本研究使用“中国社会工作动态数据(CSWLS2019)”中220份医务社会工作者群体数据,以社会交换理论和组织支持理论为指导,实证研究了职业紧张和组织支持对医务社会工作者离职意愿的影响。研究发现,职业紧张中的付出—回报失衡和超负荷均对离职倾向有显著影响,且付出—回报失衡比超负荷作用更显著;组织支持在职业紧张与离职意愿之间存在部分中介效应。由此提出通过明确考核指标和提升组织支持感来解决医务社会工作者的离职倾向问题。As the reform of China’s medical market services advanced in the 1980s,the issues of the doctor-patient trust and doctor-patient relationship became increasingly prominent,and hospitals launched innovations in management level and service quality to improve patient satisfaction and reduce disputes,and the reconstruction of medical social work came into being.Nowadays,medical social workers(hereinafter referred to as medical social workers)play positive functions in the hospital system,such as providing emotional guidance to patients,assisting in establishing support networks,balancing information asymmetry between doctors and patients,and coordinating doctor-patient relationships,therefore,the stability of the medical social work team is of great significance to the hospital system.Based on organizational support theory and social exchange theory,this study will examine whether organizational support perceptions from within the institution,between institutional cultures,and across the system mediate the relationship between MSWs’occupational stress and willingness to leave.Statistical data were obtained from the national baseline data of the China Social Work Dynamics Survey 2019(CSWLS2019)organized by the East China University of Science and Technology.220 cases of data participating in the medical social worker module survey were selected,and the data were processed and analyzed using SPSS22.0 software,and the factors influencing medical social workers’propensity to leave were explored based on this survey data.The propensity to leave medical social workers was the dependent variable.Sense of organizational support and professional tension were the independent variables.The sense of organizational support included three dimensions,namely,intra-organizational support,organizational culture support,and cross-system support.Professional tension included three dimensions,i.e.,give and take,reward,and overload.This study found that:first,the basic demographic variable of“age”was significantly affected in t

关 键 词：医务社会工作者 离职意愿 职业紧张 组织支持感 

分 类 号：C916[经济管理]