职业高原状况对吉林省基层医务人员离职意愿影响的多重中介效应分析  

Analysis of the Multiple Mediating Effects on the Impact of Career Plateau Status on the Turnover Intention of Primary Medical Personnel in Jilin Province

作　　者：于洗河[1] 杨鑫 李铭 刘明慧 徐佳莹 YU Xihe(School of Public Health,Jilin University,Changchun,Jilin,130021,China)

机构地区：[1]吉林大学公共卫生学院,吉林长春130021

出　　处：《医学与社会》2024年第5期86-92,共7页Medicine and Society

基　　金：教育部人文社会科学研究规划基金项目,编号为18YJAZH118。

摘　　要：目的:探讨职业高原状况对吉林省基层医务人员离职意愿的影响,分析组织承诺和工作投入在二者间的多重中介效应,为降低基层医务人员的离职意愿提供理论依据。方法:采用职业高原量表、组织承诺量表、工作投入量表和离职意愿量表,对吉林省720名基层医务人员进行问卷调查。结果:基层医务人员的职业高原、组织承诺、工作投入及离职意愿状况两两之间呈显著相关(P<0.01)。职业高原状况对基层医务人员离职意愿的影响可以通过以下方式实现:通过职业高原的直接作用(β=0.110);通过组织承诺的独立中介作用(β=0.132);通过工作投入的独立中介作用(β=0.099);通过组织承诺和工作投入的链式中介作用(β=0.028)。结论:职业高原状况不仅可直接影响吉林省基层医务人员离职意愿,还可通过组织承诺和工作投入的多重中介作用间接影响其离职意愿。Objective:To explore the impact of career plateau on turnover intention of grassroots medical personnel in Jilin province,analyze the multiple mediating effects of organizational commitment and work engagement between the two,and provide theoretical basis for reducing the turnover intention of grassroots medical personnel.Methods:A questionnaire survey was conducted on 720 grassroots medical personnel in Jilin Province using the Career Plateau Scale,Organizational Commitment Scale,Work Engagement Scale,and Turnover Intention Scale.Results:There was a significant correlation between the career plateau,organiza-tional commitment,work engagement,and turnover intention of grassroots medical personnel(P<0.01).The impact of career plateau on turnover intention could be achieved through the following pathways:the direct effect of career plateau(β=0.110),independent intermediary role through organizational commitment(β=0.132),independent intermediary role through work engagement(β=0.099).Chain mediated role through organizational commitment and work engagement(β=0.028).Conclusion:Career plat-eau can not only directly predict turnover intention of primary medical personnel in Jilin Province,but also indirectly predict turnover intention through the multiple mediating effects of organizational commitment and work engagement.

关 键 词：医学心理 职业高原 离职意愿 基层医务人员 吉林省 

分 类 号：R-05[医药卫生]