医务人员医院文化认知与体验感量表研究  

A Scale Study of Medical Staff's Perception and Experience of Hospital Culture

作　　者：张小雨 王静蓉 黄璐婷 姚君[2] 李超红[2] 荆丽梅 Zhang Xiaoyu;Wang Jingrong;Huang Luting;Jing Limei(School of Public Health,Shanghai University of Traditional Chinese Medicine,Shanghai,201203,China;不详)

机构地区：[1]上海中医药大学公共健康学院,上海201203 [2]上海市胸科医院,上海200030 [3]上海交通大学公共卫生学院,上海200025

出　　处：《中国医院管理》2024年第6期9-14,共6页Chinese Hospital Management

基　　金：文化引领助力公立医院高质量发展研究项目。

摘　　要：目的研究编制医务人员医院文化认知与体验感量表并检验其信、效度,为评估医务人员医院文化认知与体验感提供科学工具。方法参考丹尼森组织文化模型,结合政策文件、文献资料和专家咨询形成量表;选取某医院开展问卷调查,采用项目分析、探索性因子分析、Cronbach’s α系数等检验量表的信度和效度。结果总量表包含制度举措、从业感知、管理培训和使命担当4个子量表及43个条目。项目分析结果显示:量表具有较好的区分度;总量表Cronbach’s α系数为0.992,Spearman-Brown系数为0.979,信度较好;探索性因子分析结果显示:制度举措、从业感知和管理培训子量表均只有1个维度,方差贡献率分别为77.12%、76.33%和85.75%,使命担当子量表提取2个公因子,累计方差贡献率为91.34%,各因子载荷均大于0.4;验证性因子分析结果显示:模型拟合较好;各子量表与维度的平均方差变异大于0.5,组合信度大于0.7,聚敛效度较好。结论量表具有较好的信度和效度,可用于定量评估医务人员医院文化认知与体验感。Objective It developed and tested the reliability and validity of the Hospital Culture Perception and Experience Scale for medical staff to provide a scientific tool for assessing medical staff's perceptions and experiences of hospital culture.Methods The scale was constructed with reference to the Dennison model of organisational culture and refined based on policy documents,literature and expert consultation.A hospital was selected to conduct the questionnaire survey.It used item analysis,factor analysis,and Cronbach'sαto test scale reliability and validity.Results The total scale contains 43 entries in 4 subscales:institutional initiatives,practitioner perception,management training and mission commitment.Item analysis results showed that the scale had good differentiation;the Cronbach'sαof the total scale was 0.992,and the Spearman-Brown was 0.979,with good reliability.Exploratory factor analysis results suggested that the institutional initiative,practitioner perception,and management training subscales had only 1 dimension,with a variance contribution rate of 77.12%,76.33%,and 85.75%,respectively.For the mission subscale,2 male factors were extracted,with a cumulative variance contribution rate of 91.34%.The factor loadings were all greater than 0.4.The validation factor analysis results shows that the model fit is good.The AVE of each subscale and dimension is greater than 0.5,and the CR is greater than 0.7,which indicates that the convergent validity is good.Conclusion The scale has good reliability and validity,and can be used to quantitatively assess the medical staff's perception and sense of experience of hospital culture.

关 键 词：医院文化 医务人员 认知 体验感 量表 信度 效度 

分 类 号：R197.3[医药卫生—卫生事业管理]