医务人员工作自主性对工作投入的影响:人际促进和职业召唤的链式中介作用  

The effect of job autonomy on job engagement in health care workers: the chain mediating role of interpersonal facilitation and occupational calling

作　　者：吴进 王含丹 吴琰 杨永挺[1] 黄仙红[3] 张皓[3] 王小合[3] 朱利明[1] WU Jin;WANG Handan;WU Yan;YANG Yongting;HUANG Xianhong;ZHANG Hao;WANG Xiaohe;ZHU Liming(Zhejiang Cancer Hospital,Hangzhou 310022,China;School of Politics and Public Administration,Wuhan University,Wuhan 430072,China;School of Public Health,Hangzhou Normal University,Hangzhou 311121,China)

机构地区：[1]浙江省肿瘤医院,浙江杭州310022 [2]武汉大学政治与公共管理学院,湖北武汉430072 [3]杭州师范大学公共卫生学院,浙江杭州311121

出　　处：《现代医院》2024年第6期887-890,共4页Modern Hospitals

基　　金：浙江省医药卫生科技计划项目(2023KY604)。

摘　　要：目的 探究人际促进、职业召唤在医务人员工作自主性和工作投入之间的链式中介效应。方法 2023年6—7月,采用方便抽样从杭州市三级公立医院中抽取5家医院共310名医务人员,利用工作自主性量表、人际促进量表、职业召唤量表和工作投入量表进行问卷调查,使用SPSS 26.0和AMOS 26.0进行数据分析。结果 共发放问卷310份,回收257份,回收率82.90%;不同年龄、婚姻状况、从业时间、职称、职务的医务人员工作投入得分差异具有统计学意义(均P<0.05);职业召唤部分介导了工作自主性对工作投入的影响(95%CI[0.090,0.291],P<0.001),人际促进和职业召唤在工作自主性与工作投入之间起部分链式中介作用(95%CI[0.016,0.103],P<0.001)。结论 人际促进、职业召唤在医务人员工作自主性和工作投入之间发挥着部分链式中介作用。医务人员的工作自主性不仅通过职业召唤的中介作用对工作投入产生间接效应,还通过人际促进提升职业召唤并最终影响工作投入。Objective To explore the chain mediating effect of interpersonal promotion and calling on work autonomy and work engagement of medical staff.Methods From June to July 2023,a total of 310 medical staff from 5 tertiary public hospitals in Hangzhou were selected by convenience sampling.The questionnaire included work autonomy scale,interpersonal promotion scale,calling scale and work engagement scale for accurate and effective investigation,and data analysis was conducted using SPSS26.0 and AMOS 26.0.Results A total of 310 questionnaires were distributed and 257 were recovered with a recovery rate of 82.90%.There were statistically significant differences in work engagement among medical staff with different ages,marital status,working time,titles and positions(all P<0.05).Calling partially mediated the effect of work autonomy on work engagement(95%CI[0.090,0.291],P<0.001),and interpersonal promotion and calling played a partially chain mediating role between work autonomy and work engagement(95%CI[0.016,0.103],P<0.001).Conclusion Interpersonal promotion and calling play a partially chain mediating role between work autonomy and work engagement of medical staff.Work autonomy of medical staff not only has an indirect effect on work engagement through the mediating role of calling,but also enhances calling through interpersonal promotion and ultimately affects work engagement.

关 键 词：工作自主性 人际促进 职业召唤 工作投入 链式中介 

分 类 号：R192[医药卫生—卫生事业管理]