医学与社会2024,Vol.37Issue(3) :114-120.DOI:10.13723/j.yxysh.2024.03.018

吉林省公立医院护士职业认同与离职意愿的关系

Relationship Between Nurses'Professional Identity and Willingness to Leave in Public Hospitals in Jilin Province

于洗河 孔祥鸥 钱美希 张晓琳 李灵希 杨鑫
医学与社会2024,Vol.37Issue(3) :114-120.DOI:10.13723/j.yxysh.2024.03.018

吉林省公立医院护士职业认同与离职意愿的关系

Relationship Between Nurses'Professional Identity and Willingness to Leave in Public Hospitals in Jilin Province

于洗河 1孔祥鸥 1钱美希 1张晓琳 1李灵希 1杨鑫1
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作者信息

  • 1. 吉林大学公共卫生学院,吉林长春,130021
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摘要

目的:调查吉林省公立医院护士职业认同与离职意愿的关系,为降低护士离职意愿、保证护理服务质量提供依据.方法:采用分层随机抽样法,使用护士工作满意度量表、职业认同量表、离职意愿量表和职业倦怠量表对吉林省124 所医院的2480 名护士进行问卷调查.结果:护士职业倦怠总分为(31.58±25.45),工作满意度总分为(33.11±7.92),职业认同总分为(115.97±18.21),离职意愿总分为(10.18±4.37);单因素分析显示年龄、工作年限、用工形式和收入水平影响护士的离职意愿(P<0.05);相关性分析显示职业认同与工作满意度呈正相关(r=0.585,P<0.01),与职业倦怠(r=-0.547,P<0.01)、离职意愿(r=-0.425,P<0.01)呈负相关.中介效应分析结果表明职业倦怠和工作满意度在护士职业认同和离职意愿中起链式中介作用,链式中介效应值为-0.049.结论:吉林省公立医院护士离职意愿得分处于较低水平,链式中介成立,护士职业认同通过职业倦怠和工作满意度间接预测其离职意愿.

Abstract

Objective:To investigate the relationship between nurses'professional identity and willingness to leave in public hospitals in Jilin province,and to provide a basis for reducing nurses'willingness to leave their jobs and ensuring the quality of nursing services.Methods:A stratified random sampling method was used to conduct a questionnaire survey on 2480 nurses from 124 hospitals in Jilin Province using the Nurses'Job Satisfaction Scale,the Professional Identity Scale,the Willingness to Leave Scale,and the Burnout Scale.Results:The total score of nurses'burnout was(31.58±25.45),the total score of job satisfaction was(33.11±7.92),the total score of professional identity was(115.97±18.21),and the total score of willingness to leave the job was(10.18±4.37),univariate analysis showed that age,years of working experience,form of employment,and level of income af-fected the willingness of nurses to leave the job(P<0.05),correlation analysis showed that professional identity was positively cor-related with job satisfaction(r=0.585,P<0.01)and negatively correlated with burnout(r=-0.547,P<0.01)and willingness to leave(r=-0.425,P<0.01).The results of mediation effect analysis showed that burnout and job satisfaction acted as chain media-tors in nurses'professional identity and willingness to leave,and the value of the chain mediation effect was-0.049.Conclusion:Nurses'willingness to leave scores in public hospitals in Jilin province are at a low level,and the chain mediation is established,and nurses'professional identity indirectly predict their willingness to leave through burnout and job satisfaction.

关键词

医学心理/职业认同/离职意愿/公立医院/护士/吉林省

Key words

Medical Psychology/Professional Identity/Willingness to Leave/Public Hospital/Nurse/Jilin Province

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基金项目

教育部人文社会科学研究规划基金项目(18YJAZH118)

出版年

2024
医学与社会
华中科技大学同济医学院

医学与社会

CSTPCDCHSSCD北大核心
影响因子:1.178
ISSN:1006-5563
参考文献量33
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