首页|工作压力和组织沉默在医务人员组织支持感与工作繁荣间的链式中介作用

工作压力和组织沉默在医务人员组织支持感与工作繁荣间的链式中介作用

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目的 探讨工作压力、组织沉默在组织支持感对医务人员工作繁荣影响机制中的多重中介作用.方法 2023年1-4月采用便利抽样法,选取四川省4所三级甲等医院361名医务人员为调查对象,采用一般资料调查表、工作压力量表、组织沉默量表、组织支持感量表和工作繁荣量表开展调查,构建并检验工作压力和组织沉默的链式中介模型.结果 361名医务人员组织支持感得分为(41.17±8.10)分,工作压力得分为(27.34±9.38)分,组织沉默得分为(35.55±8.94)分,工作繁荣得分为(45.84±9.36)分.医务人员工作繁荣与组织支持感呈正相关(r>0,P<0.05),与工作压力和组织沉默呈负相关(r<0,P<0.05).组织支持感对工作繁荣的总间接效应为0.244,其中工作压力和组织沉默对工作繁荣的特定中介效应分别占24.00%和10.61%,两者的链式中介作用占 11.16%.结论 四川省4所三级甲等医院医务人员工作繁荣处于中等水平,工作压力、组织沉默在组织支持感对医务人员工作繁荣影响机制中的多重中介作用成立.医疗管理者应关注工作繁荣水平低的医务人员,降低其工作压力和组织沉默,以进一步提升工作繁荣.
Chain mediating effect of job stress and organizational silence between perceived organizational support and work prosperity of medical staff
Objective To explore the multiple mediating effects of job stress and organizational silence in the influence mechanism of perceived organizational support on medical staff's work prosperity.Methods A total of 361 medical workers from four grade-A tertiary hospitals in Sichuan Province were selected by the convenience sampling method from January to April 2023.The general information questionnaire,work stress scale,organizational silence scale,perceived organizational support scale and work prosperity scale were used for investigation.The chain mediating model of job stress and organizational silence was constructed and tested.Results The scores of perceived organizational support,work stress,organizational silence and work prosperity in 361 medical workers were(41.17±8.10),(27.34±9.38),(35.55±8.94)and(45.84±9.36)points,respectively.The work prosperity of medical staff was positively correlated with perceived organizational support(r>0,P<0.05),and negatively correlated with work stress and organizational silence(r<0,P<0.05).The total indirect effect of perceived organizational support on work prosperity was 0.244.The specific mediating effects of work stress and organizational silence on work prosperity accounted for 24.00%and 10.61%respectively,and the chain mediating effect of the two accounted for 11.16%.Conclusions The work prosperity of medical staff in four grade-A tertiary hospitals in Sichuan Province is at a medium level.The multiple mediating roles of work stress and organizational silence in the influence mechanism of perceived organizational support on the work prosperity of medical staff are established.The medical managers should pay attention to medical staff with low level of medical staff reduce their work pressure and organizational silence,so as to further enhance work prosperity.

Medical staffWorking pressureOrganizational silencePerceived organizational supportWork prosperityChain intermediary

曾丽、庾巧

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德阳市人民医院心血管内科,四川德阳 618000

医务人员 工作压力 组织沉默 组织支持感 工作繁荣 链式中介

四川省性社会学与性教育研究中心课题

SXJYZ2227

2024

职业与健康
天津市疾病预防控制中心 中华预防医学会

职业与健康

CSTPCD
影响因子:0.737
ISSN:1004-1257
年,卷(期):2024.40(11)