新疆某三甲医院高级职称医务人员工作满意度及工作倦怠的影响因素
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摘要
[目的]了解新疆某三甲医院高级职称医务人员工作满意度及工作倦怠的现状,分析影响高级职称医务人员工作满意度、工作倦怠的因素,为稳定高级职称人才队伍提供参考。[方法]采取整群抽样的方法,利用工作满意度问卷和工作倦怠量表对符合纳入标准的201名高级职称医务人员进行调查。[结果]①本组研究对象的工作满意度总分为(29. 61±6. 68)分,工作倦怠中情绪衰竭、去人格化、个人成就感3个维度得分分别为(26. 88±10. 84)分、(5. 23±4. 70)分、(33. 87±6. 45)分。②单因素分析显示:年龄、个人平均月收入、是否具有行政职务及不同岗位类别是影响高级职称医务人员工作满意度的因素(P <0. 05);年龄和文化程度是影响高级职称医务人员工作倦怠的因素(P <0. 05)。③多重线性逐步回归分析显示:情绪衰竭、个人平均月收入是本组研究对象工作满意度的主要影响因素(P <0. 05);年龄、文化程度和工作满意度是高级职称医务人员工作倦怠的主要影响因素(P <0. 05)。④高级职称医务人员的工作满意度与工作倦怠呈负相关关系。[结论]该院高级职称医务人员的工作满意度较低,工作倦怠较高。增加个人平均月收入,降低工作倦怠中情绪衰竭维度,可提高其工作满意度。
Objective To understand the status of job satisfaction and burnout of senior professional medical staff in a three hospital in Xinjiang,and analyze the factors that affect job satisfaction and burnout of senior professional medical staff,so as to provide reference for stabilizing senior professional title talent team. Methods Cluster sampling method was used to investigate 201 senior medical staffs who met the inclusion criteria by job satisfaction questionnaire and job burnout scale. Results 1. The total score of job satisfaction of the subjects in this group was( 29. 61 ±6. 68). The score of three dimensions of emotional exhaustion, depersonalization and sense of personal achievement in job burnout was( 26. 88 ± 10. 84),( 5. 23 ± 4. 70) and( 33. 87 ± 6. 45) respectively. 2. Single factor analysis showed that age,personal average monthly income,whether had administrative post and different post were the factors of influencing job satisfaction to senior professional medical staff( P <0. 05). Age and education level were the factors of influencing job burnout to senior professional medical staff( P < 0. 05). 3. Multiple liner stepwise regression analysis showed that emotional exhaustion and personal average monthly income were main influence factors of job satisfaction in this study group( P < 0. 05). Age,education level and job satisfaction were main influence factors of job burnout to senior professional medical staff( P < 0. 05). 4. There was a negative correlation between job satisfaction and job burnout. Conclusions The job satisfaction of medical staff with senior professional titles in the hospital is low,but their job burnout is high. Increase personal average monthly income and reduce emotional exhaustion dimension in job burnout can improve their job satisfaction.
Objective To understand the status of job satisfaction and burnout of senior professional medical staff in a three hospital in Xinjiang,and analyze the factors that affect job satisfaction and burnout of senior professional medical staff,so as to provide reference for stabilizing senior professional title talent team. Methods Cluster sampling method was used to investigate 201 senior medical staffs who met the inclusion criteria by job satisfaction questionnaire and job burnout scale. Results 1. The total score of job satisfaction of the subjects in this group was( 29. 61 ±6. 68). The score of three dimensions of emotional exhaustion, depersonalization and sense of personal achievement in job burnout was( 26. 88 ± 10. 84),( 5. 23 ± 4. 70) and( 33. 87 ± 6. 45) respectively. 2. Single factor analysis showed that age,personal average monthly income,whether had administrative post and different post were the factors of influencing job satisfaction to senior professional medical staff( P <0. 05). Age and education level were the factors of influencing job burnout to senior professional medical staff( P < 0. 05). 3. Multiple liner stepwise regression analysis showed that emotional exhaustion and personal average monthly income were main influence factors of job satisfaction in this study group( P < 0. 05). Age,education level and job satisfaction were main influence factors of job burnout to senior professional medical staff( P < 0. 05). 4. There was a negative correlation between job satisfaction and job burnout. Conclusions The job satisfaction of medical staff with senior professional titles in the hospital is low,but their job burnout is high. Increase personal average monthly income and reduce emotional exhaustion dimension in job burnout can improve their job satisfaction.
引文
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[11]王莹,王桂芝,张晓洁,等.肿瘤专科医院医务人员职业倦怠状况及其影响因素分析[J].中国社会医学杂志,2016,33(5):452-455.
[12]王富华,徐玲,谢铮,等.我国临床医生职业倦怠的区域分布现状分析[J].中国全科医学,2013,16(31):3006-3008.
[13]邹志礼,周波,黄雨兰,等.医务人员工作倦怠及其与社会支持的关系[J].中华行为医学与脑科学杂志,2015,24(2):169-172.
[14]孙忠河,曹长春.医务人员收入水平及工作满意度的现状分析[J].西部医学,2012,24(1):205-206.
[15]孙雅博,王金玲,徐金梅,等.护理人员工作倦怠的相关因素分析[J].中国现代医生,2011,49(34):108-111.
[16]周玉贞,刘桂萍,游晓青,等.护士长工作满意度对工作倦怠的影响[J].护理研究,2012,26(15):1367-1368.
[17]李会双,孙运波,邢金燕,等.三级医院ICU医护人员工作倦怠、工作满意度与离职意愿关系[J].齐鲁医学杂志,2014,(3):267-270.
[18]唐芳贵,彭艳.高校教师职业倦怠与工作满意度、社会支持关系[J].中国公共卫生,2008,24(8):930-932.
[19]王阳,杨小湜,吴辉,等.医护人员工作倦怠与工作满意度现况调查及其影响因素[J].职业与健康,2011,27(19):2168-2171.
[2]孙云霞,傅增智.护士角色倦怠个人根源分析及对策[J].卫生职业教育,2009,(6):134-135.
[3]陈素坤.临床心理护理指导[M].北京:科学技术文献出版社,2001.
[4] MASLACH C,SCHAUFELIi WB,LEITER MP. Job Burnout[J]. Annu Rev Psy Chol,2001,52(2):397-422.
[5]周晓华.肿瘤专科医院护士的工作授能与自我效能感、工作倦怠的相关性研究[D].广州:中山大学,2010.
[6] David W,Lesley H. Measure of need and outcome for primary health care[M]. Oxford:Oxford University Press,1992.
[7]刘芹,韦波,冯启明,等.广西少数民族贫困地区县级公立医院医务人员工作满意度及相关因素研究[J].中国地方病防治杂志,2018,(2):169-171.
[8]徐丽.大连市某三甲医院医务人员职业倦怠现况调查及影响因素研究[D].大连:大连医科大学,2012.
[9]王毅,程诚,屈冬燕,等.社区女性医护人员职业倦怠情况及其影响因素分析[J].中国健康心理学杂志,2018,(4):569-572.
[10]李慧民,张晓慧,崔冠宇,等.某省农村艾滋病医护人员的工作倦怠状况[J].中华劳动卫生职业病杂志,2009,27(12):759-760.
[11]王莹,王桂芝,张晓洁,等.肿瘤专科医院医务人员职业倦怠状况及其影响因素分析[J].中国社会医学杂志,2016,33(5):452-455.
[12]王富华,徐玲,谢铮,等.我国临床医生职业倦怠的区域分布现状分析[J].中国全科医学,2013,16(31):3006-3008.
[13]邹志礼,周波,黄雨兰,等.医务人员工作倦怠及其与社会支持的关系[J].中华行为医学与脑科学杂志,2015,24(2):169-172.
[14]孙忠河,曹长春.医务人员收入水平及工作满意度的现状分析[J].西部医学,2012,24(1):205-206.
[15]孙雅博,王金玲,徐金梅,等.护理人员工作倦怠的相关因素分析[J].中国现代医生,2011,49(34):108-111.
[16]周玉贞,刘桂萍,游晓青,等.护士长工作满意度对工作倦怠的影响[J].护理研究,2012,26(15):1367-1368.
[17]李会双,孙运波,邢金燕,等.三级医院ICU医护人员工作倦怠、工作满意度与离职意愿关系[J].齐鲁医学杂志,2014,(3):267-270.
[18]唐芳贵,彭艳.高校教师职业倦怠与工作满意度、社会支持关系[J].中国公共卫生,2008,24(8):930-932.
[19]王阳,杨小湜,吴辉,等.医护人员工作倦怠与工作满意度现况调查及其影响因素[J].职业与健康,2011,27(19):2168-2171.
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