通讯作者: 刘军安, lja10_11@163.com

DOI：10.12201/bmr.202010.00843

The association between sense of acquisition and turnover intention of rural primary medical staff: based on mediating effect of job satisfaction

• 摘要：目的：探讨农村基层医务人员工作满意度在获得感和离职意愿中的中介关系，为降低基层医务人员离职意愿，提高农村基层医务人员队伍的稳定性提供科学依据。方法：采用整群抽样法在竹山县共抽取5家县级医疗机构和4家乡镇卫生院的511名医务人员，采用工作满意度量表、获得感量表、离职意愿量表进行调查。结果：调查对象工作满意度和获得感得分较高，分别为3.59和3.64分，离职意愿较低，得分为2.17分。获得感与工作满意度呈正相关（P＜0.01），与离职意愿呈负相关（P＜0.01）；工作满意度与离职意愿呈负相关（P＜0.01）。工作满意度在获得感与离职意愿之间的关系中起较大的中介作用，中介效应大小为-0.35，占总效应的57.38%。结论：基层医务人员工作满意度对强化获得感和离职意愿之间关系具有中介效应，高获得感可以通过工作满意度来降低离职意愿，医疗卫生机构应该切实重视工作满意度建设。

  关键词： 基层医务人员; 满意度; 获得感; 离职意愿

   

  Abstract: Objective：To explore the mediating relationship of job satisfaction between sense of acquisition and turnover intention of primary medical staff in rural areas, so as to provide scientific basis for reducing the turnover intention of rural primary medical staff. Methods: 511 medical staff from 5 county-level medical institutions and 4 township health centers（THCs）in Zhushan County were sampled by cluster sampling. The questionnaire included job satisfaction scale, sense of acquisition scale and turnover intention vector table. Results: The score of job satisfaction, sense of acquisition were higher, 3.59, 3.64 respectively and the turnover intention of the respondents was low, with a score of 2.17. The sense of acquisition and job satisfaction were positively correlated (P<0.01), and both were negatively correlated with turnover intention (P<0.01). Job satisfaction plays a partial mediating role in the relationship between the sense of acquisition and turnover intention. The mediating effect is -0.35, accounting for 57.38% of the total effect. Conclusion: The job satisfaction plays mediating role in the sense of acquisition and turnover intention of the primary medical staff. The higher sense of acquisition can reduce the turnover intention by improving job satisfaction of the primary medical staff and medical institutions should pay more attention to the construction of job satisfaction.

  Key words: primary medical staff; job satisfaction; sense of acquisition; turnover intention

  提交时间：2021-01-15

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• 序号	提交日期	编号	操作
  1	2020-10-13	bmr.202010.00843V1	下载

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