医师职业精神内源性驱动力的实证探讨

Empirical Analysis of Internal Driving Force of Medical Professionalism

以"优质护理服务工程"、产科"一贯制"工作模式与传统工作模式为基础,分析了医务人员职业精神内源性驱动力的差异。结果表明:不同工作模式下心理契约有显著差异,变革组高于试点组;"医患交流互动"因素对工作行为发生积极变化的重要性有显著的差异,变革组高于传统组;在相同工作环境下,不同自尊水平的医务人员,其职业精神的表现有显著差异,自尊水平越高,员工满意度和工作敬业度得分越高、工作倦怠得分越低,即职业精神表现越好。提出医师职业精神的内源性驱动力来自3个方面:内部组织赋予医务人员的内心体验,外部顾客(患者)赋予医务人员的内心体验,医务人员自我人格特征。

With comparing ＇,High Quality Nursing Service Project and ＂Consistent Obstetrics＂ with traditional working mode, the difference of internal driving force of medical professionalism is analyzed. Results indicate that the difference of psychological contract in different working modes is significant, and the score of reform group is higher than that in traditional group; the importance of the factor of ＂doctor-patient communication＂ which has caused positive changes of work behavior is significantly different in different working modes, and the score of reform group is higher than that in traditional group; in the same working mode, medical staffs having different self-esteem levels have different employee satisfaction, and the higher level of self-esteem medical staffs have, the higher their employee satisfaction. The internal driving force of medical professionalism lies in 3 aspects： inner experience from internal organization, inner feeling from external customer （patients）, and self personality characteristics of medical staffs.