医院职能管理人员职业倦怠与职业认同、工作满意度的关系

The relationship between hospital administrative personnels′ job burnout,professional identity and job satisfaction

目的了解医院职能管理人员职业倦怠状况,探讨职业倦怠对医院职能管理人员工作满意度及职业认同的影响。方法 2017年2~5月采用职业倦怠量表(MBI-GS)、职业认同量表与工作满意度量表(JSS)对随机抽取的四川省自贡市6所市属三级公立医院150名职能管理人员进行调查,采用Pearson相关分析对职业倦怠、职业认同与工作满意度进行相关性分析,采用多元线性层次回归分析职业倦怠与职业认同、工作满意度之间的因果关系。结果职业倦怠得分为(2.44±0.93)分,情感衰竭为(1.97±1.38)分,去人格化为(1.32±1.36)分,成就感低落为(1.81±1.44)分;职业倦怠与职业认同呈显著负相关(r=-0.485,P<0.01),职业倦怠与工作满意度同样呈显著负相关(r=-0.506,P<0.01);去人格化(β=-0.298,P<0.01)(β=-0.273,P<0.05)和成就感低落(β=-0.382,P<0.001)(β=-0.155,P<0.05)能显著降低医院职能管理人员的职业认同与工作满意度水平,情感衰竭(β=-0.218,P<0.05)能较好地预测医院职能管理人员工作满意度水平。结论医院职能管理人员职业倦怠现象普遍存在,职业倦怠会显著降低医院职能管理人员职业认同及工作满意度水平。

Objective To understand the job burnout of the administrative personnels of the hospital, and explore the impact of job burnout on professional identity and job satisfaction among administrative personnels. Methods 150 administrative personnels in 6 tertiary public hospitals of Zigong City in Sichuan Province were selected by the Maslach burnout inventory-general survey, career identity scale and job satisfaction scale from February to May 2017. The correlations of job burnout and professional identity, job satisfaction were analyzed with Pearson correlation. The causal relationship of job burnout and professional identity, job satisfaction was analyzed with hierarchical linear regression model. Results The average score of the administrative personnels job burnout was （2.44±0.93） points, emotional ex- haustion was （1.97±1.38） points, depersonalization was （1.32±1.36） points, low professional efficacy was （1.81±1.44） points. The job burnout was significant negatively correlated professional identity （r=-0.485, P 〈 0.01）; the job burnout was al- so significant negatively correlated job satisfaction （r=-0.506, P 〈 0.01）. The professional identity and job satisfaction of administrative personnels was significantly reduced by depersonalization （β =-0.298, P 〈 0.01） （β =-0.273, P 〈 0.05） and low professional efficacy （β =-0.382, P 〈 0.001） （β=-0.155, P 〈 0.05）; the job satisfaction was better predicted by emotional exhaustion （β=-0.218, P 〈 0.05）. Conclusion The phenomenon of job burnout in hospital administrators is widespread, job burnout can significantly reduce the professional identity and job satisfaction of administrative personnels.