基于双视角心理契约的低年资护士离职倾向研究

Study of turnover intention among junior nurses based on the dual perspectives of psychological contract

目的基于双视角心理契约,从医院管理者及低年资护士的个体感知角度,对低年资护士离职问题进行探讨。方法采用离职倾向量表和心理契约量表对384名护士进行调查。结果低年资护士离职倾向总均分为(3.20±0.75)分,为中等水平;医院管理者心理契约各维度均分均高于低年资护士感知水平(P<0.01);年龄、职称、用工性质及双视角医院规范责任和护士发展责任感知差异对离职倾向有明显影响(P<0.05)。结论医院管理者应注重低年资护士的心理契约管理及其个体调节因素的培养,以提高低年资护士心理契约感知水平,进而降低其离职倾向。

Objective To investigate the turnover intention among junior nurses based on the dual perspectives(juniornurses and hospital managements)of psychological contract.Methods Totally 384 nurses were investigated by the Psychological Contract Scale and Turnover Intention Scale.Results The score of turnoverintention in juniornurses was(3.20±0.75).From the present situation of psychological contract from the perspective of dual perception perspective,organizers had higher scores than the individual perception of juniornurses(P<0.01).The influential factors of turnover intention were the age,job title,labor properties,differences in perception of the organization's normative obligation and the individual's development obligation(P<0.05).Conclusion Hospital managers should pay more attention to the psychological contract management of juniors nurses,and the cultivation of individual adjustment factors,so as to improve juniors nurses'perception level of psychological contract and reduce their turnover intention.