心理契约视角下医养结合工作人员工作感受现状分析

Status analysis for the job experience and feelings by elderly-healthcare staff under the perspective of psychological contract

目的引入心理契约理论制定相关调查问卷,对医养结合服务提供机构工作人员的工作感受及认知情况开展研究,探讨相关工作认知影响因素。方法2018年7月至2019年2月,利用心理契约调查问卷对湖北省232名医养结合工作人员的工作感受及组织契约、责任认知情况进行现场问卷调查,运用方差分析、描述性统计、相关分析等方法对数据进行统计分析。结果研究发现个人责任评分为(76.0±11.8)分,高于组织责任得分的(60.9±10.0)分;同时,46.1%(107/232)的医养结合工作人员有过离职的想法,受访者的离职意向与组织履约行为呈相关性,且员工职业发展与员工离职意向呈强相关性(Gamma系数G≥0.5)。结论医养结合服务提供机构的组织履约行为有待进一步加强,机构应进一步改善工作人员收入分配及激励方案,提高员工收入水平。同时,管理者应加强制度环境建设,提高医养结合工作人员的社会地位;加强职业规划,为医养结合工作人员提供更具规划性的职业发展道路。

Objective To learn the job experience and cognition of the staff working in elderly-healthcare institutions by means of the psychological contract theory and the questionnaire so developed,for probing into the factors affecting the work recognition.Methods The psychological contract questionnaire was used to conduct on-site questionnaires on 232 staff of such institutions in Hubei province between July 2018 and February 2019.The study covered their job experience and organizational contract,responsibility cognition.The data collected were analyzed statistically by methods such as variance analysis,descriptive statistics and related analysis.Results It was found that personal responsibility scoring(76.0±11.8)was generally higher than organizational responsibility scoring(60.9±10.0).46.1%(107/232)of the employees had the intention of resignation.The respondents′resignation intention was correlated with the performance of the organization,and there was a strong correlation between employees′career development and their resignation intention(Gamma coefficient G≥0.5).Conclusions Organizational performance needs further enhancement,and institutions should better the income distribution and incentive mechanism,and raise the income level of the staff.At the same time,the managers should optimize the institutional environment,improve the social status of the staff,strengthen career planning,training,and provide them with a more promising career development path.