基于结构方程模型的医务人员忠诚度影响因素分析

Research on influencing factors of medical staff loyalty based on structural equation model

目的 探索中西医结合医院医务人员忠诚度的影响因素,以及“西学中”培训情况、工作满意度、中医药专业素养与忠诚度的关系。方法 采用随机抽样调查法,使用工作满意度调查表、中医药专业素养评价表、职工对医院忠诚度调查表,在新疆2家深度参与“西学中”转型的医院对457名医务人员进行问卷调查,并对数据进行分析。结果 457名医务人员完成问卷(97人已完成“西学中”培训,233人处于培训中,其余未参加培训),忠诚度得分[M(P_(25),P_(75))]为41(35,45)分。不同学历、岗位和“西学中”培训情况的医务人员忠诚度相比较,差异均有统计学意义(均P<0.01);医务人员忠诚度“西学中”培训情况以中医药专业素养、工作满意度为中介作用对忠诚度产生正向影响。以中医药专业素养为唯一中介的路径,效应值为0.106;以中医药专业素养影响工作满意度为中介的路径,效应值为0.07,Bootstrap检验95%置信区间均>0,路径作用显著。结论 学历、岗位和“西学中”培训情况是医务人员忠诚度的影响因素,“西学中”培训不仅对忠诚度产生直接效应,并通过中医药专业素养与工作满意度对忠诚度产生间接效应。因此,理解个体差异,加强协作,鼓励参与“西学中”培训有助于提高医务人员的忠诚度。

Objective To explore the influencing factors of medical staff loyalty in integrated traditional Chinese and Western medicine hospitals,as well as the relationship between "Western medicine learns traditional Chinese medicine" training,job satisfaction,traditional Chinese medicine professional quality and loyalty. Methods A random sampling survey method was used to conduct questionnaire investigation on 457 medical workers in two hospitals in Xinjiang that were deeply involved in the transformation of "Western medicine learns traditional Chinese medicine" by the job satisfaction questionnaire,the evaluation form of professional quality of traditional Chinese medicine,and the loyalty questionnaire of employees to hospitals,and the data were analyzed. Results Totally 457 medical workers completed the questionnaire(97 completed the "Western medicine learns traditional Chinese medicine" training,233 were in training,and the rest did not participate in the training),with an average loyalty score[M(P_(25),P_(75))] of 41(35,45)points. There were statistically significant differences in the loyalty of medical personnel with different academic qualifications,positions and "Western medicine learns traditional Chinese medicine" training situation(all P<0.01). The "Western medicine learns traditional Chinese medicine" training had a positive impact on loyalty through the intermediary of professional quality of traditional Chinese medicine and job satisfaction. For the path with professional quality of traditional Chinese medicine as the only intermediary,the effect value was 0.106. For the mediated by the influence of professional quality of traditional Chinese medicine on job satisfaction,the effect value was 0.07,and the 95% confidence interval of Bootstrap test was>0,and paths work significantly. Conclusions The academic qualifications,positions and "Western medicine learns traditional Chinese medicine" training are the influencing factors of medical staff loyalty,and "Western medicine learns traditional Chinese medicine" training not only has a direct effect on loyalty,but also has an indirect effect on loyalty through the professional quality of traditional Chinese medicine and job satisfaction. Therefore,understanding individual differences,strengthening collaboration,and encouraging participation in "Western medicine learns traditional Chinese medicine" training can help increase the loyalty of medical staff.