某三甲公立医院医生职业认同、心理资本与创新行为关系研究

Relationship between professional identity,psychological capital and innovative behavior of doctors in a tertiary public hospital

目的了解三甲公立医院医生职业认同、心理资本与创新行为现状,并探究三者之间的关系。方法采用整群抽样法,在北京市某三甲公立医院进行问卷调查,主要内容包括基本情况、职业认同、心理资本和创新行为,利用一般描述性分析、独立样本t检验,单因素方差分析、Pearson相关性分析、多元分层回归和Bootstrap等方法进行统计分析。结果共纳入813名医生,医生的职业认同总得分为(48.45±7.24)分,心理资本总得分为(90.43±11.85)分,创新行为总得分为(28.53±4.23)分;Pearson相关性分析表明,医生的职业认同与心理资本、心理资本与创新行为、职业认同与创新行为均呈正相关(P<0.001)。多元分层回归和Bootstrap法显示,职业认同、心理资本可以正向预测创新行为,心理资本在职业认同与创新行为之间起完全中介作用。结论医生的创新行为处于中等水平,职业认同、心理资本与创新行为呈正相关,职业认同可以通过心理资本提升医生的创新行为,从而促进医院更好地实现高质量发展。

Objective To understand the status quo of doctors'professional identity,psychological capital and innovative behavior in a tertiary hospital,and to explore the relationship among them.Methods Cluster sampling method was used to conduct a questionnaire survey in a tertiary public hospital in Beijing.The main contents included basic information,occupational identity,psychological capital and innovative behavior.General descriptive analysis,independent sample t test,one-way analysis of variance,Pearson correlation analysis,multiple hierarchical regression and Bootstrap were used for statistical analysis.Results A total of 813 doctors were included.The total score of doctors'professional identity was(48.45±7.24),the total score of psychological capital was(90.43±11.85)and the total score of innovative behavior was(28.53±4.23).Pearson correlation analysis showed that doctors'professional identity was positively correlated with psychological capital,psychological capital with innovative behavior,and professional identity with innovative behavior(P<0.001).Multiple hierarchical regression and structural equation model showed that occupational identity and psychological capital can positively predict innovative behavior,and psychological capital plays an intermediary role between occupational identity and innovative behavior.Conclusion Doctors'innovative behavior is at the medium level,and professional identity and psychological capital are positively correlated with innovative behavior.Professional identity can improve doctors'innovative behavior through psychological capital,so as to promote hospitals to better achieve high-quality development.