医院行政管理人员工作意义感影响因素的质性研究

Qualitative Research on Influencing Factors of Hospital Administrators'Job Meaning

目的研究对医院行政管理人员工作意义感影响因素进行扎根研究,为促进医院管理工作的高质量发展提供建议与参考。方法2023年4—9月采用理论抽样法抽取浙江、黑龙江、广东、河南、上海、吉林、四川等省份医院不同行政职能科室共23位医院行政管理人员接受访谈;依据扎根理论对转录资料进行扎根理论三级编码。结果通过三级编码梳理,共获得66个自由节点、19个初始范畴、7个主范畴和3个维度,构建了生存、关系以及成长3个维度的理论模型。结论医院行政管理人员工作意义感受到生存、关系和成长3大因素影响。为此提出相关建议:提升医院行政管理人员职业认同感,更迭绩效考核范式,建立授权文化,创造非正式沟通渠道,设置专业能力成长通道,提供多元管理职业生涯发展阶梯。

Objective It conducted a grounded theory on the factors influencing the sense of job significance of hospital administrators to provide suggestions and references for the promotion of high-quality development of hospital management work.Methods From April to September 2023,it interviewed 23 administrators from various departments across Provinces/Cities,including Zhejiang,Heilongjiang,Guangdong,Shanghai,Henan,Jilin,Sichuan and others,using a theoretical sampling method.Employing Grounded Theory,it encoded over transcriptional information at three levels.Results Three-level coding process yielded 66 free nodes,19 initial concepts,7 main categories,and 3 dimensions,leading to the development of a theoretical model encompassing existence,relatedness,and growth.Conclusion The job meaning for hospital administrators is shaped by existence,relatedness,and growth.It recommend revising performance assessments,fostering an empowering culture,enhancing informal communication,providing professional growth pathways,and offering diverse career development options to deepen administrators'job meaning.