基于扎根理论的医院行政管理人员职业生涯高原影响因素模型研究

A Model of Factors Influencing the Career Plateau of Hospital Administrators based on A Grounded Theory Study

目的探索医院行政管理人员职业生涯高原的影响因素,为促进医院管理与运营高质量发展提供科学参考。方法采用扎根理论对访谈资料进行扎根编码。项目对22名目标对象进行半结构化访谈,借助NVivo 11.0软件对医院行政管理人员职业生涯高原的影响因素进行质性研究。结果通过三级编码梳理出114个初始概念、30个副范畴、10个主范畴和3个核心范畴,构建了加重因素、消解因素和可转换因素3个维度的理论模型。结论医院行政管理人员的职业生涯高原受加重因素、消解因素和可转换因素共同交互影响;医院提供常态化的职业培训,培养员工的组织归属感;医院行政管理人员要做好自身职业规划,发展多元工作能力;政府协调医院与外部系统建立联系,促进医疗系统对外的开放连接。

Objective To explore the influencing factors of the career plateau among hospital administrators,to provide scientific reference for enhancing the quality of hospital management and operation.Methods The interview data were analyzed by grounded theoretical research methods.It conducted semi-structured interviews with 22 target objects and conducted qualitative research on the influencing factors of hospital administrators'career plateau with the help of NVivo 11.0 software.Results After a three-level coding,114 initial concepts,30 subcategories,10main categories,and 3 core categories were summarized.A theoretical model was developed,encompassing three dimensions:aggravating factors,dissipating factors,and convertible factors.Conclusion The career plateau of hospital administrators is affected by a complex interplay of aggravating,dissipating and convertible factors.Hospitals need to provide regular vocational training to cultivate organizational loyalty for their employees.Hospital administrators should engage in proactive career planning and skill diversification.and the government should coordinate the establishment of links between hospitals and the external system to promote the openness and connection of the healthcare system to the outside world.