心理契约与工作满意度在银川市医师组织支持感与离职倾向中的链式中介作用

Chain mediating role of psychological contract and job satisfaction in relationship between perceived organizational support and turnover intention among physicians in Yinchuan City

目的探讨银川市公立医院医师组织支持感与离职倾向间的关系,分析心理契约与工作满意度在两者关系中的链式中介作用。方法2022年4—6月采用组织支持感量表(perceived organizational support,POS)、医师心理契约量表(psychological contract,PC)、工作满意度量表(job satisfaction,JS)和离职倾向量表(turnover intention,TI)对银川市4所三级公立医院337名医师进行问卷调查。结果银川市医师组织支持感总均分为(3.51±0.64)分,心理契约总均分为(4.05±0.45)分,工作满意度总均分为(3.51±0.60)分,离职倾向总均分为(2.38±0.83)分。不同年龄、学历、工龄及职称医师的POS得分比较,差异均有统计学意义(均P<0.05);不同年龄、职称医师的PC得分比较,差异均有统计学意义(均P<0.01);不同年龄、工龄、职称医师的JS、TI得分比较,差异均有统计学意义(均P<0.05)。医师POS与PC、JS呈显著正相关(r=0.777,0.764,均P<0.01),与TI呈显著负相关(r=-0.566,P<0.01);PC与JS呈显著正相关(r=0.760,P<0.01),与TI呈显著负相关(r=-0.602,P<0.01);JS与TI呈显著负相关(r=-0.661,P<0.01)。中介效应模型检验表明,心理契约、工作满意度在组织支持感与离职倾向间的单独中介及心理契约-工作满意度的链式中介作用显著,中介效应分别占总效应的29.42%、36.03%和26.86%。结论银川市医师的心理契约和工作满意度在组织支持感与离职倾向间存在链式中介作用。

Objective To explore the relationship between the sense of organizational support and turnover intention of physicians in public hospitals in Yinchuan City,analyze the chain mediating role of psychological contract and job satisfaction in the relationship between the two.Methods From April to June 2022,a questionnaire survey was conducted among 337 physicians in four tertiary public hospitals in Yinchuan City by the perceived organizational support(POS),psychological contract(PC),job satisfaction(JS)and turnover intention(TI).Results The total average score of organizational support,psychological contract,job satisfaction and turnover intention among physicians in Yinchuan City was(3.51±0.64),(4.05±0.45),(3.51±0.60)and(2.38±0.83)points,respectively.There were statistically significant differences in POS score among physicians with different age,education background,length of service,and professional title(all P<0.05).There were statistically significant differences in the PC score among physicians with different age and professional title(all P<0.05).There were statistically significant differences in the scores of JS and TI among physicians with different age,length of service and professional title(all P<0.05).The POS of physicians was significantly positively correlated with PC and JS(r=0.777,0.764,both P<0.01),and significantly negatively correlated with TI(r=-0.566,P<0.01).The PC was significantly positively correlated with JS(r=0.760,P<0.01),and significantly negatively correlated with TI(r=-0.602,P<0.01).The JS was significantly negatively correlated with TI(r=-0.661,P<0.01).The mediation model test showed that independent mediating effects of psychological contract and job satisfaction on the relationship between organizational support and turnover intention and the chain mediating effect of psychological contract-job satisfaction were significant,and the mediating effects accounted for 29.42%,36.03%and 26.86%of the total effect,respectively.Conclusion The psychological contract and job satisfaction of physicians in Yinchuan City have a chain mediating effect between perceived organizational support and turnover intention.