医务人员离职意愿影响因素的质性研究

Qualitative Study of the Factors Influencing Medical Staff Turnover Intentions

目的:深入探讨在职医务人员离职意愿的影响因素,为临床管理者制定干预策略提供科学的依据。方法:采用立意取样法抽取广东省某三甲医院20名临床一线医务人员作为研究对象,运用质性研究中的现象学研究方法对受访者进行半结构式访谈,利用类属分析法将获得的资料进行整理、总结与分析主题。结果:通过整理分析,提取出个人身心感受层面影响、工作场域内影响及家庭支撑强度影响。结论:为巩固医疗卫生人才团队的稳定性,医院管理者应当重视医务人员离职意愿,制定相应的干预策略降低离职意愿。

Objective: To deeply explore the influencing factors of on-the-job medical staff's intention to leave, and to provide scientific basis for clinical managers to formulate intervention strategies. Methods: A total of 20 front-line clinical medical staff in a tertiary hospital in Guangdong Province was selected as research objects by the method of intentional sampling. The phenomenological research method in qualitative research was used to conduct semi-structured interviews with the interviewees, and the obtained data were sorted out, summarized and analyzed by the method of category analysis. Results: Through sorting and analysis, we extracted the influence of personal physical and mental feeling, the influence of work field and the influence of family support strength. Conclusion: In order to consolidate the stability of the medical and health talent team, hospital managers should attach importance to the medical staff's turnover intention and formulate corresponding intervention strategies to reduce the turnover intention.