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目的了解广东省部分医院急诊科医护人员离职意愿现状及其影响因素,为医院的人事管理工作提供参考依据。方法按方便抽样方式抽取广东省18家医院415名急诊科的医护人员进行问卷调查,共收回有效问卷408份。采用明尼苏达工作满意度问卷的短式量表以及自行设计的用于评估离职意愿、工作压力和心理状况的调查问卷。结果有离职意愿的为93人(22.79%);三甲医院急诊科医护人员的离职意愿明显低于二甲及以下医院(2=15.56,P=0.00)。logistic回归分析结果表明地区因素以及工作压力大和心理症状多是离职意愿的危险因素,工作满意度高是保护因素。结论广东省18家医院急诊科22.79%的医护人员不愿意继续在急诊科工作。应采取措施提高工作满意度、降低工作压力和增强心理健康,降低急诊科人员的离职意愿率。
Objective To understand the present situation of the willingness to leave the medical staff of emergency department and its influencing factors in some hospitals of Guangdong Province and provide references for the personnel management in the hospital. Methods A total of 415 emergency department staff from 18 hospitals in Guangdong Province were sampled by hand for sample survey and 408 valid questionnaires were collected. A short-term questionnaire using Minnesota’s Job Satisfaction Questionnaire and a self-designed questionnaire designed to assess the willingness to quit, job stress and psychological status. As a result, there were 93 (22.79%) intention of resignation; the willingness to leave the post of emergency department staff in First Affiliated Hospital was significantly lower than that of the second and fifth hospital (2 = 15.56, P = 0.00). Logistic regression analysis showed that regional factors as well as work stress and psychological symptoms are mostly risk factors for turnover intention, high job satisfaction is a protective factor. Conclusion 22.79% of the staff in emergency department of 18 hospitals in Guangdong Province are reluctant to continue their work in the emergency department. Measures should be taken to improve job satisfaction, reduce work stress and enhance mental health, and reduce the willingness to leave the emergency department staff.