293 名养老机构养老护理员组织承诺和职业环境相关性分析

doi:10.16460/j.issn1008-9969.2019.24.028

摘要/Abstract

摘要： 目的调查养老机构养老护理员组织承诺和职业环境现状,分析其相关性。方法采用便利抽样法,于2018年1—4月对杭州市22家养老机构中的293名养老护理员采用一般情况调查表、中国职工组织承诺量表、盖洛普工作场所调查表进行调查。结果 293名养老机构养老护理员组织承诺得分为（59.62±9.34）分,各维度得分分别为：感情承诺（14.25±2.35）分,规范承诺（14.01±2.14）分,理想承诺（11.89±3.10）分,经济承诺（10.39±2.82）分和机会承诺（9.09±3.01）分;职业环境总分为（42.65±5.61）分,各维度得分依次为团队合作（14.85±2.34）分,领导支持（12.90±2.51）分,工作基本需求（7.76±0.98）分和自我成长（7.14±1.50）分。Pearson相关分析结果显示,本组养老护理员组织承诺总分与职业环境总分呈密切正相关（r=0.541,P=0.003）。结论养老护理员组织承诺处于中上水平;组织承诺与职业环境呈密切正相关。建议机构管理者从招聘、培训、分层管理等多角度出发提升养老护理员职业环境水平,进而提高组织承诺,稳定养老护理员队伍。

关键词: 养老护理员, 组织承诺, 职业环境, 职业稳定

Abstract: Objective To explore the association between organizational commitment and professional environment in care workers in nursing home. Methods With convenient sampling, 293 care workers in 22 nursing homes in Hangzhou from January to April 2018 were investigated by using general information questionnaire,Organizational Commitment Questionnaire(OCQ) of Chinese Employees and Gallup Workplace Audit. Results The score of organizational commitment and work environment was 59.62±9.34 and the score of dimension of emotion commitment, norm commitment, ideal commitment, economy commitment and opportunity commitment was 14.25±2.35, 14.01±2.14,11.89±3.10,10.39±2.82 and 9.09±3.01 respectively. The total score of professional environment was 42.65±5.61 and the score of each dimension of team cooperation, support from leaders, basic need and self-realization was 14.85±2.34,12.90±2.51, 7.76±0.98 and 7.14±1.50 respectively.Pearson analysis revealed that organizational commitment had a significant association with professional environment（r=0.541, P=0.003）. Conclusion Organizational commitment is in a mediate level and it has close association with professional environment. Multi-dimension management such as recruitment, training and hierarchical management would be conducive to the improvement of professional environment, thus to promote organizational commitment and further stabilize healthcare team.

Key words: care workers for the elderly, organizational commitment, professional environment, occupational stability

中图分类号:

郑佳映, 张英, 陈雪萍, 方桂珍. 293 名养老机构养老护理员组织承诺和职业环境相关性分析[J]. 护理学报, 2019, 26(24): 28-31.

ZHENG Jia-ying, ZHANG Ying, CHEN Xue-ping, FANG Gui-zhen. Association between Organizational Commitment and Professional Environment in Care Workers in Nursing Home[J]. Journal of Nursing, 2019, 26(24): 28-31.

参考文献

[1] 国家统计局. 人口总量平稳增长人口素质显著提升——新中国成立70周年经济社会发展成就系列报告之二十[EB/OL].[2019-08-22].http://www.stats.gov.cn/tjsj/zxfb/201908/t20190822_1692898.html.
[2] Bowers B J, Esmond S, Jacobson N.Turnover Reinterpreted CNAs Talk about Why They Leave[J]. J Gerontol Nurs, 2003, 29(3):36-43.
[3] 马飞,孔凡晶,孙红立. 组织承诺理论研究述评[J]. 情报科学, 2010, 28(11):1741-1745.
[4] 马靓,苏钢强,申俊龙. 变革型领导风格、护士组织承诺对工作绩效影响的路径分析[J].中国卫生事业管理, 2017, 34(6):415-418.
[5] Gorgulu O, Akilli A.The Determination of the Levels of Burnout Syndrome, Organizational Commitment, and Job Satisfaction of the Health Workers[J].Niger J Clin Pract, 2017, 20(1):48-56. DOI:10.4103/1119-3077.180051.
[6] Pereira I, Veloso A, Silva I S, et al.Organizational Commitment and Job Satisfaction: An Exploratory Study in Family Health Units in Portugal[J]. Cad Saude Publica, 2017, 33(4):e00153914. DOI:10.1590/0102-311X00153914.
[7] Backhaus R, Rossum E V, Verbeek H, et al.Work Environment Characteristics Associated with Quality of Care in Dutch Nursing Homes: A Cross-sectional Study[J]. Int J Nurs Stud, 2017(66):15-22. DOI:10.1016/j.ijnurstu.2016.12.001.
[8] Wan Q, Li Z, Zhou W, et al.Effects of Work Environment and Job Characteristics on the Turnover Intention of Experienced Nurses: The Mediating Role of Work Engagement[J]. J Adv Nurs, 2018,74(6):1332-1341. DOI:10.1111/jan.13528.
[9] 杭州市民政局. 关于2015年杭州市养老机构等级评定结果的公示[EB/OL].[2019-08-08]. http://mz.hangzhou.gov.cn/art/2015/11/5/art_1530900_21018345.html.
[10] 凌文辁,张治灿,方俐洛. 中国职工组织承诺研究[J]. 中国社会科学, 2001(2):90-102.
[11] 凌文辁,张治灿,方俐洛. 中国职工组织承诺的结构模型研究[J]. 管理科学学报, 2000, 3(2):76-81. DOI:10.3321/j.issn:1007-9807.2000.02.012.
[12] Harter J, Schmidt F, Keyes C.Well-being in the Workplace and its Relationship to Business Outcomes: A Review of the Gallup Studies[M]. Washington DC:American Psgchological Association, 2003:205-224.
[13] 景颖颖,唐丽春,万婕. 护士工作环境对护护关系的影响[J]. 中国护理管理,2017,17(10):1350-1355. DOI:10.3969/j.issn.1672-1756.2017.10.013.
[14] 秦建芬,叶志弘,屠乐薇. 护理职业环境现状测量分析与改良[J]. 中华护理杂志, 2009, 44(5):399-401.
[15] 夏引芳,李春华.护理职业环境的调查分析及相关对策[J]. 解放军护理杂志, 2010, 27(10):739-741. DOI:10.3969/j.issn.1008-9993.2010.10.007.
[16] 邵静,叶志弘,汤磊雯,等. 浙江省某三级甲等医院护理工作环境的纵向调查研究[J]. 护理与康复, 2018, 17(6):28-32. DOI:10.3969/j.issn.1671-9875.2018.06.007.
[17] 李潘,欧阳璐,段功香. 组织承诺对三级医院护士情绪劳动的影响[J]. 中华护理杂志, 2012, 47(2):144-146. DOI:10.3761/j.issn.0254-1769.2012.02.017.
[18] 蔡兰英,冯丽群,王霞. 护士组织职业生涯管理与组织承诺的相关性研究[J]. 中国护理管理, 2013, 13(4):24-28. DOI:10.3969/j.issn.1672-1756.2013.04.008.
[19] 邱玉芳,杨辉,车莎,等临床护士组织承诺与离职意愿的相关性研究[J]. 护理研究, 2017, 31(28):3534-3538. DOI:10.3969/j.issn.1009-6493.2017.28.014.
[20] 田满红,张建卫,刘曼丽. 组织承诺研究及其对我国企业管理实践的启示[J]. 北京理工大学学报(社会科学版), 2005,7(6):42-45.DOI:10.3969/j.issn.1009-3370.2005.06.012.
[21] 邵冬梅,于晓吉,齐霁,等. 不同层级护士对护理职业环境满意度的调查与分析[J]. 护理研究, 2015, 29(10A):1212-1214. DOI:10.3969/j.issn.10096493.2015.10.018.
[22] 李雯,黄桂玲. 护士长多元领导风格对护士工作敬业度的影响[J]. 护理研究, 2019, 33(12):2034-2039. DOI:10.12102/j.issn.1009-6493.2019.12.008.
[23] 冯禹. 沈阳市民办养老机构运营困境与对策研究[D]. 沈阳:沈阳师范大学, 2014.
[24] Jeon Y H, Luscombe G, Chenoweth L, et al.Staff Outcomes From the Caring for Aged Dementia Care Resident Study (CADRES): A Cluster Randomised Trial[J]. Int J Nurs Stud, 2012, 49(5):508-518.DOI:10.1016/j.ijnurstu.2011.10.020.

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