三甲医院护士心理授权、结构授权及工作满意度对离职意愿影响的研究

doi:10.3969/j.issn.1006-9143.2020.06.004

天津护理 ›› 2020, Vol. 28 ›› Issue (6): 643-647.DOI: 10.3969/j.issn.1006-9143.2020.06.004

三甲医院护士心理授权、结构授权及工作满意度对离职意愿影响的研究

原志芳, 李静, 林梅

天津医科大学总医院,天津 300052

收稿日期:2019-12-26 修回日期:2020-09-13 出版日期:2020-12-28 发布日期:2021-09-28
作者简介:原志芳,女,护师,硕士

A study on the influence of psychological empowerment, structural authorization and job satisfaction on turnover intention of nurses in grade A hospitals

YUAN Zhifang, LI Jing, LIN Mei

Tianjin Medical University General Hospital,Tianjin 300052

Received:2019-12-26 Revised:2020-09-13 Online:2020-12-28 Published:2021-09-28

摘要/Abstract

摘要： 目的: 探究三甲医院护士授权能力以及工作满意度对离职意愿的影响,明确三者间的作用机制。方法: 于2018年10月16日至10月29日选取天津市某三甲医院注册护士508例,通过问卷星的方式对护士进行横断面问卷调查,了解护士的心理授权、结构授权及工作满意度对离职意愿的影响,并明确相互间的作用机制。结果: 心理授权和工作满意度均与离职意愿呈负相关（P<0.05）,而结构授权与离职意愿无相关性（P>0.05）; 同时以护士心理授权和结构授权为自变量,以工作满意度为中介变量,离职意愿为因变量构建上述变量间的结构方程模型,结果显示,拟合指标CMIN/DF=2.182<3,GFI=0.929>0.90,AGFI=0.905>0.90,RMSEA=0.048<0.05。结构授权和心理授权对离职意愿总的效应分别为0.293、-0.344;工作满意度对离职意愿的总效应为-0.320。结论: 三甲医院护士离职意愿仍处于偏高水平;其中心理授权为主要的负向预测因子,结构授权对护理人员离职意愿的间接作用效果最强。

关键词: 心理授权, 结构授权, 工作满意度, 离职意愿

Abstract: Objective: To explore the influence of nurses’ authorization ability and job satisfaction on turnover intention in grade A hospitals, and to clarify the mechanism among them. Methods: From October 16, 2018 to October 29, 2018, a cross-sectional questionnaire was conducted among 508 registered nurses in a grade A hospital in Tianjin by questionnaire stars. Results: Psychological empowerment and job satisfaction were negatively correlated with turnover intention(P<0.05), but there was no significant correlation between structural authorization and turnover intention(P>0.05). At the same time, the structural equation model was constructed, which nurses’ psychological empowerment and structural authorization were taken as independent variables, job satisfaction as intermediary variables, and turnover intention as dependent variables. The results showed that the fitting indexes were CMIN/DF=2.182 < 3, GFI = 0.929 > 0.90, AGFI= 0.905 > 0.90, RMSEA = 0.048 < 0.05.The total effects of structural authorization and psychological empowerment on turnover intention were 0.293 and-0.344 respectively, and the total effect of job satisfaction on turnover intention was-0.320.Conclusion: The turnover intention of nurses in grade A hospitals is still on the high level, the psychological empowerment is the main negative predictor, and structural authorization has the strongest indirect effect on nurses’ turnover intention.

Key words: Psychological empowerment, Structural authorization, Job satisfaction, Turnover intention

中图分类号:

R192.6

原志芳, 李静, 林梅. 三甲医院护士心理授权、结构授权及工作满意度对离职意愿影响的研究[J]. 天津护理, 2020, 28(6): 643-647.

YUAN Zhifang, LI Jing, LIN Mei. A study on the influence of psychological empowerment, structural authorization and job satisfaction on turnover intention of nurses in grade A hospitals[J]. Tianjin Journal of Nursing, 2020, 28(6): 643-647.

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三甲医院护士心理授权、结构授权及工作满意度对离职意愿影响的研究

A study on the influence of psychological empowerment, structural authorization and job satisfaction on turnover intention of nurses in grade A hospitals

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