基于结构方程的县级医院医护人员过劳成因路径分析
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摘要
目的剖析县级医院医护人员过劳的相关成因。方法采用2018年湖北省6家县级医院医护人员的调研数据,从医护人员过劳形成路径出发,构建评价医护人员过劳成因的指标体系,运用结构方程模型分析医护人员过劳成因并对模型要素之间的路径关系进行检验。结果医院管理对医生、护士过劳的影响程度最大,之后是个人感知,影响程度最小的是社会环境。结论反映医护人员过劳这一潜变量的相对重要性程度依次是工作压力大、时间长、强度高。以此针对性提出缓解医护人员过劳的对策建议。
Objective To analyze the causes of overwork of medical staffs in county hospitals. Methods Based on the investigation data related to medical staff in 6 county hospitals in Hubei Province in 2018,analyzing the formation mechanism of overwork of medical staffs and constructing the index system for evaluating the causes of overwork. Empirically,the structural equation model is used to analyze the causes of overwork of medical staff,and the path relationship among the model elements is tested. Results The hospital management plays the most important role in affecting doctors' and nurses' overwork,followed by personal perception,and social environment which has the least impact. Conclusion The relative importance of the latent variable overwork of the medical staff was higher work pressure,longer working time and higher intensity. According to the research results,countermeasures and suggestions are put forward to alleviate medical worker'overwork.
Objective To analyze the causes of overwork of medical staffs in county hospitals. Methods Based on the investigation data related to medical staff in 6 county hospitals in Hubei Province in 2018,analyzing the formation mechanism of overwork of medical staffs and constructing the index system for evaluating the causes of overwork. Empirically,the structural equation model is used to analyze the causes of overwork of medical staff,and the path relationship among the model elements is tested. Results The hospital management plays the most important role in affecting doctors' and nurses' overwork,followed by personal perception,and social environment which has the least impact. Conclusion The relative importance of the latent variable overwork of the medical staff was higher work pressure,longer working time and higher intensity. According to the research results,countermeasures and suggestions are put forward to alleviate medical worker'overwork.
引文
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[2]PEDROJA A T,BLEGEN M A,ABRAVANEL R,et al.The relationship between hospital systems load and patient harm[J].Journal of Patient Safety,2014,10(3):168-175.
[3]程艳敏,孙帝力.我国医生工作负荷研究概况[J].卫生软科学,2017,31(7):14-15.
[4]文进,郝天佑,胡秀英.中国医生工作负荷的现况研究[J].中国循证医学杂志,2015,15(2):133-136.
[5]张春雨,张进辅,张苹平,等.员工过劳现象的形成机理与管理方法--立足工作要求-资源模型的分析[J].中国人力资源开发,2010(9):30-34.
[6]王素娟.JD-R模式下过度劳动的多维动态性形成与管理研究[J].山东大学学报(哲学社会科学版),2012(4):81-88.
[7]王欣.工作要求、工作资源对企业员工“过劳”的影响[J].软科学,2016(6):83-87.
[8]吴明隆.结构方程模型:AMOS的操作与应用[M].重庆:重庆大学出版社,2009.
[9]张晓乐,叶天惠.护士工作负荷与护理服务满意度的相关性研究[J].解放军护理杂志,2016(10):68-71.
[10]杨希,陈曼莉.2003-2014年我国乡镇卫生服务全要素生产率变化趋势研究[J].中国全科医学,2018(1):88-92.