摘要
目的:调查基层社区精神卫生防治人员(简称精防人员)的心理契约、离职倾向和工作绩效,基于文献研究,着重探讨心理契约和离职倾向对于工作绩效的影响机制。方法:对南京市浦口区参加严重精神障碍患者社区管理工作的全部精防人员进行问卷调查,对社会人口学资料定性和定量指标与精防人员工作绩效分别进行单因素两独立样本t检验、方差分析和简单线性回归单因素分析。对于精防人员工作绩效的影响因素分析采用多重线性回归分析。对心理契约和离职倾向对于工作绩效的影响机制采用中介效应检验。结果:(1)良好的心理契约是工作绩效的促进因素(β=3.551,P<0.001);(2)良好的心理契约也有助于降低离职倾向(β=0.445,P<0.001);(3)在加入中介变量离职倾向后,心理契约对于工作绩效的正向促进作用降低(β由3.551降低为1.164),且无统计学意义(P=0.248),中介变量离职倾向却仍然具有统计显著性(β=0.424,P<0.001),离职倾向起完全中介效应。结论:良好的心理契约有助于社区精防人员工作绩效的发挥和提升,鉴于离职倾向的完全中介效应,基层社区卫生服务机构和卫生行政部门应着重开展精细化人事管理工作,通过改善待遇、在职教育等途径和方式,改善心理契约满足程度,进而促进提升社区精防人员队伍的稳定性,最终确保其工作绩效的发挥和改善。
Objective To survey the status of psychological contract,turnover intention and work performance of the mental health prevention and treatment staffs in communities,and explore the influence mechanism of psychological contract and turnover intention on work performance based on literature research.Methods A questionnaire survey was conducted on all the staffs who participated in the community management on the patients with severe mental disorders in Pukou District of Nanjing City.The qualitative and quantitative indicators of social demographic data and work performance were analyzed by single factor and two independent samples T test,variance analysis and simple linear regression single factor analysis,respectively.Multiple linear regression analysis was used to analyze the influencing factors of work performance.The influence mechanism of psychological contract and turnover intention on work performance was tested by mediating effect.Results Good psychological contract was a factor to promote the work performance,and can reduce their turnover intention.Considering the mediator variable of turnover intention,the positive promotion of psychological contract on work performance decreased with no statistical significance,while the mediator variable of turnover intention had a full significantly mediating effect.Conclusion Good psychological contract can promote the work performance of community personnel of mental health prevention and treatment.It is suggested to implement elaborate human resource management for improving the psychological contract satisfaction,promoting their stability,and finally ensuring their performance and improvement.
出处
《中国卫生事业管理》
北大核心
2021年第11期826-830,共5页
Chinese Health Service Management
基金
国家自然科学基金面上项目“基于分级诊疗制度目标的家庭医生队伍建设研究”(71874087)
江苏省高校哲学与社会科学研究一般项目“严重精神障碍患者社区康复协同管理服务机制研究”(2019SJA0297)
江苏省教育厅哲学社会科学重点研究基地项目“基于协同治理理论的严重精神障碍患者社区管理患者家庭就医意愿与阻力研究”(2019B05)
江苏省大学生创新创业训练计划“严重精神障碍协同管理中的医疗机构与社区卫生服务机构利益协调机制研究”(201910312032Z)
江苏高校哲社社会科学优秀创新团队“公共健康政策与管理创新研究团队”资助。
关键词
基本公共卫生服务
社区
精防人员
工作绩效
心理契约
离职倾向
basic public health services
community
mental health staffs
work performance
psychological contract
turnover intention
作者简介
通讯作者:杨帆,yangfan512@njmu.edu.cn。
