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医疗保健机构中社会工作者的督导沟通、职业倦怠与离职意愿

Supervisory communication, burnout, and turnover intention among social workers in health care settings.

作者信息

Kim Hansung, Lee Sun Young

机构信息

Department of Social Work, California State University, Fullerton, California, USA.

出版信息

Soc Work Health Care. 2009;48(4):364-85. doi: 10.1080/00981380802598499.

Abstract

The current study tests the effects of different types of supervisory communication on burnout and turnover intention among health social workers. The study proposed a conceptual model of supervisory communication and tested it empirically using structural equation modeling (SEM) techniques with a random sample of 211 California state-registered social workers working in health or mental health care settings. The results of the present study provide empirical evidence of the unique roles that different types of supervisory communication play as antecedents of burnout and turnover intention. Specifically, supportive relationship communication had an indirect effect on burnout and turnover intention through its effect on perceived stress, whereas job-relevant communication had not only an indirect effect on burnout and turnover intention through its effect on stress, but also a direct effect on turnover intention. In addition, the results showed that upward communication moderated the relationship between stress and burnout. Implications for social work administration and possible elaboration of the theoretical framework are discussed.

摘要

本研究检验了不同类型的督导沟通对健康领域社会工作者职业倦怠和离职意愿的影响。该研究提出了一个督导沟通的概念模型,并使用结构方程模型(SEM)技术对其进行了实证检验,样本为随机抽取的211名在健康或精神卫生保健机构工作的加利福尼亚州注册社会工作者。本研究结果为不同类型的督导沟通作为职业倦怠和离职意愿的前因所发挥的独特作用提供了实证证据。具体而言,支持性的关系沟通通过对感知压力的影响,对职业倦怠和离职意愿产生间接影响;而与工作相关的沟通不仅通过对压力的影响对职业倦怠和离职意愿产生间接影响,还对离职意愿产生直接影响。此外,结果表明向上沟通调节了压力与职业倦怠之间的关系。文中还讨论了对社会工作管理的启示以及对理论框架可能的细化。

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