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与住院医师工作满意度相关的上级领导能力

Supervisor leadership in relation to resident job satisfaction.

作者信息

van der Wal Martha A, Schönrock-Adema Johanna, Scheele Fedde, Schripsema Nienke R, Jaarsma A Debbie C, Cohen-Schotanus Janke

机构信息

Center for Education Development and Research in Health Professions (CEDAR), University of Groningen and University Medical Center Groningen, Groningen, The Netherlands.

UMCG, FC40 CEDAR, Antonius Deusinglaan 1, 9713 AV, Groningen, The Netherlands.

出版信息

BMC Med Educ. 2016 Aug 1;16:194. doi: 10.1186/s12909-016-0688-z.

Abstract

BACKGROUND

Research from outside the medical field shows that leadership behaviours influence job satisfaction. Whether the same is true for the medical training setting needs to be explored. The aim of this study was to investigate the influence of residents' overall appreciation of their supervisor's leadership and observation of specific supervisor leadership behaviours on job satisfaction.

METHODS

We invited residents (N = 117) to rate how often they observed certain task and relation-oriented leadership behaviours in their supervisor and overall appreciation of their supervisor's leadership. Furthermore, they rated their satisfaction with 13 different aspects of their jobs on a 10-point scale. Using exploratory factor analysis we identified four factors covering different types of job satisfaction aspects: personal growth, autonomy, affective, and instrumental job satisfaction aspects. Influence of overall appreciation for supervisor leadership and observation of certain leadership behaviours on these job satisfaction factors were analysed using multiple regression analyses.

RESULTS

The affective aspects of job satisfaction were positively influenced by overall appreciation of leadership (B = 0.792, p = 0.017), observation of specific instructions (B = 0.972, p = 0.008) and two-way communication (B = 1.376, p = 0.008) and negatively by mutual decision-making (B = -1.285, p = 0.007). No effects were found for the other three factors of job satisfaction.

CONCLUSIONS

We recommend that supervisors become more aware of whether and how their behaviours influence residents' job satisfaction. Especially providing specific instructions and using two-way communication seem important to help residents deal with their insecurities and to offer them support.

摘要

背景

医学领域之外的研究表明,领导行为会影响工作满意度。在医学培训环境中是否同样如此有待探索。本研究的目的是调查住院医师对其上级领导的总体评价以及对上级领导特定行为的观察对工作满意度的影响。

方法

我们邀请住院医师(N = 117)对他们观察到上级领导表现出某些任务导向和关系导向领导行为的频率以及对上级领导的总体评价进行评分。此外,他们还对工作的13个不同方面的满意度进行了10分制评分。通过探索性因素分析,我们确定了四个涵盖不同工作满意度方面类型的因素:个人成长、自主性、情感性和工具性工作满意度方面。使用多元回归分析来分析对上级领导的总体评价以及对某些领导行为的观察对这些工作满意度因素的影响。

结果

工作满意度的情感方面受到领导总体评价(B = 0.792,p = 0.017)、具体指示的观察(B = 0.972,p = 0.008)和双向沟通(B = 1.376,p = 0.008)的正向影响,而受到共同决策(B = -1.285,p = 0.007)的负向影响。在工作满意度的其他三个因素方面未发现影响。

结论

我们建议上级领导更加意识到他们的行为是否以及如何影响住院医师的工作满意度。特别是提供具体指示和使用双向沟通对于帮助住院医师应对不安全感并给予他们支持似乎很重要。

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