Medical Education Division & Department of Psychiatry, Tongji Hospital, Tongji University School of Medicine , Shanghai, China.
Shanghai East Hospital affiliated Tongji University School of Medicine , Shanghai, China.
Psychol Health Med. 2020 Oct;25(9):1106-1118. doi: 10.1080/13548506.2019.1709652. Epub 2020 Jan 29.
High resident job performance is essential for effective medical professionalism. To date, few studies have investigated the potential predictors of job performance among residents in standardized residency training (SRT) program in China. Therefore, a nationwide survey among Chinese residents in SRT program was conducted to evaluate the impact of job satisfaction and psychological resilience on job performance. A total of 1146 residents from 9 hospitals were recruited in this study. Demographic and work-related information, job satisfaction, psychological resilience and job performance were collected through questionnaires. Hierarchical regression analyses indicated that, "work pressure", "doctor-patient conflict", "intrinsic job satisfaction" and "psychological resilience" were significant predictors of job performance for residents in SRT programs and explained 61.3% of variance, while the three dimensions of psychological resilience (tenacity, strength and optimism) accounted for 27.2% of variance. The area under curve (AUC) of the receiver operating characteristic (ROC) curve showed that resilience had the highest predictive accuracy than another three subscales. This study indicated that intrinsic job satisfaction and psychological resilience had a significant influence on job performance. Strategies and measures to improve residents' intrinsic job satisfaction and psychological resilience may be efficacious ways to enhance their job performance.
高住院医师工作表现对于有效的医学职业素养至关重要。迄今为止，很少有研究调查过中国标准化住院医师培训（SRT）项目中住院医师工作表现的潜在预测因素。因此，对 SRT 项目中的中国住院医师进行了一项全国性调查，以评估工作满意度和心理弹性对工作表现的影响。本研究共招募了来自 9 家医院的 1146 名住院医师。通过问卷调查收集了人口统计学和与工作相关的信息、工作满意度、心理弹性和工作表现。层次回归分析表明，“工作压力”、“医患冲突”、“内在工作满意度”和“心理弹性”是 SRT 项目住院医师工作表现的显著预测因素，解释了 61.3%的方差，而心理弹性的三个维度（坚韧、力量和乐观）占 27.2%的方差。受试者工作特征（ROC）曲线下面积（AUC）显示，韧性比其他三个分量表具有更高的预测准确性。本研究表明，内在工作满意度和心理弹性对工作表现有显著影响。提高住院医师内在工作满意度和心理弹性的策略和措施可能是提高他们工作表现的有效途径。
