Department of Health Management, School of Health Management, Harbin Medical University, Harbin, Heilongjiang, China.
Vanke School of Public Health, Tsinghua University, Beijing, China.
BMJ Open. 2021 Nov 29;11(11):e045745. doi: 10.1136/bmjopen-2020-045745.
The current study aimed to evaluate the status quo of perceived job demands and resources respectively among Chinese doctors, to examine the mediating role of work-family conflicts in the relationship between perceived job demands and various indicators of well-being, and to test the mediating role of psychological attachment in the relationship between perceived job resources and thriving at work among Chinese doctors.
A cross-sectional online survey study.
Online questionnaires were administered across 30 provinces.
A total of 2617 doctors provided sufficiently complete responses to be used in the study.
Perceived job demands (=3.843, SD=0.791) of participants were positively associated with work-family conflicts (=0.454, p<0.001) and negatively associated with job satisfaction (=-0.065, p<0.001) and life satisfaction (=-0.261, p<0.001). Work-family conflicts partially mediated the relationship between job demands and life satisfaction and fully mediated the relationship between job demands and job satisfaction. Perceived job resources (=2.474, SD=0.740) among Chinese doctors were positively associated with psychological attachment (=0.988, p<0.001) and thriving at work (=0.582, p<0.001). Furthermore, psychological attachment partially mediated the relationship between perceived job resources and thriving at work.
Doctors in China with high-level job demands tended to exhibit increased work-family conflicts, which in turn threatened their job and life satisfaction. On the contrary, doctors with greater job resources were more likely to thrive at work by increasing their degree of psychological attachment. The current study suggested that Chinese health policymakers and hospital administrators should provide a work environment with a dynamic equilibrium between doctors' job demands and resources.
本研究旨在评估中国医生感知到的工作需求和资源的现状，考察工作-家庭冲突在感知工作需求与幸福感各指标之间的中介作用，以及检验心理依附在感知工作资源与中国医生工作投入之间关系的中介作用。
横断面在线调查研究。
在线问卷调查在全国 30 个省份进行。
共有 2617 名医生提供了足够完整的回复，可用于本研究。
参与者感知到的工作需求（=3.843，SD=0.791）与工作-家庭冲突（=0.454，p<0.001）呈正相关，与工作满意度（=-0.065，p<0.001）和生活满意度（=-0.261，p<0.001）呈负相关。工作-家庭冲突部分中介了工作需求与生活满意度之间的关系，完全中介了工作需求与工作满意度之间的关系。中国医生感知到的工作资源（=2.474，SD=0.740）与心理依附（=0.988，p<0.001）和工作投入（=0.582，p<0.001）呈正相关。此外，心理依附部分中介了感知工作资源与工作投入之间的关系。
中国医生工作需求水平较高时，往往会表现出更多的工作-家庭冲突，进而威胁到他们的工作和生活满意度。相反，拥有更多工作资源的医生更有可能通过增加心理依附程度而在工作中茁壮成长。本研究表明，中国卫生政策制定者和医院管理者应提供一个工作环境，使医生的工作需求和资源之间达到动态平衡。
