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新冠疫情期间医务人员职业风险对职业流动意愿的影响

Impact of Occupational Risks of Medical Staff on Willingness to Occupational Mobility in COVID-19 Pandemic.

作者信息

Li Fuda, Liu Shuang, Huang Huaqian, Tan Bangzhe

机构信息

Business School, Hunan Normal University, Changsha, People's Republic of China.

Guangdong Polytechnic of Industry and Commerce, Guangzhou, People's Republic of China.

出版信息

Risk Manag Healthc Policy. 2022 Apr 17;15:685-702. doi: 10.2147/RMHP.S360892. eCollection 2022.

Abstract

PURPOSE

Medical staff are a crucial resource in the battle against the COVID-19 pandemic but are vulnerable to both SARS-CoV-2 infection and negative psychological outcomes. This study evaluated medical staff's occupational risks, professional identity, and occupational mobility intention during the pandemic.

PATIENTS AND METHODS

The questionnaire was anonymous. All respondents were Chinese medical personnel.

RESULTS

Our findings suggest that the professional risks faced by medical professionals can enhance their professional mobility willingness and weaken their professional identity. They cannot only directly enhance their professional mobility willingness but also indirectly strengthen their professional mobility willingness through professional identity. The objective support and subjective support obtained by medical professionals cannot only alleviate the negative impact of occupational risk on professional identity alone but also jointly, and in the process of their joint mitigation, the former has been internalized and absorbed, while the latter has a stronger mitigation effect. The objective support and subjective support obtained by medical professionals can neither alone nor jointly alleviate the direct and positive impact of occupational risk on the willingness of occupational mobility.

CONCLUSION

The occupational risks faced by medical personnel can improve their willingness to move professionally and weaken their occupational identity. Early screening of high-risk groups for turnover intention among health care workers and more psychosocial health care and physical protection are needed during the COVID-19 pandemic in China.

摘要

目的

医护人员是抗击新冠疫情的关键资源,但易受新冠病毒感染且易出现负面心理结果。本研究评估了疫情期间医护人员的职业风险、职业认同感和职业流动意向。

患者与方法

问卷为匿名形式。所有受访者均为中国医护人员。

结果

我们的研究结果表明,医护人员面临的职业风险会增强他们的职业流动意愿并削弱他们的职业认同感。职业风险不仅能直接增强他们的职业流动意愿,还能通过职业认同感间接强化其职业流动意愿。医护人员获得的客观支持和主观支持不仅能单独减轻职业风险对职业认同感的负面影响,还能共同减轻这种影响,在共同减轻影响的过程中,前者已被内化吸收,而后者的减轻效果更强。医护人员获得的客观支持和主观支持无论是单独还是共同,都无法减轻职业风险对职业流动意愿的直接正向影响。

结论

医护人员面临的职业风险会提高他们的职业流动意愿并削弱他们的职业认同感。在中国新冠疫情期间,需要对医护人员中具有离职意向的高危群体进行早期筛查,并提供更多的社会心理健康护理和身体防护。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9bd/9022743/56c0cb555c1c/RMHP-15-685-g0001.jpg

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