School of Public Administration, Hubei University, Wuhan, China.
Institute of County Governance, Hubei University, Wuhan, China.
Int J Health Plann Manage. 2022 Sep;37(5):2936-2948. doi: 10.1002/hpm.3533. Epub 2022 Jun 16.
This research aims to study the influence mechanism of psychological contract on the turnover intention of primary medical staff in the context of Corona Virus Disease 2019 (COVID-19) fighting.
Six hundred and fifteen primary medical staff from 13 primary health care institutions in Jianghan District, Wuhan City, Hubei Province, China were selected by random sampling. Psychological contract, emotional exhaustion and turnover intention questionnaires were adjusted appropriately according to research needs, and 5-point Likert scale was used to measure.
Normal, interpersonal, and developmental contracts were negatively associated with turnover intention. Emotional exhaustion mediated the effects of interpersonal and developmental contracts on turnover intention.
The government should establish a long-term incentive mechanism for primary medical staff, fully recognise the work of them in fighting against COVID-19, pay close attention to the psychological state of them, and carry out timely and effective psychological intervention to alleviate their emotional exhaustion and reduce their turnover intention.
本研究旨在探讨心理契约对新型冠状病毒肺炎（COVID-19）防控背景下基层医务人员离职意愿的影响机制。
采用随机抽样的方法，选取湖北省武汉市江汉区 13 家基层医疗卫生机构的 615 名基层医务人员。根据研究需要适当调整心理契约、情绪耗竭和离职意愿问卷，并采用 5 点 Likert 量表进行测量。
规范型、关系型和发展型契约与离职意愿呈负相关。情绪耗竭中介了关系型和发展型契约对离职意愿的影响。
政府应为基层医务人员建立长期激励机制，充分肯定他们在抗击 COVID-19 中的工作，密切关注他们的心理状态，及时有效地进行心理干预，减轻他们的情绪耗竭，降低离职意愿。
