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医护人员的组织认同与倦怠综合征:组织公平感的中介作用。

Organizational identification and burnout syndrome in healthcare workers: The mediating effect of organizational justice.

机构信息

School of Medicine, Universidad CES, Medellín, Colombia.

Department of Public Health, University Center for Health Science, University of Guadalajara, Guadalajara, Mexico.

出版信息

Work. 2023;75(3):965-974. doi: 10.3233/WOR-220107.

DOI:10.3233/WOR-220107
PMID:36710700
Abstract

BACKGROUND

Healthcare workers typically perform their work under adverse conditions, increasing their susceptibility to developing burnout syndrome (BO). The paucity of research on the relationship between organizational identification (OI) and perceptions of organizational justice has created the need to address this topic more deeply.

OBJECTIVE

This study aimed to assess the relationship between OI and BO, identifying whether perceptions of organizational justice act as mediating variables.

METHODS

In total, 402 healthcare workers (physicians, professionals, and nursing assistants) completed Colquitt's (2001) Organizational Justice Scale, Mael and Ashforth's (1992) Organizational Identification Scale, and Maslach's (1986) Burnout Inventory. Two competing structural equation models were evaluated.

RESULTS

Our partial mediation model showed that the direct relationship between OI and BO was not significant (β= -0.16; p = 0.07). Therefore, a total mediation model was selected, showing that the indirect effects of OI on BO through perceptions of distributive justice (β= -0.16; p = 0.00) and interpersonal justice (β= -0.11; p = 0.02) were significant.

CONCLUSION

Adjusting the processes of health institutions considering a vision of organizational justice and increasing the worker's sense of belonging to his or her organization and his or her work team would, in turn, result in a lower probability of experiencing burnout syndrome.

摘要

背景

医护人员通常在不利的条件下工作,这增加了他们患上倦怠综合征(BO)的易感性。组织认同(OI)与组织公平感之间关系的研究较少,因此需要更深入地探讨这个问题。

目的

本研究旨在评估 OI 与 BO 之间的关系,确定组织公平感是否作为中介变量。

方法

共有 402 名医护人员(医生、专业人员和护理助理)完成了 Colquitt(2001)的组织公平量表、Mael 和 Ashforth(1992)的组织认同量表以及 Maslach(1986)的倦怠量表。评估了两种竞争的结构方程模型。

结果

我们的部分中介模型显示,OI 与 BO 之间的直接关系不显著(β= -0.16;p= 0.07)。因此,选择了完全中介模型,表明 OI 通过分配公平感(β= -0.16;p= 0.00)和人际公平感(β= -0.11;p= 0.02)对 BO 的间接影响具有统计学意义。

结论

调整卫生机构的流程,考虑组织公平的愿景,并提高工作人员对其组织和工作团队的归属感,将降低倦怠综合征的发生概率。

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