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调查卫生部门员工的组织承诺及其相关因素:一项横断面研究。

Investigating the organizational commitment and its associated factors among the staff of the health sector: a cross-sectional research.

机构信息

Zhengzhou university, Zhengzhou, China.

Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

BMC Health Serv Res. 2024 Nov 9;24(1):1373. doi: 10.1186/s12913-024-11893-1.

Abstract

INTRODUCTION

Organizational commitment (OC) significantly impacts the quality of care provided by healthcare staff. It reflects employees' connection to and engagement with their organization, affecting job satisfaction, employee turnover, and the overall success of the healthcare organization. This research seeks to assess OC levels and identify its influencing factors among health sector staff in Shiraz, southwestern Iran.

METHODS

In this cross-sectional study, the staff of the health sector including physicians/family physician (FP), midwives, healthcare workers, psychologists, dentists, and nutritionists were selected through a multi-stage sampling; they filled out an online 36-item questionnaire (12 demographic items and 24-item Allen and Mayer OC questionnaire). The data were analyzed using SPSS software (version 25). Descriptive statistics of OC scores were provided. Also, independent samples t-test and analysis of variance were used as statistical tests, and P-value < 0.05 was considered the significant level.

RESULTS

Overall, 289 staff with a mean age of 32 ± 7.6 years participated in this study. The OC total mean score was higher in the public sector compared with the private sector and higher in the non-FP team compared with the FP team. The mean score of all types of OC among all job positions was low. Moreover, education level, workplace, job experience in current job, engagement in other jobs for making money, and FP staff showed a significant association with the total mean score of OC.

CONCLUSION

According to the results, OC among health sector staff is low. Therefore, policymakers in the health sector are strongly recommended to implement immediate measures to enhance this critical factor among their workforce.

摘要

简介

组织承诺(OC)对医疗保健人员提供的护理质量有重大影响。它反映了员工与组织的联系和投入程度,影响工作满意度、员工离职率以及医疗保健组织的整体成功。这项研究旨在评估伊朗西南部设拉子卫生部门工作人员的 OC 水平,并确定其影响因素。

方法

在这项横断面研究中,通过多阶段抽样选择了卫生部门的工作人员,包括医生/家庭医生(FP)、助产士、医疗工作者、心理学家、牙医和营养师;他们填写了一份在线的 36 项问卷(12 项人口统计学项目和 24 项 Allen 和 Mayer OC 问卷)。使用 SPSS 软件(版本 25)分析数据。提供 OC 得分的描述性统计数据。此外,还使用独立样本 t 检验和方差分析作为统计检验,P 值<0.05 被认为具有统计学意义。

结果

共有 289 名平均年龄为 32±7.6 岁的员工参与了这项研究。与私营部门相比,公共部门的 OC 总分较高,与 FP 团队相比,非 FP 团队的 OC 总分较高。所有职位的 OC 总分均较低。此外,教育水平、工作场所、当前工作的工作经验、从事其他赚钱工作以及 FP 工作人员与 OC 总分呈显著相关。

结论

根据研究结果,卫生部门工作人员的 OC 水平较低。因此,强烈建议卫生部门的政策制定者立即采取措施,增强其劳动力中的这一关键因素。

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本文引用的文献

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Urban Family Physician Program after a Decade of Implementation from the Perspective of People: A Qualitative Study from Iran.
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