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中国贵阳私立医疗机构药师心理契约履行、职业倦怠与工作满意度之间的关系

Relationship between psychological contract fulfillment, job burnout, and job satisfaction among pharmacists in private medical institutions in Guiyang, China.

作者信息

Zhang Ting, Ao Man, Lu Lei, Chen Shuya, Luo Yongyong, Tang Fushan

机构信息

Department of Pharmacy, Guiyang Hospital of Stomatology, Guiyang, China.

Department of Pharmacy, The First People's Hospital of Guiyang, Guiyang, China.

出版信息

Front Public Health. 2025 Aug 4;13:1641543. doi: 10.3389/fpubh.2025.1641543. eCollection 2025.

Abstract

OBJECTIVE

This research aims to systematically investigate the mechanisms between psychological contract fulfillment and job burnout/job satisfaction among pharmacists, addressing the research gap in this population.

METHODS

This is a cross-sectional research that employed convenience sampling to recruit 384 pharmacists from private medical institutions in Guiyang between May and August 2024. The research utilized scales for psychological contract, job burnout, and job satisfaction for analysis. After conducting reliability and validity tests on the questionnaires, correlation analysis, mediation analysis, and multiple linear regression analysis were employed to explore the relationships among psychological contract fulfillment, job burnout, and job satisfaction among pharmacists in private medical institutions.

RESULTS

The findings indicate that pharmacists' psychological contract fulfillment is significantly weakly negatively correlated with job burnout ( = -0.187,  < 0.01) and significantly strongly positively correlated with job satisfaction ( = 0.528,  < 0.01), and a significant strongly negatively correlation between the job burnout and the job satisfaction ( = -0.436,  < 0.01). Mediation analysis shows that job burnout plays an weakly mediating role in the relationship between psychological contract fulfillment and job satisfaction (12.16%,  < 0.01). This suggests that burnout is merely a minor component within a much broader context. In addition, a considerable proportion of pharmacists 43.23% indicated that their level of psychological contract fulfillment did not meet the benchmark value (most of the responsibility has been fulfilled). indicating significant psychological contract breaches within this group. Multiple linear regression analysis further identifies that demographic variables (age, employment length), psychological contract fulfillment, and burnout levels collectively serve as core predictors of job satisfaction.

CONCLUSION

The research suggests that private medical institutions should take proactive measures to ensure the stability of pharmacists' psychological contracts. For example, during the intervention process, preventive guidance should be provided to senior pharmacists to help them avoid breaches of the psychological contract and the further development of job burnout. For newly recruited pharmacists, selective preventive interventions should be implemented to achieve personalized psychological contract interventions. Finally, this research helps fill the research gap regarding pharmacists' psychological contracts in private medical institutions.

摘要

目的

本研究旨在系统探究药剂师心理契约履行与职业倦怠/工作满意度之间的机制,填补该人群研究空白。

方法

这是一项横断面研究,采用便利抽样法于2024年5月至8月从贵阳私立医疗机构招募384名药剂师。研究使用心理契约、职业倦怠和工作满意度量表进行分析。对问卷进行信效度检验后,采用相关分析、中介分析和多元线性回归分析来探究私立医疗机构药剂师心理契约履行、职业倦怠和工作满意度之间的关系。

结果

研究结果表明,药剂师的心理契约履行与职业倦怠呈显著弱负相关(r = -0.187,p < 0.01),与工作满意度呈显著强正相关(r = 0.528,p < 0.01),职业倦怠与工作满意度呈显著强负相关(r = -0.436,p < 0.01)。中介分析表明,职业倦怠在心理契约履行与工作满意度之间起微弱中介作用(12.16%,p < 0.01)。这表明倦怠在更广泛的背景中只是一个次要因素。此外,相当比例(43.23%)的药剂师表示他们的心理契约履行水平未达到基准值(大部分责任已履行),表明该群体存在明显的心理契约违背现象。多元线性回归分析进一步确定,人口统计学变量(年龄、工作年限)、心理契约履行和倦怠水平共同作为工作满意度的核心预测因素。

结论

研究表明,私立医疗机构应采取积极措施确保药剂师心理契约的稳定性。例如,在干预过程中,应向资深药剂师提供预防性指导,帮助他们避免心理契约违背和职业倦怠的进一步发展。对于新招聘的药剂师,应实施选择性预防性干预,以实现个性化的心理契约干预。最后,本研究有助于填补私立医疗机构药剂师心理契约方面的研究空白。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7aa/12358398/d514bcf26f06/fpubh-13-1641543-g001.jpg

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