Probst J C, Baxley E G, Schell B J, Cleghorn G D, Bogdewic S P
Department of Family and Preventive Medicine, University of South Carolina School of Medicine, Columbia 29203, USA.
Acad Med. 1998 Aug;73(8):887-93. doi: 10.1097/00001888-199808000-00014.
To explore the relationship between organizational environment and teaching quality in seven family medicine residency programs.
In 1995, a questionnaire on organizational environment was administered to the faculties at all seven family medicine residency programs in South Carolina. Eighty-seven percent of the faculty members participated, as did convenience samples of residents, nurses, and administrative staff. The questionnaire measured seven variables: teaching quality, job satisfaction, organizational climate, employees' autonomy, goal attainment, organizational commitment, and job-related stress.
Residents, nurses, and administrative staff who were connected to programs at which faculty expressed high levels of job satisfaction assessed teaching quality as higher than did those at other programs. The residents' perceptions of teaching quality were positively correlated with high ratings of organizational climate and job-related stress. The staffs' ratings of goal attainment were also associated with teaching quality. Faculty satisfaction was associated with their reported employee autonomy and goal attainment.
The organizational characteristics of family medicine residency programs significantly influence the perceptions of teaching quality: specifically, there perceptions are correlated with the degree to which faculty are satisfied with their work environments. In addition, residents' and staffs' perceptions of teaching quality are associated with their attitudes toward their organizations' environments.
探讨七个家庭医学住院医师培训项目的组织环境与教学质量之间的关系。
1995年,对南卡罗来纳州所有七个家庭医学住院医师培训项目的教员进行了关于组织环境的问卷调查。87%的教员参与了调查,住院医师、护士和行政人员的便利样本也参与了调查。该问卷测量了七个变量:教学质量、工作满意度、组织氛围、员工自主性、目标达成、组织承诺和工作相关压力。
与教员工作满意度高的项目相关联的住院医师、护士和行政人员对教学质量的评价高于其他项目的人员。住院医师对教学质量的看法与组织氛围和工作相关压力的高评分呈正相关。员工对目标达成的评分也与教学质量相关。教员满意度与他们报告的员工自主性和目标达成情况相关。
家庭医学住院医师培训项目的组织特征显著影响对教学质量的看法:具体而言,这些看法与教员对其工作环境的满意程度相关。此外,住院医师和员工对教学质量的看法与他们对组织环境的态度相关。