关键词: 公立医院, 医务人员, 执业环境, 工作投入, 离职倾向, 中介效应

Abstract: Objective To analyze the mediating effect of job engagement between practice environment and turnover intention of medical staff in six public hospitals in Sichuan Province. Methods From October to December 2022,a survey was conducted on 236 clinical medical personnel from six public hospitals in Sichuan Province. The survey was conducted using general information questionnaire,medical staff practice environment evaluation form,job involvement scale and turnover intention scale,and the data were analyzed. Results The total score of the practice environment for medical personnel was （101.50±20.55）points,the total score of work engagement was （56.67±17.95）points,and the total score of turnover intention was （4.51±3.41）points. The practice environment of medical personnel was positively correlated with job engagement（r=0.663,P<0.01）,and negatively correlated with turnover intention（r=-0.643,P<0.01）. Job engagement was negatively correlated with turnover intention（r=-0.577,P<0.01）. There was a partial mediating effect of work engagement of medical personnel between practice environment and turnover intention,with a mediating effect value of 0.023,accounting for 22.9% of the total effect. Conclusion The practice environment can not only directly affect the turnover intention of medical staff,but also indirectly affect the turnover intention through the mediating effect of job engagement.

Key words: Public hospitals, Medical personnel, Practice environment, Job engagement, Turnover intention, Mediating effect