公立医院住院医师心理契约、职业偏差行为现状及相关性分析

职业与健康 ›› 2024, Vol. 40 ›› Issue (6): 802-805.

公立医院住院医师心理契约、职业偏差行为现状及相关性分析

邵杰, 刘军军

南京医科大学盐城临床医学院/盐城市第三人民医院,江苏盐城 224000

收稿日期:2023-07-04 修回日期:2023-08-07 出版日期:2024-03-15 发布日期:2026-03-16
作者简介:邵杰,女,副研究员,主要从事医院管理工作。
基金资助:
江苏医药职业学院临床学院专项科研发展基金课题（20219148）

Current situation and correlation of psychological contract and occupational deviant behavior of resident physician in public hospitals

SHAO Jie, LIU Junjun

Yancheng Clinical Medicine School of Nanjing Medical University/Yancheng Third People's Hospital,Yancheng Jiangsu,224000, China

Received:2023-07-04 Revised:2023-08-07 Online:2024-03-15 Published:2026-03-16

摘要/Abstract

摘要： 目的了解盐城市2所三级综合医院住院医师心理契约、职业偏差行为现状水平,探讨心理契约与职业偏差行为的相关关系,为医院管理者制定纠正职业偏差行为的策略提供新思路。方法采用便利抽样法,于2023年3—5月选取盐城市2所三级综合医院住院医师作为研究对象,采用一般资料调查表、心理契约量表、工作场所偏差行为量表进行问卷调查,并对数据进行统计分析。结果 223名公立医院住院医师心理契约得分为（135.64±22.44）分,职业偏差行为得分为（64.78±13.53）分。心理契约及各维度得分与职业偏差及各维度得分均呈负相关（均P<0.01）,所在科室、工作年限及心理契约是公立医院住院医师职业偏差行为的主要影响因素（均P<0.05）。结论医院管理者需重点关注住院医师的职业偏差行为,可通过心理契约来调节职业偏差行为,增强其职业信念和认同感。

关键词: 住院医师, 心理契约, 职业偏差行为, 相关性

Abstract: Objective To understand the current level of psychological contracts and occupational deviant behaviors among resident physicians in two tertiary comprehensive hospitals in Yancheng City,and explore the correlation between psychological contracts and occupational deviant behaviors,providing new ideas for hospital managers to develop strategies to correct occupational deviant behaviors. Methods The convenient sampling method was used to select resident physicians from two tertiary general hospitals in Yancheng City from March to May 2023. The questionnaire investigation was conducted by using general information questionnaire,psychological contract scale and workplace deviant behavior scale,and the data were statistically analyzed. Results The psychological contract score of 223 resident physicians in public hospitals was （135.64±22.44）points,and the occupational deviant behavior score was （64.78±13.53）points. The score of psychological contract and scores in all dimensions were negatively correlated with the score of occupational deviant behavior and scores in all dimensions（all P<0.01）. The department,length of service and psychological contract were the main influencing factors of occupational deviant behavior among resident physicians in public hospitals（all P<0.05）. Conclusion The hospital managers need to focus on the occupational deviant behavior of resident physicians,which can be regulated through psychological contracts to enhance their professional beliefs and identification.

Key words: Resident physician, Psychological contract, Occupational deviant behavior, Correlation

中图分类号:

R192.3

邵杰, 刘军军. 公立医院住院医师心理契约、职业偏差行为现状及相关性分析. [J]职业与健康, 2024, 40(6): 802-805.

SHAO Jie, LIU Junjun. Current situation and correlation of psychological contract and occupational deviant behavior of resident physician in public hospitals. [J]OCCUPATION AND HEALTH, 2024, 40(6): 802-805.

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