辽宁省助产士结构授权、心理授权与留职意愿的相关研究

职业与健康 ›› 2023, Vol. 39 ›› Issue (2): 227-232.

辽宁省助产士结构授权、心理授权与留职意愿的相关研究

石亚男, 卜秀梅, 符宁宁, 王瑾瑾, 王静文

辽宁中医药大学护理学院，辽宁沈阳 110847

收稿日期:2022-07-04 修回日期:2022-12-06 发布日期:2026-03-02
通信作者: 卜秀梅，教授，E-mail：buxiumei2002@sohu.com
作者简介:石亚男，女，助教，主要从事护理教育及护理科研工作。
基金资助:
辽宁省教育厅科研课题（L201929）; 中华护理学会科研课题（ZHKY202001）

A study on structural authorization，psychological authorization and retention intention of midwives in Liaoning Province

SHI Ya-nan, BU Xiu-mei, FU Ning-ning, WANG Jin-jin, WANG Jing-wen

College of nursing，Liaoning University of Traditional Chinese Medicine，Shenyang Liaoning 110847，China

Received:2022-07-04 Revised:2022-12-06 Published:2026-03-02
Contact: BU Xiu-mei，Professor，E-mail：buxiumei2002@sohu.com

摘要/Abstract

摘要： 目的了解辽宁省助产士结构授权、心理授权与留职意愿现况，分析结构授权、心理授权与留职意愿的关系，为提升结构与心理授权水平、稳定助产士留职意愿提供理论依据。方法采用便利抽样法于2020年8—9月选取辽宁省沈阳市、大连市8所三级甲等医院共206名助产士作为调查对象，采用一般人口统计学资料调查表、工作效能条件问卷、心理授权量表及护士留职意愿问卷进行调查，并对数据进行分析。结果辽宁省助产士留职意愿总分为（24.39±4.22）分，结构授权总分为（48.87±10.29）分，心理授权总分为（46.14±8.19）分。相关分析显示，助产士结构授权总分及各维度得分与留职意愿总分及各条目得分均呈正相关（r=0.305、0.664，均P<0.01），助产士心理授权总分及各维度得分与留职意愿总分及各条目得分均呈正相关（r=0.333、0.658，均P<0.01）。多元分层回归结果显示，结构授权、心理授权对留职意愿的预测作用差异均有统计学意义（β=0.336、0.264，均P<0.01），解释变异量的22.8%。结论辽宁省助产士结构授权处于中等水平，心理授权、留职意愿处于中等偏上水平。结构授权、心理授权均对留职意愿具有正向预测作用，建议护理管理者进一步采取有效授权措施，营造良好授权环境，推动助产士职业发展，稳定助产士人才队伍。

关键词: 助产士, 结构授权, 心理授权, 留职意愿

Abstract: Objective To understand the status quo of structural authorization，psychological authorization and retention intention of midwives in Liaoning Province，analyze the relationship between structural authorization，psychological authorization and retention intention，so as to provide theoretical basis for improving the level of structural authorization and psychological authorization and stabilizing the retention intention of midwives. Methods A total of 206 midwives from eight grade-A tertiary hospitals in Shenyang City and Dalian City of Liaoning Province were selected by convenience sampling method from August to September 2020.The general demographic data questionnaire，job performance condition questionnaire，psychological authorization scale and nurses' retention intentionquestionnaire were used to conduct the survey，and the data were analyzed. Results The total score of midwives in Liaoning Province was （24.39±4.22）points，the total score of structural authorization was （48.87±10.29）points，and the total score of psychological authorization was （46.14±8.19）points.The correlation analysis showed that the total score ofstructure authorization and the score of each dimension in midwives were positively correlated with the total score of retention intention and the score of each item（r=0.305，0.664，both P<0.01），and the total score of psychological authorization and the score of each dimension in midwives were positively correlated with the total score of retention intention and the score of each item（r=0.333，0.658，both P<0.01）.The results of multiple stratified regression showed that structural authorization and psychological authorization had statistical significance in predicting theretention intention（β=0.336，0.264，both P<0.01），explaining 22.8% of the variation. Conclusions The structure authorization of midwives in Liaoning Province is at medium level，while the psychological authorization and retention intention are above medium level.The structure authorization and psychological authorization have the positive predictive effect on retention intention. It is suggested that nursing managers should take further effective authorization measures，create a good authorization environment，promote the career development of midwives，and stabilize the team of midwives.

Key words: Midwife, Structural authorization, Psychological authorization, Retention intention

中图分类号:

R181.3⁺1

石亚男, 卜秀梅, 符宁宁, 王瑾瑾, 王静文. 辽宁省助产士结构授权、心理授权与留职意愿的相关研究. [J]职业与健康, 2023, 39(2): 227-232.

SHI Ya-nan, BU Xiu-mei, FU Ning-ning, WANG Jin-jin, WANG Jing-wen. A study on structural authorization，psychological authorization and retention intention of midwives in Liaoning Province. [J]OCCUPATION AND HEALTH, 2023, 39(2): 227-232.

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