职业与健康 ›› 2023, Vol. 39 ›› Issue (6): 789-793.

• 论著 • 上一篇    下一篇

护士心理契约在绩效考核公平与组织信任间的中介作用

魏丹莲1,2, 王相淇1, 覃琦1, 龙凤英1, 马宏文2   

  1. 1.天津中医药大学研究生院,天津 301600;
    2.天津市人民医院护理部,天津 300121
  • 收稿日期:2022-07-14 修回日期:2022-08-01 发布日期:2026-03-04
  • 通信作者: 马宏文,主任护师,E-mail:geilivable_mhw@126.com
  • 作者简介:魏丹莲,女,在读硕士研究生,研究方向为临床护理。

Mediating role of psychological contract between nurses' performance appraisal justice and organizational trust

WEI Dan-lian1,2, WANG Xiang-qi1, QIN Qi1, LONG Feng-ying1, MA Hong-wen2   

  1. 1. Graduate School,Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China;
    2. Nursing Department,Tianjin People's Hospital,Tianjin 300121,China
  • Received:2022-07-14 Revised:2022-08-01 Published:2026-03-04
  • Contact: MA Hong-wen,Chief nurse,E-mail:geilivable_mhw@126.com

摘要: 目的 探讨天津市某三级甲等医院护士绩效考核公平、心理契约对组织信任的影响,为提高护士对医院的信任度提供参考依据和管理办法。方法 2021年8—9月采用一般资料调查表、绩效考核公平感量表、心理契约量表、组织信任量表对天津市某综合三级甲等医院180名护士进行网络问卷调查。结果 护士绩效考核公平感量表条目均分为(3.41±0.95)分,心理契约量表条目均分为(3.47±0.91)分,组织信任量表条目均分为(3.67±0.86)分,均处于中等水平。绩效考核公平与组织信任、心理契约均呈正相关(r=0.808、0.836,均P<0.01),心理契约与组织信任呈正相关(r=0.873,P<0.01),心理契约在二者间发挥中介作用,效应值为0.494,占比为67.76%。结论 该医院护士组织信任处于中等水平,管理者应提高护士绩效考核公平感知的满意度,保持护士良好的心理契约程度,从而提高护士组织的信任程度。

关键词: 护士, 绩效考核公平, 心理契约, 组织信任, 中介效应

Abstract: Objective To explore the effects of performance appraisal justice and psychological contract on organizational trust of nurses in a grade-A tertiary hospital of Tianjin,so as to provide reference basis and management methods for improving nurses' trust to the hospital. Methods From August to September,a questionnaire survey was conducted among 180 nurses in a grade-A tertiary hospital of Tianjin by means of general data questionnaire,performance appraisal justice scale,psychological contract scale and organizational trust scale. Results The average score of items of the nurses' performance appraisal justice scale was (3.41±0.95) points,the average score of items of the psychological contract scale was (3.47±0.91)points,and the average score of of items of the organizational trust scale was (3.67±0.86)points,all were at the medium level. The performance appraisal justice was positively correlated with organizational trust and psychological contract(r=0.808,0.836,both P<0.01),and the psychological contract was positively correlated with organizational trust(r=0.873,P<0.01). The psychological contract played a mediating role between performance appraisal justice and organizational trust,with an effect value of 0.494,accounting for 67.76%. Conclusion The organizational trust of nurses in this hospital is at a medium level,and the Managers should improve the satisfaction of nurses' perception of justice in performance appraisal and maintain a good degree of psychological contract,so as to improve the nurses' organizational trust.

Key words: Nurse, Performance appraisal justice, Psychological contract, Organizational trust, Mediating effect

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