山东省医疗机构医务人员工作感受研究

发布时间：2018-04-17 20:21

本文选题：山东省 + 医务人员　；参考：《山东大学》2016年硕士论文

【摘要】：研究背景医护人员是提供医疗服务活动的主体,应该受到社会的理解与尊重。然而医闹、暴力袭医等事件的发生严重冲击着医疗服务行业,医务人员在承担繁重工作负荷的同时,承受着不可预知的工作风险。严重影响了医务人员的工作满意度和工作积极性,易引发职业倦怠和离职等状况。因此从医务人员的视角,客观、真实的描述医务人员的工作感受在当前形式下是十分重要和具有深远意义的。研究目的了解山东省医疗机构医务人员工作感受的现状,分析医务人员工作感受的影响因素,并以此为依据提出改善医务人员工作感受的对策建议。资料与方法本研究采用多阶段分层整群随机抽样的方法,抽取山东省省内17市、20个县(市区)中医院、社区卫生服务中心和乡镇卫生院的医务人员,包括临床医生、护理人员和防保人员,共计2341人。利用第五次全国卫生服务调查医务人员工作感受调查表收集数据,根据因子分析结果和调查内容,将医务人员感受分为自我发展评价、内在满意度、外在满意度、工作压力和离职意愿五个维度。每个维度分为4个题,共计24分,并将得分划分为三个等级。选取性别、年龄、学历构成、专业技术职称、工作年限、收入、编制、机构类型等因素作为自变量,五个维度分别作为因变量,应用STATA12.0软件进行多元线性回归分析。主要结果1.山东省医务人员的工作感受现状有待改善,医务人员自我发展评价较好,内、外在满意度有待进一步提高；医务人员工作压力较大；离职意愿较高,应引起关注。2.夜班次数是工作感受各维度的重要影响因素；无编制人员相比有编制人员,自我发展评价相对较差,内在满意度较差,且离职意愿高；学历差异影响医务人员的自我发展感受和工作压力评价；职称和工作年限是影响外在满意度的因素；性别和年龄对工作压力有影响；所在机构类型是影响内在满意度和工作压力的因素。3.影响基层医务人员工作感受各维度主要有学历、年龄、夜班次数等因素；影响非基层医务人员主要有性别、学历、职称、夜班次数和编制等因素。基层医疗机构的医务人员在内在满意度感受方面,较非基层医疗机构医务人员评价相对较好；但是非基层医务人员的工作压力相比基层医务人员,自感压力较大。对策与建议1.从国家层面上,要改革现有的人事管理制度,取消编制的限制；给予基层医务人员更多政策支持,促进基层医疗机构综合发展；在继续深化医改过程中,关注医务人员职业感受,促进医疗人力资源的合理分配和人才队伍的稳定。2.从社会层面上,新闻媒体要树立正向的舆论导向；广大群众和患者应该该给予医务工作者理解和尊重,不断创造互信的医患关系。3.作为医疗机构管理者,应当完善激励措施,调动医务工作者工作积极性；制定科学、合理安排夜班值班制度,减少对医务人员不良影响；不断优化执业环境,加强对医务人员的人文关怀。4.从医务人员自身角度,要加强自身心理调节,保持专业作风和愉悦的心情；科学地自我定位,增强职业责任感和荣誉感。
[Abstract]:This paper studies the situation of medical personnel working experience in Shandong province , analyzes the influencing factors of medical staff ' s working feeling , and divides the scores into three grades .
the working pressure of medical personnel is relatively large ;
high turnover intention should attract attention . 2 . that numb of night shift is an important factor affecting the dimension of job feeling ;
Compared with the preparers , the self - development evaluation is relatively poor , the intrinsic satisfaction is poor , and the willingness of separation is high ;
The difference of education affects the self - development of medical personnel and the evaluation of working pressure ;
Job title and working life are the factors influencing the external satisfaction ;
Gender and age have an impact on the working pressure ;
The institution type is the factor influencing the internal satisfaction and the working pressure . 3 . The factors that affect the work feeling of the grass - roots medical personnel mainly include the educational background , the age , the number of night shifts and so on ;
The influence of non - grass - roots medical personnel mainly includes gender , educational background , job title , number of night shift and compilation , etc . The medical personnel of the grass - roots medical institutions have relatively good evaluation on the feeling of satisfaction , and the medical personnel of non - grass - roots medical institutions are relatively better ;
However , the working pressure of non - basic medical personnel is higher than that of the basic medical personnel , and the pressure of self - feeling is great . At the national level , we should reform the existing personnel management system and cancel the limitation of preparation ;
Give more policy support to grass - roots medical personnel and promote the comprehensive development of grass - roots medical institutions ;
in that course of continue deepening reform of medical reform , attention should be paid to the professional experience of medical personnel , to promote the rational distribution of medical human resources and the stability of the talent team .
The masses and patients should be given the understanding and respect of medical workers and constantly create mutual trust and doctor - patient relationship . 3 . As the manager of medical institutions , the incentive measures should be improved and the enthusiasm of medical workers should be mobilized ;
Make scientific and reasonable arrangement of the night shift duty system and reduce the harmful effects on medical personnel ;
continuously optimize the practice environment and strengthen the humanistic care of medical personnel . 4 . From the perspective of medical personnel , we should strengthen their own psychological adjustment and maintain professional style and pleasure .
Scientific self - positioning , enhance professional sense of responsibility and honor .

【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R197.32

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