标题：基层医疗机构护士工作满意度对组织承诺影响的实证研究

      作者：孟润堂 1，曾 倩 1，刘锋锋 1，崔芳芳 1，宇传华 1，何 振 2
    (1.武汉大学公共卫生学院流行病与卫生统计学系，湖北 武汉 430071；
2.武汉大学人民医院汉川医院麻醉科，湖北 汉川 431600)

      卷次： 2015年26卷8期

      【摘要】 目的 为建立合理有序基层护理服务梯队，探究基层医疗机构的护理人员工作满意度和组织承诺
间的相互关系。方法 采用便利抽样法，运用工作满意指数、中国职工组织承诺、一般人口资料量表调查汉川市12
所基层医疗机构的206名注册护士。结果 在基层医疗机构中，收入和工作任务是护士群体工作满意度排序最后
两位的维度，而职业地位位次最高；经济和机会承诺是护士整体组织承诺列序最后的两个维度，而规范承诺位次最
高；护士工作满意度中的收入、组织决策两个维度与组织承诺存在高度正相关(P<0.01)，工作满意度与组织承诺呈正
相关(P<0.05)。结论 基层医疗机构的护士组织承诺水平受工作满意度影响，国家卫生部门尤其是医院管理者须采
取多方面联合措施多管齐下，激起护士群体高层次的追求，逐步解决基层护理人员流动流失问题。

      【关键词】 医院管理；人才流失；护士；工作满意度；组织承诺；基层医疗机构

      【中图分类号】 R195 【文献标识码】 D 【文章编号】 1003—6350（2015）08—1225—04


Empirical study on influence of job satisfaction on organizational commitment of nurses in basic level medical
institutions.
MENG Run-tang 1, ZENG Qian 1, LIU Feng-feng 1, CUI Fang-fang 1, YU Chuan-hua 1, HE Zhen 2.
1. Department of Epidemiology and Health Statistics, School of Public Health of Wuhan University, Wuhan 430071,
Hubei, CHINA; 2. Department of Anesthesia, Hanchuan Hospital of Renmin Hospital of Wuhan University, Hanchuan
431600, Hubei, CHINA

【Abstract】 Objective In order to establish a reasonable and orderly nursing service talent team of grassroots
by exploring the correlation between job satisfaction and organizational commitment. Methods A total of 206 regis-
tered nurses from 12 hospitals in Hanchuan were recruited by convenience sampling method and were investigated
with a scale including index of work satisfaction, China organization commitment questionnaire and demographic in-
formation. Results The scores of the six dimensions of job satisfaction in the questionnaire were ranked at an ascend-
ing sequence as follows: earning, task requirement, organizational decision, autonomy, mutual cooperation, and profes-
sional status. In terms of the score of each factor of organizational commitment were sorted from low to high order for
opportunity commitment, economy commitment, affective commitment, ideal commitment and normative commit-
ment. The work satisfaction degree was positively related with organizational commitment as well as significant posi-
tive correlations among their earning and organizational commitment, between their organizational decision and orga-
nizational commitment. Conclusion The job satisfaction of nurses in basic level medical institutions impacts their or-
ganizational commitment. The national health authorities, especially hospital administrator, should adopt various joint
measures multi-pronged to stimulate the pursuit of nurses in high-level for solving the problem of nursing personnel
flow erosion in grassroots hospital.

      【Key words】 Hospital administration; Talent drain; Nurses; Job satisfaction; Organizational commitment; Ba-