
浏览全部资源
扫码关注微信
1.南方医科大学第十附属医院(东莞市人民医院)消化内科,东莞 523000
2.南方医科大学第十附属医院(东莞市人民医院)科教科,东莞 523000
梁瑞茵,Email:liangry25@foxmail.com
收稿:2025-02-17,
纸质出版:2025-12-20
移动端阅览
詹磊磊, 梁瑞茵, 陈桂权, 等. 薪酬满意度在住院医师规范化培训学员职业倦怠与留职意愿关系中的调节效应研究[J]. 中华医学教育探索杂志, 2025, 24(12): 1650-1655.
Zhan Leilei, Liang Ruiyin, Chen Guiquan, et al. A study on the moderating effect of salary satisfaction in the relationship between occupational burnout and retention intention in standardized residency training participants[J]. Chinese Journal of Medical Education Research, 2025, 24(12): 1650-1655.
詹磊磊, 梁瑞茵, 陈桂权, 等. 薪酬满意度在住院医师规范化培训学员职业倦怠与留职意愿关系中的调节效应研究[J]. 中华医学教育探索杂志, 2025, 24(12): 1650-1655. DOI: 10.3760/cma.j.cn116021-20250217-02157.
Zhan Leilei, Liang Ruiyin, Chen Guiquan, et al. A study on the moderating effect of salary satisfaction in the relationship between occupational burnout and retention intention in standardized residency training participants[J]. Chinese Journal of Medical Education Research, 2025, 24(12): 1650-1655. DOI: 10.3760/cma.j.cn116021-20250217-02157.
目的
2
探讨薪酬满意度在住院医师规范化培训(简称“住培”)学员职业倦怠与留职意愿间的调节作用。
方法
2
2022年1月至2024年3月,采用整群抽样法选取东莞市人民医院住培学员为研究对象,使用留职意愿量表、职业倦怠量表和薪酬满意度量表对自愿参与的312名学员进行横断面调查。通过Pearson相关性分析探讨住培学员薪酬满意度与职业倦怠和留职意愿的相关性,并采用SPSS PROCESS宏程序构建调节效应验证模型,分析薪酬满意度在职业倦怠和留职意愿中的调节效应。
结果
2
住培学员的留职意愿得分为(20.57±4.98),职业倦怠得分为(56.83±16.16),薪酬满意度得分为(97.24±21.68)。留职意愿分别与职业倦怠呈负相关(
r
=-0.34,
P
<
0.05),与薪酬满意度呈正相关(
r
=0.45,
P
<
0.05);薪酬满意度在职业倦怠与留职意愿之间存在调节效应(Δ
R
2
=0.27,
P
<
0.001)。
结论
2
住培学员留职意愿处于中等水平,薪酬满意度在职业倦怠与留职意愿间起调节效应,可通过深入理解不同背景和专业领域学员的需求,优化薪酬结构、实施差异化激励策略增强职业吸引力,从而提升留职意愿,为医疗人才队伍建设提供可持续支持。
Objective
2
To explore the moderating effect of salary satisfaction in the relationship between occupational burnout and retention intention among standardized residency training participants.
Methods
2
From January 2022 to March 2024
a cluster sampling method was used to select trainees from Dongguan People's Hospital as the study subjects. A cross-sectional survey was conducted on 312 voluntarily participating trainees using the Turnover Intention Scale
Maslach Burnout Inventory General Survey
and Salary Satisfaction Scale. A Pearson correlation analysis was used to explore the correlations of salary satisfaction with occupational burnout and retention intention. SPSS PROCESS macro was used to construct a moderating effect verification model to analyze the moderating effect of salary satisfaction between occupational burnout and retention intention.
Results
2
The scores of retention intention
occupational burnout
and salary satisfaction for trainees were (20.57±4.98)
(56.83±16.16)
and (97.24±21.68)
respectively. Retention intention was negatively correlated with occupational burnout (
r
=-0.34
P
<
0.05) and positively correlated with salary satisfaction (
r
=0.45
P
<
0.05). Salary satisfaction had a moderating effect between occupational burnout and retention intention (Δ
R
2
=0.27
P
<
0.001).
Conclusions
2
The trainees have moderate retention intention
and salary satisfaction serves as a moderator between occupational burnout and retention intention. To address current challenges
we recommend gaining an in-depth understanding of the needs of trainees from different backgrounds and specialties
optimizing compensation structures
and implementing differentiated incentive strategies. These measures will enhance professional appeal
elevate retention intention
and provide sustainable support for the development of medical talent teams.
国务院办公厅 . 国务院办公厅关于建立住院医师规范化培训制度的指导意见 [EB/OL ] . ( 2014-01-17 ) [ 2024-12-08 ] . https://www.gov.cn/gzdt/2014-01/17/content_2569096.htm https://www.gov.cn/gzdt/2014-01/17/content_2569096.htm .
崔永 , 王天佑 . 从美国住院医生培训看中国住院医师规范化培训的挑战和方向 [J ] . 中国肺癌杂志 , 2016 , 19 ( 6 ): 321 - 327 . DOI: 10.3779/j.issn.1009-3419.2016.06.03 http://dx.doi.org/10.3779/j.issn.1009-3419.2016.06.03 .
李兵 , 杨珊 , 王璁 , 等 . 河南省非订单定向全科住院医师规范化培训结业学员的就业状况及影响因素研究 [J ] . 中国全科医学 , 2022 , 25 ( 25 ): 3178 - 3183 . DOI: 10.12114/j.issn.1007-9572.2022.0092 http://dx.doi.org/10.12114/j.issn.1007-9572.2022.0092 .
黄蕾 , 胡世钰 , 汪浩 , 等 . 全科住培医师职业倦怠与离职意愿的相关性研究 [J ] . 上海医药 , 2017 , 38 ( 24 ): 7 - 11 . DOI: 10.3969/j.issn.1006-1533.2017.24.003 http://dx.doi.org/10.3969/j.issn.1006-1533.2017.24.003 .
张娟 , 张璐嘉 , 肖伟 , 等 . 住院医师规范化培训学员压力知觉与留职意愿及影响因素 [J ] . 山东大学学报(医学版) , 2020 , 58 ( 7 ): 108 - 114 .
Yates SW . Physician stress and burnout [J ] . Am J Med , 2020 , 133 ( 2 ): 160 - 164 . DOI: 10.1016/j.amjmed.2019.08.034 http://dx.doi.org/10.1016/j.amjmed.2019.08.034 .
冯蕾 , 宋超 , 洪云霞 , 等 . 儿科住院医师规范化培训学员职业倦怠现状及对策分析 [J ] . 中华医学教育探索杂志 , 2023 , 22 ( 5 ): 796 - 800 . DOI: 10.3760/cma.j.cn116021-20220518-01297 http://dx.doi.org/10.3760/cma.j.cn116021-20220518-01297 .
常璇 . 全科医生工作满意度、职业倦怠与留职意愿的关系研究 [D ] . 济南 : 山东大学 , 2015 .
Kriss M , Te HS , Verna EC , et al . National early career transplant hepatologist survey: compensation, burnout, and job satisfaction [J ] . Hepatol Commun , 2021 , 5 ( 4 ): 701 - 712 . DOI: 10.1002/hep4.1666 http://dx.doi.org/10.1002/hep4.1666 .
许鑫 . 北京市F医院医生工作满意度、职业倦怠与留职意愿影响因素研究 [D ] . 北京 : 中国地质大学(北京) , 2018 .
李超平 , 时勘 . 分配公平与程序公平对工作倦怠的影响 [J ] . 心理学报 , 2003 , 35 ( 5 ): 677 - 684 .
Preacher KJ , Hayes AF . Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models [J ] . Behav Res Methods , 2008 , 40 ( 3 ): 879 - 891 . DOI: 10.3758/brm.40.3.879 http://dx.doi.org/10.3758/brm.40.3.879 .
Liu Y , West SG , Levy R , et al . Tests of simple slopes in multiple regression models with an interaction: comparison of four approaches [J ] . Multivariate Behav Res , 2017 , 52 ( 4 ): 445 - 464 . DOI: 10.1080/00273171.2017.1309261 http://dx.doi.org/10.1080/00273171.2017.1309261 .
Montoya AK . Moderation analysis in two-instance repeated measures designs: probing methods and multiple moderator models [J ] . Behav Res Methods , 2019 , 51 ( 1 ): 61 - 82 . DOI: 10.3758/s13428-018-1088-6 http://dx.doi.org/10.3758/s13428-018-1088-6 .
李强 , 宋超 , 洪云霞 , 等 . 职业倦怠在儿科住院医师规范化培训学员心理韧性与离职意愿间的中介作用 [J ] . 中华医学教育探索杂志 , 2024 , 23 ( 7 ): 889 - 893 . DOI: 10.3760/cma.j.cn116021-20240318-01801 http://dx.doi.org/10.3760/cma.j.cn116021-20240318-01801 .
廖秋菊 , 赵义 , 苏丽 , 等 . 三甲医院规范化培训住院医师职业倦怠调查及危险因素分析 [J ] . 中国病案 , 2021 , 22 ( 9 ): 86 - 90 . DOI: 10.3969/j.issn.1672-2566.2021.09.031 http://dx.doi.org/10.3969/j.issn.1672-2566.2021.09.031 .
杨英 , 李烨 , 汪偌宁 , 等 . 基于满意度视角的住院医师规范化培训现状调查分析 [J ] . 中华医学教育杂志 , 2024 , 44 ( 2 ): 131- 135. DOI: 10.3760/cma.j.cn115259-20230824-00167 http://dx.doi.org/10.3760/cma.j.cn115259-20230824-00167 .
李靖 , 段朝霞 , 安亚男 , 等 . 山西省全科专业住院医师对规范化培训的满意度及就业意向调查 [J ] . 中华全科医师杂志 , 2023 , 22 ( 8 ): 833 - 838 . DOI: 10.3760/cma.j.cn114798-20230610-00629 http://dx.doi.org/10.3760/cma.j.cn114798-20230610-00629 .
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621