CAJ | 학술논문

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。
목적：위건립합리유서기층호리복무제대，탐구기층의료궤구적호리인원공작만의도화조직승낙간적상호관계。방법채용편리추양법，운용공작만의지수、중국직공조직승낙、일반인구자료량표조사한천시12소기층의료궤구적206명주책호사。결과재기층의료궤구중，수입화공작임무시호사군체공작만의도배서최후량위적유도，이직업지위위차최고；경제화궤회승낙시호사정체조직승낙렬서최후적량개유도，이규범승낙위차최고；호사공작만의도중적수입、조직결책량개유도여조직승낙존재고도정상관(P<0.01)，공작만의도여조직승낙정정상관(P<0.05)。결론기층의료궤구적호사조직승낙수평수공작만의도영향，국가위생부문우기시의원관리자수채취다방면연합조시다관제하，격기호사군체고층차적추구，축보해결기층호리인원류동류실문제。
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.