Influence of perceived organisational support on overqualification in postgraduate nurses
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摘要:
目的 探讨研究生护士的资质过剩感、组织支持感和公平敏感性现状,以及三者之间的关系,以期为研究生护士的管理工作提供一定的参考依据。 方法 采用便利抽样于2020年5—9月选取206名浙江省5所三甲医院硕士及以上学位的研究生护士作为研究对象。使用一般资料调查表、资质过剩量表、护士组织支持感量表和公平偏好问卷进行问卷调查。使用多元线性分层回归分析公平敏感性在组织支持感与资质过剩感之间的调节效应。 结果 研究生护士的资源过剩感得分为(31.11±6.79)分;组织支持感得分为(49.29±9.68)分,各维度得分从高到低依次为情感性支持和工具性支持;公平敏感性得分为(56.22±11.17)分,各维度得分从高到低依次为奉献和酬赏。一般资料中的收入满意度、最高学位培养方式和年龄进入回归方程,可影响研究对象的资质过剩感;公平敏感性在组织支持感和资质过剩感的关系中具有调节效应(β=0.186,ΔR2=0.075,P<0.001)。 结论 医院管理者应完善组织支持体系,对研究生护士实施个性化管理,为其提供更多的展示和学习机会,对于偏好酬赏的临床护士,应让其更多感受到来自组织和领导的良性支持和正性评价,降低其资质过剩感。 Abstract:Objective To explore the current status of overqualification, perceived organisational support and equity sensitivity and their relationship in postgraduate nurses, and to provide a certain reference for the management of graduate nurses. Methods A total of 206 graduate nurses with master's degree or above were selected from five tertiary hospitals in Zhejiang Province between May and September 2020 by convenience sampling. The basic data questionnaire, 9-item Scale of Perceived Overqualification, Perceived Organizational Support Scale for Nurses and Equity Preference Questionnaire were used in the investigation. Multiple linear hierarchical regression was used to analyse the moderating effect of equity sensitivity between perceived organisational support and overqualification. Results The scores of overqualification and perceived organisational support were (31.11±6.79) points and (49.29±9.68) points, with dimension score from high to low are emotional and instrumental support, and the scores of equity sensitivity was (56.22±11.17) points, with dimension score from high to low are dedication and reward. The income satisfaction, the highest degree cultivation model and age in the basic data could affect the overqualification. The equity sensitivity had a moderating effect in the relationship between organisational support and overqualification (β=0.186, ΔR2=0.075, P < 0.001). Conclusion Hospital managers should improve the organisational support system, implement individualised management of graduate nurses, provide them with more opportunities for display and study, let nurses who prefer rewards feel more benign support and positive evaluation from organisations and leaders, and reduce their sense of overqualification. -
表 1 研究对象资质过剩感、组织支持感和公平敏感性现状(x±s,分)
Table 1. The current status of overqualification, perceived organizational support and equity sensitivity in participants (x±s, points)
项目 得分 条目均分 资质过剩感 31.11±6.79 3.45±0.75 组织支持感 49.29±9.68 3.78±0.73 情感性支持 38.71±7.21 3.86±0.75 工具性支持 10.23±2.15 3.42±0.71 公平敏感性 56.62±11.17 3.51±0.69 奉献 29.95±5.62 3.74±0.70 酬赏 26.67±5.57 3.28±0.68 表 2 不同特征研究对象资质过剩感得分比较分析
Table 2. Comparative analysis of overqualification in participants with different characteristics
项目 人数(%) 得分(x±s,分) 统计量 P值 年龄(岁) ≤30 57(27.7) 32.88±6.68 4.569a 0.011 31~40 103(50.0) 31.07±6.55 >40 46(22.3) 29.00±6.20 职务 无 128(62.1) 32.71±6.54 -4.674b <0.001 有 78(37.9) 28.48±6.15 人事关系 在编 122(59.2) 29.90±6.06 3.339b 0.001 合同制 84(40.8) 32.86±6.38 收入满意度 满意 40(19.4) 28.68±6.44 5.535a 0.005 一般 115(55.8) 31.02±6.40 不满意 51(24.8) 33.21±6.61 科室 护理部 35(17.0) 29.12±5.83 6.239a 0.002 临床科室 149(72.3) 31.02±6.20 其他部门 22(10.7) 34.85±6.39 第一学历院校 985/211 68(33.0) 32.76±6.54 3.876a 0.022 普通高校 127(61.7) 30.43±6.22 中职技术学校 11(5.3) 28.77±5.99 最高学位培养方式 全日制 124(60.2) 32.50±6.72 -3.797b <0.001 在职 82(39.8) 29.00±6.31 录取类别 非定向 164(79.6) 31.75±6.56 -2.871b 0.005 定向/委培 42(20.4) 28.60±6.29 最高学位前工作时间(年) ≤3 103(50.0) 32.41±6.67 5.823a 0.004 3~5 60(29.1) 30.74±6.26 ≥6 43(20.9) 28.51±5.81 注:a为F值, b为t值。表中仅列出P<0.05的自变量。 表 3 公平敏感性在组织支持感和资质过剩感间的调节作用分析
Table 3. The moderating effects of equity sensitivity between perceived organizational support and overqualification
模型 变量 B SE β t值 P值 R2值 ΔR2值 F值 ΔF显著性 模型一 收入满意度 -6.116 1.564 -0.320 -3.911 <0.001 0.192 0.192 9.242 <0.001 最高学位培养方式 2.345 0.804 0.276 2.917 0.005 年龄 -2.674 1.020 -0.228 -2.623 0.016 模型二 收入满意度 -6.596 1.749 -0.272 -3.772 <0.001 0.365 0.173 20.221 <0.001 最高学位培养方式 2.068 0.735 0.203 2.813 0.006 年龄 -3.987 1.782 -0.184 -2.238 0.035 组织支持感 -0.864 0.323 -0.370 -2.678 0.013 公平敏感性 -1.856 0.709 -0.298 -2.614 0.018 模型三 收入满意度 -5.331 1.689 -0.223 -3.156 0.003 0.440 0.075 29.348 <0.001 最高学位培养方式 1.597 0.716 0.172 2.229 0.036 年龄 -1.745 0.805 -0.162 -2.169 0.040 组织支持感 -1.004 0.386 -0.318 -2.600 0.019 公平敏感性 -1.679 0.654 -0.282 -2.567 0.022 组织支持感×公平敏感性交互项 0.693 0.315 0.186 2.203 0.038 -
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