关键词: medical staff organisational identification perceived organisational support unethical pro-organisational behaviour value identification

来  源:   DOI:10.2147/PRBM.S457284   PDF(Pubmed)

Abstract:
UNASSIGNED: Due to the particularity of the services provided by the medical industry, medical staff need to not only be proficient in their professional skills, but also pay attention to the cultivation of ethical qualities. However, at present, the performance-oriented management system of medical institutions, imbalanced allocation of medical resources, and other problems are likely to cause unethical pro-organisational behaviour (UPB) among medical staff.
UNASSIGNED: To explore the causes of pro-organizational unethical behaviors among health care workers from the perspective of employee-organizational relationships and to investigate the mechanism of organizational support perception on pro-organizational unethical behaviors.
UNASSIGNED: A multi-stage sampling method was used to assess 322 health care workers from several tertiary and above public hospitals in China, using the Sense of Organizational Support Scale, the Organizational Identity Scale and the Pro-Organizational Unethical Behavior Scale.
UNASSIGNED: All dimensions of perceived organisational support (job support, concerns about employee interests, and value identification) significantly positively predicted organisational identification and UPB (p < 0.05). Organisational identification significantly positively predicted UPB (p < 0.05), and partially mediated the relationship between all three dimensions of perceived organisational support and UPB.
UNASSIGNED: Medical institutions in China could positively guide medical staff through professional training to effectively avoid their UPB. Digital technologies, such as internet platforms, can also be used to increase job support for medical staff from outside the organisation. The recognition of the contributions of medical staff could be strengthened to enhance their sense of social identity and social responsibility, which may help effectively reduce their UPB.
摘要:
由于医疗行业提供的服务的特殊性,医务人员不仅需要精通他们的专业技能,还要注重道德素质的培养。然而,目前,医疗机构绩效导向管理体系,医疗资源配置不均衡,和其他问题可能会导致医务人员中不道德的亲组织行为(UPB)。
从员工-组织关系的角度探讨医护人员亲组织不道德行为的成因,探讨组织支持感知对亲组织不道德行为的作用机制。
采用多阶段抽样的方法对来自中国几家三级以上公立医院的322名医护人员进行了评估,使用组织支持感量表,组织认同量表和亲组织不道德行为量表。
感知到的组织支持的所有维度(工作支持,关注员工利益,和价值识别)显著正预测组织识别和UPB(p<0.05)。组织鉴定显著正预测UPB(p<0.05),并部分介导了感知组织支持的所有三个维度与UPB之间的关系。
中国的医疗机构可以通过专业培训积极引导医务人员,有效规避其UPB。数字技术,例如互联网平台,也可用于增加对组织外医务人员的工作支持。可加强对医务人员贡献的认可,增强医务人员的社会认同感和社会责任感,这可能有助于有效降低他们的UPB。
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