基层医务人员工作压力对离职意向的影响——基于条件过程分析

目的：探究中国基层医务人员工作压力对离职意向的影响，以及工作满意度的中介作用和组织支持感的调节作用。方法：采用方便抽样，对我国东、中、西部13个省市的2 358名基层医务人员离职意向进行问卷调查；通过Pearson相关分析和层级回归分析，探讨工作压力、工作满意度以及组织支持感对基层医务人员离职意向的影响。结果：我国基层医务人员工作压力与离职意向呈正相关；工作满意度在工作压力对离职意向的影响路径中起部分中介作用；组织支持感在工作压力与工作满意度及离职意向关系间起调节作用。结论及建议：工作压力会直接或间接影响基层医务人员的离职意向，其中工作满意度发挥了中介作用，组织支持感发挥调节作用。建议采取相应措施降低基层医务人员工作压力，提高其工作满意度，并为基层医务人员提供更多的支持与关注，以保证基层医疗卫生人才队伍的稳定发展。

The influence of working pressure on turnover intention of primary medical staff: Based on conditional process analysis

Objective: To explore the impact of work stress on turnover intentions of primary level medical staff in China, as well as the mediating role of job satisfaction and the moderating role of organizational support. Methods: A questionnaire survey was conducted using convenience sampling on the intention of leaving the job of 2,358 primary medical staffs in 13 provinces and cities in the east, middle and west of our country. Pearson correlation analysis and hierarchical regression analysis were used to explore the effects of work stress, job satisfaction and organizational support on the turnover intention of primary medical staff. Results: The work pressure of primary medical staff in our country is positively correlated with turnover intention. Job satisfaction plays a part of the mediating role in the influence path of work pressure on turnover intention. Organizational support plays a moderating role in the relationship between work pressure and job satisfaction, and turnover intention. Conclusions: Studies have proved that work pressure directly or indirectly affects the turnover intention of primary medical staff. Among them, job satisfaction plays an intermediary role and organizational support plays a moderating role. Therefore, hospital managers should take corresponding measures to reduce the work pressure of primary medical staff, improve their job satisfaction, and provide more support and attention to primary medical staff to ensure the stable development of the staff of primary medical institutions.