Influence of organizational support among hospital infection prevention and control practitioner in public medical institutions on professional identity_West China Medical Journal

Authors：

 ZOU Anna , LI Xiaohong , MO Niluo , HUANG Jiuqiang , LIU Fan , CAO Honglin

Department of Nosocomial Infection Management, the First People’s Hospital of Neijiang, Neijiang, Sichuan 641000, P. R. China;

Corresponding author：

ZOU Anna, Email: 11555043@qq.com

Keywords：

Hospital infection prevention and control; practitioner; organisational support; professional identity

DOI：

10.7507/1002-0179.202408115

Video：

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Objective To understand the influence of organisational support and professional identity of hospital infection prevention and control (HIPC) practitioner in public hospitals. Methods HIPC practitioner of the public medical institutions secondary level and above in Neijiang City, Sichuan Province were used as the research object. A questionnaire survey was used to analyze their organizational support and professional identity in May 2022. To compare the differences in organizational support and professional identity among HIPC practitioner with different positions, working ages, and majors, and analyze the correlation between organizational support and professional identity among HIPC practitioner. Results A total of 90 valid questionnaires were retrieved from investigation. The average scores for organizational support and professional identity among HIPC practitioner were (3.409±0.625) and (2.518±0.504) points. Among them, the organizational support of intermediate professional title personnel [(3.155±0.785) points], personnel with 5-10 years of service [(3.071±0.696) points], and clinical physicians [(3.342±0.860) points] were the lowest; the professional identity of personnel with intermediate professional titles [(2.357±0.477) points], those with more than 10 years of service[(2.431±0.454) points], and other professionals [(2.471±0.260) points] was the lowest. The Pearson correlation analysis results showed that there was a positive correlation between organizational support and professional identity (r=0.490, P<0.05), self-identity and work support (r=0.364, P<0.05), and environmental identity and relationship interests (r=0.698, P<0.05). Conclusions Due to the low level of organizational support, there is a decrease in professional identity and significant job burnout, which in turn leads to an increase in the turnover rate of infection control professionals. Therefore, it is necessary to enhance the sense of organizational support for specialized personnel in infection control to promote their professional identity and stabilize the infection control team. Suggest providing necessary support at the organizational level and self-improvement at the individual level.

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11.	Dawes J. Do data characteristics change according to the number of scale points used? An experiment using 5-point, 7-point and 10-point scales. Int J Mark Res, 2008, 50(1): 61-104.
12.	何罗萍, 武倩倩, 许娜丽. 青年护士组织支持感对离职倾向的影响: 职业认同的中介作用. 中国临床护理, 2023, 15(10): 599-603.
13.	张志刚, 魏秋霞, 魏巧妙, 等. 29 所医院感染管理专职人员职业倦怠与职业不稳定因素分析. 蚌埠医学院学报, 2020, 45(2): 252-255.
14.	张韬, 王洪兴, 李幼子, 等. 全科医生心理契约破坏、组织支持感与离职倾向关系的时滞研究——以上海市浦东新区为例. 中国初级卫生保健, 2019, 33(12): 89-92.
15.	王国文, 史秀欣, 马东平, 等. 山东全科医生职业认同与社会支持关系. 中国公共卫生, 2016, 32(6): 818-820.
16.	吴秀丽, 陈静文, 刘映宏, 等. 新型冠状病毒肺炎疫情下定点收治医院护士职业认同在组织支持感与工作倦怠间的中介作用. 广西医学, 2022, 44(6): 645-649.
17.	Silverman HJ, Kheirbek RE, Moscou-Jackson G, et al. Moral distress in nurses caring for patients with Covid-19. Nurs Ethics, 2021, 28(7/8): 1137-1164.
18.	Salvatore D, Numerato D, Fattore G. Physicians’ professional autonomy and their organizational identification with their hospital. BMC Health Serv Res, 2018, 18(1): 775.
19.	Kranenburg LW, de Veer MR, Oude Hengel KM, et al. Need for support among healthcare professionals during the COVID-19 pandemic: a qualitative study at an academic hospital in the Netherlands. BMJ Open, 2022, 12(2): e059124.
20.	胡琳娟, 吴际军, 熊小利, 等. 四川省 12 所三级甲等医院护士薪酬公平感、薪酬满意度与职业认同对离职意愿的影响. 职业与健康, 2023, 39(12): 1633-1637, 1643.
21.	朱宝平, 徐宏, 王茜, 等. 十堰市疾病预防控制中心员工职业认同现状及影响因素分析. 职业与健康, 2022, 38(6): 764-767.
22.	王平, 米莉. 探究护士职业生涯的管理与规划. 中外医疗, 2014, 33(3): 155-156.

1. 刘思娣, 李春辉, 李六亿, 等. 中国医院感染管理组织建设 30 年调查. 中国感染控制杂志, 2016, 15(9): 648-653.
2. 李六亿, 徐丹慧. 队伍建设是提升感控水平的关键. 中国卫生, 2021(10): 40-41.
3. Sabanciogullari S, Dogan S. Relationship between job satisfaction, professional identity and intention to leave the profession among nurses in Turkey. J Nurs Manag, 2015, 23(8): 1076-1085.
4. Aronsson G, Theorell T, Grape T, et al. A systematic review including Meta-analysis of work environment and burnout symptoms. BMC Public Health, 2017, 17(1): 264.
5. Zeng Z, Wang X, Bi H, et al. Factors that influence perceived organizational support for emotional labor of chinese medical personnel in Hubei. Front Psychol, 2021: 684830.
6. Yiannis K, Rifat A, Nelson P, et al. Health systems in transition: professional identity work in the context of shifting institutional logics. Acad Manag J, 2017, 60(2): 610-641.
7. Matthews R, Smith-Han K, Nicholson H. From physiotherapy to the army: negotiating previously developed professional identities in mature medical students. Adv Health Sci Educ Theory Pract, 2020, 25(3): 607-627.
8. 凌文辁, 杨海军, 方俐洛. 企业员工的组织支持感. 心理学报, 2006(2): 281-287.
9. 魏淑华, 宋广文, 张大均. 我国中小学教师职业认同的结构与量表. 教师教育研究, 2013, 25(1): 55-60, 75.
10. 何双双, 汤静. 组织支持感对医务人员职业认同度的影响. 中国医药导报, 2015, 12(6): 145-149.
11. Dawes J. Do data characteristics change according to the number of scale points used? An experiment using 5-point, 7-point and 10-point scales. Int J Mark Res, 2008, 50(1): 61-104.
12. 何罗萍, 武倩倩, 许娜丽. 青年护士组织支持感对离职倾向的影响: 职业认同的中介作用. 中国临床护理, 2023, 15(10): 599-603.
13. 张志刚, 魏秋霞, 魏巧妙, 等. 29 所医院感染管理专职人员职业倦怠与职业不稳定因素分析. 蚌埠医学院学报, 2020, 45(2): 252-255.
14. 张韬, 王洪兴, 李幼子, 等. 全科医生心理契约破坏、组织支持感与离职倾向关系的时滞研究——以上海市浦东新区为例. 中国初级卫生保健, 2019, 33(12): 89-92.
15. 王国文, 史秀欣, 马东平, 等. 山东全科医生职业认同与社会支持关系. 中国公共卫生, 2016, 32(6): 818-820.
16. 吴秀丽, 陈静文, 刘映宏, 等. 新型冠状病毒肺炎疫情下定点收治医院护士职业认同在组织支持感与工作倦怠间的中介作用. 广西医学, 2022, 44(6): 645-649.
17. Silverman HJ, Kheirbek RE, Moscou-Jackson G, et al. Moral distress in nurses caring for patients with Covid-19. Nurs Ethics, 2021, 28(7/8): 1137-1164.
18. Salvatore D, Numerato D, Fattore G. Physicians’ professional autonomy and their organizational identification with their hospital. BMC Health Serv Res, 2018, 18(1): 775.
19. Kranenburg LW, de Veer MR, Oude Hengel KM, et al. Need for support among healthcare professionals during the COVID-19 pandemic: a qualitative study at an academic hospital in the Netherlands. BMJ Open, 2022, 12(2): e059124.
20. 胡琳娟, 吴际军, 熊小利, 等. 四川省 12 所三级甲等医院护士薪酬公平感、薪酬满意度与职业认同对离职意愿的影响. 职业与健康, 2023, 39(12): 1633-1637, 1643.
21. 朱宝平, 徐宏, 王茜, 等. 十堰市疾病预防控制中心员工职业认同现状及影响因素分析. 职业与健康, 2022, 38(6): 764-767.
22. 王平, 米莉. 探究护士职业生涯的管理与规划. 中外医疗, 2014, 33(3): 155-156.

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