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] were 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.

Citation： ZOU Anna, LI Xiaohong, MO Niluo, HUANG Jiuqiang, LIU Fan, CAO Honglin. Influence of organizational support among hospital infection prevention and control practitioner in public medical institutions on professional identity. West China Medical Journal, 2025, 40(8): 1294-1298. doi: 10.7507/1002-0179.202408115 Copy

1.	劉思娣, 李春輝, 李六億, 等. 中國醫院感染管理組織建設 30 年調查. 中國感染控制雜志, 2016, 15(9): 648-653.
2.	李六億, 徐丹慧. 隊伍建設是提升感控水平的關鍵. 中國衛生, 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.	凌文輇, 楊海軍, 方俐洛. 企業員工的組織支持感. 心理學報, 2006(2): 281-287.
9.	魏淑華, 宋廣文, 張大均. 我國中小學教師職業認同的結構與量表. 教師教育研究, 2013, 25(1): 55-60, 75.
10.	何雙雙, 湯靜. 組織支持感對醫務人員職業認同度的影響. 中國醫藥導報, 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.	何羅萍, 武倩倩, 許娜麗. 青年護士組織支持感對離職傾向的影響: 職業認同的中介作用. 中國臨床護理, 2023, 15(10): 599-603.
13.	張志剛, 魏秋霞, 魏巧妙, 等. 29 所醫院感染管理專職人員職業倦怠與職業不穩定因素分析. 蚌埠醫學院學報, 2020, 45(2): 252-255.
14.	張韜, 王洪興, 李幼子, 等. 全科醫生心理契約破壞、組織支持感與離職傾向關系的時滯研究——以上海市浦東新區為例. 中國初級衛生保健, 2019, 33(12): 89-92.
15.	王國文, 史秀欣, 馬東平, 等. 山東全科醫生職業認同與社會支持關系. 中國公共衛生, 2016, 32(6): 818-820.
16.	吳秀麗, 陳靜文, 劉映宏, 等. 新型冠狀病毒肺炎疫情下定點收治醫院護士職業認同在組織支持感與工作倦怠間的中介作用. 廣西醫學, 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, 吳際軍, 熊小利, 等. 四川省 12 所三級甲等醫院護士薪酬公平感、薪酬滿意度與職業認同對離職意愿的影響. 職業與健康, 2023, 39(12): 1633-1637, 1643.
21.	朱寶平, 徐宏, 王茜, 等. 十堰市疾病預防控制中心員工職業認同現狀及影響因素分析. 職業與健康, 2022, 38(6): 764-767.
22.	王平, 米莉. 探究護士職業生涯的管理與規劃. 中外醫療, 2014, 33(3): 155-156.

1. 劉思娣, 李春輝, 李六億, 等. 中國醫院感染管理組織建設 30 年調查. 中國感染控制雜志, 2016, 15(9): 648-653.
2. 李六億, 徐丹慧. 隊伍建設是提升感控水平的關鍵. 中國衛生, 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. 凌文輇, 楊海軍, 方俐洛. 企業員工的組織支持感. 心理學報, 2006(2): 281-287.
9. 魏淑華, 宋廣文, 張大均. 我國中小學教師職業認同的結構與量表. 教師教育研究, 2013, 25(1): 55-60, 75.
10. 何雙雙, 湯靜. 組織支持感對醫務人員職業認同度的影響. 中國醫藥導報, 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. 何羅萍, 武倩倩, 許娜麗. 青年護士組織支持感對離職傾向的影響: 職業認同的中介作用. 中國臨床護理, 2023, 15(10): 599-603.
13. 張志剛, 魏秋霞, 魏巧妙, 等. 29 所醫院感染管理專職人員職業倦怠與職業不穩定因素分析. 蚌埠醫學院學報, 2020, 45(2): 252-255.
14. 張韜, 王洪興, 李幼子, 等. 全科醫生心理契約破壞、組織支持感與離職傾向關系的時滯研究——以上海市浦東新區為例. 中國初級衛生保健, 2019, 33(12): 89-92.
15. 王國文, 史秀欣, 馬東平, 等. 山東全科醫生職業認同與社會支持關系. 中國公共衛生, 2016, 32(6): 818-820.
16. 吳秀麗, 陳靜文, 劉映宏, 等. 新型冠狀病毒肺炎疫情下定點收治醫院護士職業認同在組織支持感與工作倦怠間的中介作用. 廣西醫學, 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, 吳際軍, 熊小利, 等. 四川省 12 所三級甲等醫院護士薪酬公平感、薪酬滿意度與職業認同對離職意愿的影響. 職業與健康, 2023, 39(12): 1633-1637, 1643.
21. 朱寶平, 徐宏, 王茜, 等. 十堰市疾病預防控制中心員工職業認同現狀及影響因素分析. 職業與健康, 2022, 38(6): 764-767.
22. 王平, 米莉. 探究護士職業生涯的管理與規劃. 中外醫療, 2014, 33(3): 155-156.

West China Medical Journal

Influence of organizational support among hospital infection prevention and control practitioner in public medical institutions on professional identity

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