摘要
HX医院护理人员组织承诺的优化研究
MBA专业
研究生 向思雨 指导教师 黄善明
摘 要：护理人员作为医院医护人员队伍中的特殊群体，是医院技术人员中占
比最大、涉及面最广、与病人接触时间最长的重要力量。然而，目前医院护理人
员普遍压力大但得不到对应的薪酬待遇激励，导致职业幸福感偏低。这不仅影响
医院医护队伍建设，也影响患者对医院的满意度。对于医院整体而言，要保持医
院护理服务质量及队伍的稳定性，提升医院护理人员群体组织承诺水平已成为一
个十分重要的课题。
本研究以 HX 医院为对象，运用文献学习、实地调查、访谈等研究方法，分析
HX 医院护理人员组织承诺现状，并探究其组织承诺问题的深层次原因和关键性影
响因素。经研究发现：HX 医院护理人员组织承诺的五个维度中规范、理想承诺水
平较高；感情、机会和经济承诺水平较低。而HX医院的护理人员组织承诺问题的
关键性的影响因素，包括：工作岗位的特殊属性：服务性、严格性、灵活性，但
任务重、身心压力大，而薪资待遇又相对较低；薪酬福利待遇水平低：薪酬水平
较低、福利待遇落实不到位；职业发展空间不足：晋升渠道固化且狭窄、后备干
部制度落实不到位；个人期望存有偏差：工作属性认知不到位、职业发展规划不
清晰、择业观和事业观不正确；社会认知带来压力：社会评价较低、家庭-社会角
色难以平衡。
研究最后对HX医院护理人员组织承诺提出改进措施，包括：优化HX医院护理
人员的工作环境；提升 HX 医院护理人员的绩效管理水平；提升 HX 医院护理人员
的薪酬福利待遇；为 HX 医院护理人员拓展职业空间；加强 HX 医院护理人员思想
观念建设；优化HX医院护理人员所处社会环境。
在改进策略的探究方面，本文相较于以往研究更进一步，例如在护理人员群体
的激励方面，除了提升薪酬水平、福利待遇外还提出了关于其非物质性激励手段
榜样宣传方面的一些策略，即既满足了护理人员对于物质方面的保健要素的追求，
又在精神社交和自我实现层面加大了激励力度；在研究方法设计方面，本文既运
用了问卷调查和主成分分析法，又吸收了行为事件访谈法的思路，相较于以往研
究在方法设计上体现了复合性。
关键词：护理人员 组织承诺 影响因素 优化
I

Abstract
Research on the Optimization of Organizational
Commitment of Nursing Staff in HX Hospital
Major: MBA
Postgraduate: Siyu Xiang
Tutor: Shanming Huang
As a special group of medical staff in hospital, nursing staff is an important force.
However, nursing staff are generally under great pressure but can not get the
corresponding salary incentive, resulting in low occupational happiness, which not only
affects the construction of medical staff, but also affects patients' satisfaction with the
hospital. For the hospital as a whole, to maintain the quality of nursing service and the
stability of the staff, improving the organizational commitment level of hospital nursing
staff has become a very important topic.
With the methods of literature study, field survey and interview, taking HX
Hospital as the object, this study analyzed the status quo of organizational commitment
of nursing staff in HX Hospital and explored the deep reasons and key influencing
factors of organizational commitment in HX Hospital. The results showed that the
affective commitment, choice commitment and economic commitment were lower and
affective commitment and ideal commitment higher. And the key influencing factors of
organizational commitment of nursing staff in HX hospital include special attributes of
the job, low compensation & welfare treatment, lack of room for career development,
deviation from personal expectations and social cognitive stress.
At the end of the study, improvement measures were proposed for the
organizational commitment of nursing staff in HX hospital, including optimizing the
working environment for nursing staff, improving the performance management for
nursing staff, improving the remuneration and welfare for nursing staff, expanding
career development space for nursing staff, strengthening the ideological construction of
nursing staff, optimizing the social image for nursing staff.
In terms of the exploration of improvement strategies, this paper is further
compared with previous studies. In terms of the research contents, some innovative
strategies about non-material incentive means are put forward, which not only satisfy
the pursuit of the health care elements in the material aspect, but also increase the
motivation in the aspect of spiritual social interaction and self-realization. In terms of
III

Abstract
research method design, this paper not only uses questionnaire survey and principal
component analysis, but also absorbs the idea of behavioral event interview.
Keywords: Nursing staff, Organizational commitment, Influence factor,
Optimization
IV
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