Mediating effect of occupational satisfaction on the relationship between occupational environment support and job competence of hospital infection prevention and control personnel_West China Medical Journal

Authors：

JIANG Yizhou ¹ , ZHANG Liang ¹ , Lü Ying ¹ , WANG Yanting ² , GAO Xiaodong ^3,4 , SHI Qingfeng ^3,4 ,  ZHANG Kun ⁵ ,  GE Maojun ^6,7

1. Department of Infection Management, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201210, P. R. China;
2. Nursing Department, Shanghai Dermatology Hospital, Shanghai 200443, P. R. China;
3. Department of Infection Management, Zhongshan Hospital, Fudan University, Shanghai 200032, P. R. China;
4. Institute of Hospital Infection and Control, Fudan University, Shanghai 200032, P. R. China;
5. Shanghai Hospital Association, Shanghai 200040, P. R. China;
6. Department of Surgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201210, P. R. China;
7. Big Data Center, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201210, P. R. China;

Corresponding?author：

ZHANG Kun, Email: sh.yyxh@163.com; GE Maojun, Email: Maojun.ge@sgyy.cn

Keywords：

Hospital infection prevention and control; job competency; mediating effect

DOI：

10.7507/1002-0179.202501094

Video：

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Objective To investigate the current status of occupational environment support, occupational satisfaction, and job competence of hospital infection prevention and control personnel, and to explore the mediating effect of occupational satisfaction on the relationship between occupational environment support and job competence, in order to provide reference and guidance for effectively improving the job competence of hospital infection prevention and control personnel. Methods A survey questionnaire was distributed to various levels and types of medical institutions in Shanghai through the platform of the Shanghai Hospital Infection Quality Control Center. The questionnaire included the Occupational Environment Support Scale, Occupational Satisfaction Scale, and Job Competency Assessment Scale. The mediating effect of occupational satisfaction on the relationship between occupational environment support and job competency of hospital infection prevention and control personnel was analyzed. Results A total of 1027 hospital infection prevention and control personnel from 728 medical institutions participated in this survey, with 989 valid questionnaires and an effective response rate of 96.3%. There were statistically significant differences in the job competency scores of hospital infection prevention and control personnel based on gender, years of experience in infection control work, professional background, highest education level, professional title, job nature, type of medical institution, and annual income (P<0.05). The total score of job competence for hospital infection prevention and control personnel was 301.0 (267.5, 326.0), the total score of occupational environment support was 21.44±3.66, and the total score of occupational satisfaction was 19.25±2.78. The occupational environment support of hospital infection prevention and control personnel was positively correlated with occupational satisfaction and job competence (r=0.373, 0.339; P<0.001), and occupational satisfaction was positively correlated with occupational environment support (r=0.547, P<0.001). The mediating effect of job satisfaction on the occupational environment support and job competence was 0.085, accounting for 22.8% of the total effect. Conclusion Occupational satisfaction partially mediates the relationship between occupational environment support and job competence, and the mediating effect is significant.

Citation： JIANG Yizhou, ZHANG Liang, Lü Ying, WANG Yanting, GAO Xiaodong, SHI Qingfeng, ZHANG Kun, GE Maojun. Mediating effect of occupational satisfaction on the relationship between occupational environment support and job competence of hospital infection prevention and control personnel. West China Medical Journal, 2025, 40(3): 388-393. doi: 10.7507/1002-0179.202501094 Copy

1.	呂永紅. 醫院感染管理在提高醫療質量中的重要性. 中國社區醫師, 2016, 32(15): 194-195.
2.	Escobar D, Pegues D. Healthcare-associated infections: where we came from and where we are headed. BMJ Qual Saf, 2021, 30(6): 440-443.
3.	Marx JF, Callery S, Boukidjian R. Value of certification in infection prevention and control. Am J Infect Control, 2019, 47(10): 1265-1269.
4.	史慶豐, 胡必杰, 高曉東, 等. 我國醫院感染管理人員崗位勝任力研究綜述. 上海預防醫學, 2024, 36(5): 511-515.
5.	曾慧慧, 蔣榮猛, 李興旺, 等. 北京地區三級綜合醫院感染科運行現狀調查與分析. 中國衛生質量管理, 2014, 21(6): 33-36.
6.	侯冷晨, 王鵬, 錢香玲, 等. 上海市公立醫院醫院感染管理現狀調查. 中國感染控制雜志, 2021, 20(11): 1016-1021.
7.	陳鳳, 王婉秋, 孫霞霞, 等. 四川省自貢地區二級及以上醫院的醫院感染管理現狀調研分析. 重慶醫學, 2023, 52(7): 1095-1100.
8.	王文文, 劉娟, 閻穎. 2023 年鄭州市 130 家醫療機構醫院感染預防與控制人員崗位勝任力現狀調查. 中華醫院感染學雜志, 2024, 34(18): 2802-2806.
9.	崔揚文, 汪可可, 李春燕, 等. 2021 年上海市不同級別醫療機構醫院感染管理人員崗位勝任力現況調查. 中華醫院感染學雜志, 2023, 33(2): 281-285.
10.	歐陽倩, 何達秋, 鄧子德. 2023 年廣東省醫院感染管理專業人員崗位培訓效果分析. 現代醫院, 2023, 23(11): 1790-1792, 1796.
11.	楊璐, 余旭霞, 朱越獻, 等. 浙江省 68 所中醫醫療機構感控專職人員現狀調查. 中醫藥管理雜志, 2024, 32(6): 28-32.
12.	張曉陽, 吳秀秀, 王玉玨, 等. 山西省 200 所二級及以上醫院醫院感染專職人員人力資源配置現狀調查. 中國感染控制雜志, 2023, 22(8): 958-963.
13.	中華人民共和國國家衛生健康委員會醫政醫管局. 關于進一步加強醫療機構感控人員配備管理相關工作的通知. 中華人民共和國國家衛生健康委員會公報, 2021(8): 10-11.
14.	李凌竹, 王顏顏, 姚堯, 等. 貴州省 611 所基層醫療機構醫院感染管理現況研究. 現代預防醫學, 2024, 51(9): 1620-1624.
15.	樊斯斯, 黃小義, 吳清夢. 2023 年四川省基層醫療機構醫院感染防控管理現狀調查. 職業衛生與病傷, 2024, 39(4): 264-270.
16.	王津雨, 于文超, 胡宗鈴, 等. 突發公共衛生事件下醫院感染防控工作實踐和經驗總結. 中國公共衛生管理, 2024, 40(2): 304-307.
17.	鄒安娜. 感控專職人員配備管理研究. 瀘州: 西南醫科大學, 2023: 1-92.
18.	孟素娟. 我市 11 名醫院感染管理人員職業倦怠現狀調查及應對措施探討. 黑龍江中醫藥, 2020, 49(1): 120-121.
19.	石磊, 高曉東, 胡必杰, 等. 上海市醫院感染專職人員職稱晉升現狀調查. 中華醫院感染學雜志, 2022, 32(8): 1253-1256.
20.	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.
21.	楊亞, 班海群, 高曉東, 等. 2021 年上海市醫院感染管理科主任崗位勝任力現狀及其影響因素. 中華醫院感染學雜志, 2023, 33(18): 2870-2874.
22.	Page K, Graves N. A cross sectional study of organizational factors and their impact on job satisfaction and emotional burnout in a group of Australian nurses: infection control practitioners. BMC Health Serv Res, 2021, 21(1): 441.
23.	胡子健. 新冠疫情下公立醫院員工激勵體系優化研究. 北京: 北京郵電大學, 2023: 1-59.
24.	張曉霞, 周寧, 薛敏, 等. 某醫聯體內 35 個醫療機構醫院感染人力資源配置情況及改進策略. 循證護理, 2024, 10(13): 2416-2419.
25.	郝珮瑤. 山東省某醫院管理人員勝任力現狀及培訓需求分析. 濟南: 山東大學, 2021: 1-114.
26.	陳慧斯. 醫院感染預防與控制人員崗位勝任力評價模型構建與實證研究. 長春: 吉林大學, 2019: 1-192.
27.	Gilmartin HM, Langner P, Gokhale M, et al. Does nurse job satisfaction influence adherence to the central line insertion checklist and central line-associated bloodstream infections in the Veterans Health Administration?. Am J Infect Control, 2018, 46(5): 587-589.

1. 呂永紅. 醫院感染管理在提高醫療質量中的重要性. 中國社區醫師, 2016, 32(15): 194-195.
2. Escobar D, Pegues D. Healthcare-associated infections: where we came from and where we are headed. BMJ Qual Saf, 2021, 30(6): 440-443.
3. Marx JF, Callery S, Boukidjian R. Value of certification in infection prevention and control. Am J Infect Control, 2019, 47(10): 1265-1269.
4. 史慶豐, 胡必杰, 高曉東, 等. 我國醫院感染管理人員崗位勝任力研究綜述. 上海預防醫學, 2024, 36(5): 511-515.
5. 曾慧慧, 蔣榮猛, 李興旺, 等. 北京地區三級綜合醫院感染科運行現狀調查與分析. 中國衛生質量管理, 2014, 21(6): 33-36.
6. 侯冷晨, 王鵬, 錢香玲, 等. 上海市公立醫院醫院感染管理現狀調查. 中國感染控制雜志, 2021, 20(11): 1016-1021.
7. 陳鳳, 王婉秋, 孫霞霞, 等. 四川省自貢地區二級及以上醫院的醫院感染管理現狀調研分析. 重慶醫學, 2023, 52(7): 1095-1100.
8. 王文文, 劉娟, 閻穎. 2023 年鄭州市 130 家醫療機構醫院感染預防與控制人員崗位勝任力現狀調查. 中華醫院感染學雜志, 2024, 34(18): 2802-2806.
9. 崔揚文, 汪可可, 李春燕, 等. 2021 年上海市不同級別醫療機構醫院感染管理人員崗位勝任力現況調查. 中華醫院感染學雜志, 2023, 33(2): 281-285.
10. 歐陽倩, 何達秋, 鄧子德. 2023 年廣東省醫院感染管理專業人員崗位培訓效果分析. 現代醫院, 2023, 23(11): 1790-1792, 1796.
11. 楊璐, 余旭霞, 朱越獻, 等. 浙江省 68 所中醫醫療機構感控專職人員現狀調查. 中醫藥管理雜志, 2024, 32(6): 28-32.
12. 張曉陽, 吳秀秀, 王玉玨, 等. 山西省 200 所二級及以上醫院醫院感染專職人員人力資源配置現狀調查. 中國感染控制雜志, 2023, 22(8): 958-963.
13. 中華人民共和國國家衛生健康委員會醫政醫管局. 關于進一步加強醫療機構感控人員配備管理相關工作的通知. 中華人民共和國國家衛生健康委員會公報, 2021(8): 10-11.
14. 李凌竹, 王顏顏, 姚堯, 等. 貴州省 611 所基層醫療機構醫院感染管理現況研究. 現代預防醫學, 2024, 51(9): 1620-1624.
15. 樊斯斯, 黃小義, 吳清夢. 2023 年四川省基層醫療機構醫院感染防控管理現狀調查. 職業衛生與病傷, 2024, 39(4): 264-270.
16. 王津雨, 于文超, 胡宗鈴, 等. 突發公共衛生事件下醫院感染防控工作實踐和經驗總結. 中國公共衛生管理, 2024, 40(2): 304-307.
17. 鄒安娜. 感控專職人員配備管理研究. 瀘州: 西南醫科大學, 2023: 1-92.
18. 孟素娟. 我市 11 名醫院感染管理人員職業倦怠現狀調查及應對措施探討. 黑龍江中醫藥, 2020, 49(1): 120-121.
19. 石磊, 高曉東, 胡必杰, 等. 上海市醫院感染專職人員職稱晉升現狀調查. 中華醫院感染學雜志, 2022, 32(8): 1253-1256.
20. 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.
21. 楊亞, 班海群, 高曉東, 等. 2021 年上海市醫院感染管理科主任崗位勝任力現狀及其影響因素. 中華醫院感染學雜志, 2023, 33(18): 2870-2874.
22. Page K, Graves N. A cross sectional study of organizational factors and their impact on job satisfaction and emotional burnout in a group of Australian nurses: infection control practitioners. BMC Health Serv Res, 2021, 21(1): 441.
23. 胡子健. 新冠疫情下公立醫院員工激勵體系優化研究. 北京: 北京郵電大學, 2023: 1-59.
24. 張曉霞, 周寧, 薛敏, 等. 某醫聯體內 35 個醫療機構醫院感染人力資源配置情況及改進策略. 循證護理, 2024, 10(13): 2416-2419.
25. 郝珮瑤. 山東省某醫院管理人員勝任力現狀及培訓需求分析. 濟南: 山東大學, 2021: 1-114.
26. 陳慧斯. 醫院感染預防與控制人員崗位勝任力評價模型構建與實證研究. 長春: 吉林大學, 2019: 1-192.
27. Gilmartin HM, Langner P, Gokhale M, et al. Does nurse job satisfaction influence adherence to the central line insertion checklist and central line-associated bloodstream infections in the Veterans Health Administration?. Am J Infect Control, 2018, 46(5): 587-589.

West China Medical Journal

Mediating effect of occupational satisfaction on the relationship between occupational environment support and job competence of hospital infection prevention and control personnel

Abstract Full text Figures/Tables Video References Cited by

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