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ارائه و تبیین مدل ترک خدمت کادردرمان در زمان اپیدمی کووید19 (مورد مطالعه: بیمارستان های دولتی شهر تهران)

    نویسندگان

    1 کارشناسی ارشد مدیریت بازرگانی (مدیریت رفتار سازمانی و منابع انسانی) دانشکده اقتصاد ، مدیریت و علوم اداری ، دانشگاه سمنان

    2 دانشجوی دکتری مدیریت دولتی(رفتار سازمانی) دانشکده مدیریت و حسابداری، دانشگاه شهید بهشتی

    3 استادیار گروه آموزشی مدیریت صنعتی دانشکده اقتصاد،مدیریت و علوم اداری، دانشگاه سمنان، سمنان، ایران.

    4 رزیدنت رادیولوژی دانشگاه علوم پزشکی ارتش

,

نوع مقاله : پژوهشی (با رویکردهای آمیخته)

چکیده

هدف: هدف اصلی این مقاله، ارائه و تبیین مدل ترک خدمت کادر درمان در زمان همه‌گیری کووید 19 در بیمارستان‌­های دولتی شهر تهران می‌باشد.
طراحی/روش‌شناسی/رویکرد: پژوهش حاضر از جمله تحقیقات ترکیبی می­‌باشد که بخش کیفی آن با استفاده از روش تحلیل مضمون و متعاقب آن بخش کمی بر اساس الگوی شناسایی شده در بخش کیفی انجام شد. در بخش کیفی از مبانی نظری موضوع و مصاحبه‌­های نیمه ساختارمند استفاده شد. مصاحبه‌­ها به صورت هدفمند و با روش گلوله برفی با خبرگان نظیر مدیران منابع انسانی و پزشکان متخصص و سرپرستاران با تجربه صورت گرفت و در بخش کمی پرسشنامه‌­ای بر اساس الگوی استخراج شده طراحی و با میزان پایایی مطلوب (ضریب آلفای کرونباخ بالاتر از 0.7) توسط اعضای کادر درمان بیمارستان­های دولتی شهر تهران تکمیل شد. تعداد افراد جامعه 14000 نفر برآورد گردید که تعداد نمونه با توجه به تعداد متغیرهای مکنون (9 عدد) و مضمون فرعی (26 سوال) در سطح خطای 0.05درصد 1960 نفر تعیین و روش نمونه‌­گیری به صورت خوشه­‌ای اجرا شد.
یافته‌­های پژوهش: در نتیجه تحلیل داده‌­ها در بخش کیفی 50 کد گزینشی، 26 مضمون فرعی و 9 مضمون اصلی شناسایی شد. در بخش کمی مدل مورد نظر دارای برازش مناسب بوده و تمامی فرضیه­ها مورد تایید قرار گرفت.
محدودیت­ها و پیامدها: بخش کیفی مبتنی بر پارادایم تفسیری است و در این بخش ذهنیت پژوهشگران و پیش فرض‌های آنان در استخراج مفاهیم تأثیرگذار بوده است. در بخش کمی نیز تعداد بالای اعضای مورد پژوهش و ماهیت مقطعی داده‌­ها جمع‌آوری اطلاعات را بسیار دشوار کرده است.
پیامدهای عملی: ترک خدمت کادر درمان در زمان اپیدمی کووید 19 از معضلات مراکز درمانی کشور می­‌باشد که منجر به نارضایتی بسیاری از بیماران می­‌گردد، از همین رو شناخت عوامل ترک خدمت کادر درمان کمک شایانی به افزایش کیفیت درمان از سوی مراکز درمانی می­‌نماید.
ابتکار یا ارزش مقاله: این پژوهش با ارائه و تبیین مدل ترک خدمت کادر درمان در زمان اپیدمی کووید 19، در بیمارستان­های دولتی شهر تهران به شناسایی عوامل جدیدی در ترک خدمت کادر درمان کمک کرده است.
نوع مقاله: مقاله پژوهشی

کلیدواژه‌ها

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چشم انداز مدیریت دولتی
دوره 14، شماره 2 - شماره پیاپی 54
تیر 1402
صفحه 67-92
فایل ها
هم رسانی
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