[1]汪新建,王丛.心理契约视角下的医方信任演变——基于儿童血液病中心的参与观察研究[J].南京师大学报(社会科学版),2023,(04):075-84.
　WANG Xinjian,WANG Cong.The Transition of Medical Worker's Trust in Patients from the Perspective of Psychological Contract: A Participatory Observational Study Conducted in a Children's Blood Disease Center[J].Journal of Nanjing Normal University (Social Science Edition),2023,(04):075-84.
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心理契约视角下的医方信任演变——基于儿童血液病中心的参与观察研究
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《南京师大学报》（社会科学版）[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2023年04期
页码:
075-84
栏目:
心理学研究
出版日期:
2023-08-25

文章信息/Info

Title:
The Transition of Medical Worker's Trust in Patients from the Perspective of Psychological Contract: A Participatory Observational Study Conducted in a Children's Blood Disease Center
作者:
汪新建; 王丛
Author(s):
WANG Xinjian;  WANG Cong
关键词:
心理契约; 医方信任; 医患信任; 医患关系
Keywords:
psychological contract;  medical worker's trust in patients;  doctor-patient trust;  doctor-patient relationship
摘要:
医方心理契约是医务人员对基于自身在医疗机构中所扮演的角色而产生的关于自身权利与义务的内隐期望，包含了对医疗机构及其政府主管部门的期待和其工作对象、即患方的期待。在住院病房中，医方信任的建立与分化通过心理契约的履行感知与其内隐期望进行不断的对比而实现。如果医方知觉到感知与期望的不匹配，就会引发失望、愤怒、倦怠等负面体验，导致医方信任受损甚至中断。反之，患方的尊重与认可会强化医方的职业认同，缓冲其因工作强度和管理压力带来的不满，减少职业倦怠的发生。医方信任的产生以医方心理契约的全方位满足为前提，而医方心理契约的达成既要求在人际层面得到满足，也需要在制度层面得到保障。
Abstract:
The psychological contract of medical workers is the implicit expectation of medical personnel on their rights and obligations based on their roles in the medical institution, including their expectations of the medical institution and government departments, and expectations of patients and their deputies. In the inpatient ward, the establishment and differentiation of the medical workers trust in patients are achieved through the constant comparison of the fulfillment perception of the psychological contract and their implicit expectations. If doctors or nurses perceive a mismatch between their perceptions and expectations, it will trigger negative emotions such as disappointment, anger, burnout, etc., resulting in damage or even interruption of trust in medical staff. On the contrary, respect and recognition from patients can strengthen the professional identity of medical staff, buffer their dissatisfaction caused by work intensity and management pressure, and reduce the occurrence of job burnout. The formation of medical trust is premised on the all-around satisfaction of the psychological contract of medical workers, which requires not only satisfaction at the interpersonal level, but also insurance at the institutional level.

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备注/Memo

备注/Memo:
汪新建，法学博士，福州大学人文社会科学学院特聘教授（福州350108），南开大学周恩来政府管理学院社会心理学系教授、博士生导师（天津300350）；王丛，法学博士，天津商业大学法学院心理学系讲师（天津300133）。本文系国家社会科学基金重点项目“医患社会心态的形成机制与治理路径研究”（21ASH012）的阶段性研究成果。
更新日期/Last Update: 2023-08-25