目的 探讨组织支持、组织认同对接受规范化培训的住院医师的职业精神的影响机制,为提升其职业精神水平,推动住院医师规范化培训工作高质量发展提供参考。方法 2024年8月至2025年6月,采用组织支持量表、组织认同量表和职业精神量表,对北京市某三甲医院接受规范化培训的246名住院医师进行问卷调查,构建结构方程模型分析住院医师的组织支持、组织认同对其职业精神的作用路径,并采用Bootstrap法检验组织认同的中介效应。结果 住院医师的组织支持评分为(4.32±0.53)分,组织认同评分为(4.29±0.56)分,职业精神评分为(4.55±0.46)分。住院医师的组织支持、组织认同与职业精神评分两两均呈正相关(r=0.734~0.851,均P＜0.001)。结构方程模型分析结果显示,组织支持(β＝0.401)、组织认同(β＝0.486)均对职业精神具有显著正向影响(均P＜0.05)。中介效应分析结果显示,组织认同在组织支持对职业精神的影响中起中介作用(间接效应51.0%)。结论 住院医师的组织支持、组织认同和职业精神水平均较高,组织认同在组织支持影响职业精神的过程中发挥部分中介作用。培训基地可以通过强化组织支持以提升住院医师的组织认同感,进而促进其职业精神水平的发展。

Objective To investigate the effects of organizational support and organizational identification on professionalism among resident physicians and the underlying influence mechanisms, to suggest strategies to cultivate professionalism of resident physicians and facilitate the high-quality development of standardized residency training. Methods A questionnaire survey was conducted among resident physicians at a tertiary hospital in Beijing from August 2024 to June 2025. The survey instruments comprised of scales for organizational support, organizational identification, and professionalism. A structural equation model was established to analyze the pathways whereby organizational support and identification affect professionalism, and the bootstrap method was applied to examine the mediating effect of organizational identification. Results The average score of organizational support, organizational identification, and professionalism were (4.32±0.53), (4.29±0.56) and (4.55±0.46), respectively, among which pairwise correlations were found among organizational support, organizational identification, and professionalism (r=0.734-0.851, P<0.001). The results of the structural equation modeling analysis revealed that both organizational support (β=0.401) and organizational identification (β=0.486) had a significant positive impact on professionalism (all P<0.05). The mediation analysis indicated that organizational identification played a mediating role in the effect of organizational support on professionalism (indirect effect: 51.0%). Conclusions Resident physicians have a high level of organizational support, organizational identification and professionalism. Organizational identification plays a partial mediating role in the impact of organizational support on professionalism. Training bases are advised to promote professionalism training by enhancing organizational support to foster resident physicians' organizational identification.