The Effect Of Professional Identity And Psychological Capital Of Public Hospital Doctors On Professional Quality Of Life

Objective: This study explores the current status of professional life quality of doctors in public hospitals,and further investigate the relationship between professional identity and psychological capital with the doctors’ professional quality of life,and further investigated the role of psychological capital in professional identity and the professional quality of life.In order to improve doctors’ compassion satisfaction and reduce their compassion fatigue,scientific analysis is carried out to improve the quality of professional life of doctors,and theoretical basis is provided.Methods: This study used a cross-sectional survey method to survey 350 doctors in 4public hospitals in XX Province between December 2021 and January 2022.The questionnaire includes: demographic characteristics and job characteristics,Occupational Identity Scale(OIS),Psychological Capital Questionnaire(PCQ),Professional Quality of Life Scale version 5(Proqol-5).SPSS21.0 software was used for statistical analysis.t-test and one-way ANOVA were used to compare differences in professional quality of life among doctors with different demographic and work characteristics;Pearson correlation analysis was used to test the correlation between continuous variables;Multiple hierarchical regression analysis was used to explore the relationship between occupational identity and psychological capital on the one hand,and compassion satisfaction and compassion fatigue on the other,and the Bootstrap method was used to verify the mediating role of psychological capital in occupational identity,compassion satisfaction and compassion fatigue in PROCESS macro(version3.0by Andrew F.Hayes)for SPSS.The above statistical analyses were all two-tailed tests with a significance level of α=0.05.Results: 1.There were 350 questionnaires in this survey,and 326 valid questionnaires were recovered,with an effective recovery rate of 93.14%.The average age of doctors was 41.82±8.98 years old,the average score of compassion satisfaction was 38.66±7.24,and the average score of compassion fatigue was 45.01±11.65.2.The univariate results of doctors’ compassion satisfaction showed that educational background,weekly working hours,night shift and monthly income had a significant impact on the scores of doctors’ compassion satisfaction(P<0.05).The univariate results of compassion fatigue showed that the length of weekly work had a significant effect on the score of compassion fatigue(P<0.05),and the nature of work,whether night shift and monthly income had a significant impact on the score of compassion fatigue(P<0.01).3.Doctors’ professional identity and compassion satisfaction were significantly positively correlated(r=0.706,P<0.01);Professional identity was significantly negatively correlated with compassion fatigue(r=-0.287,P<0.01).There was a significant positive correlation between psychological capital and compassion satisfaction(r=0.598,P<0.01).Psychological capital was significantly negatively correlated with compassion fatigue(r=-0.389,P<0.01).Professional identity was positively correlated with psychological capital(r=0.549,P<0.01).4.After controlling for compassion factors,professional identity was an important influencing factor of physicians’ compassion satisfaction,which explained the variation of 37.5% of compassion satisfaction(β=0.658,P<0.01).After psychological capital entered the model,the explanatory variation of compassion satisfaction increased by 6.9%,and the standard regression coefficient of occupational identity βdecreased from 0.658(P<0.01)to 0.474(P<0.01),which preliminarily showed that psychological capital played a partial mediating role between occupational identity and compassion satisfaction.The results of the mediation effect test showed that psychological capital played an mediating role in the relationship between professional identity and compassion satisfaction(a*b=0.185,95% CI: 0.095,0.302),and the mediating role of psychological capital accounted for 28.12%.5.After controlling for confounding factors,occupational identity was an important influencing factor of compassion fatigue in doctors,which explained the variation of3.9% of compassion fatigue(β=-0.212,P<0.01).When psychological capital is added,an additional 8.6% of the variation is added.The regression coefficient of occupational identity was β reduced from-0.212(P<0.01)to-0.010(P>0.05),which preliminarily showed that psychological capital played a mediating role between occupational identity and compassion fatigue.The results of the mediation effect test showed that psychological capital played a mediating role between professional identity and compassion fatigue(a*b=-0.202,95% CI:-0.298,-0.113),and the mediating role of psychological capital accounted for 95.28%.Conclusion: Doctors’ compassion satisfaction and compassion fatigue are at a moderate level.Professional identity and psychological capital may be important factors to improve doctors’ compassion satisfaction and alleviate compassion fatigue.The higher the level of professional identity and psychological capital,the higher the doctor’s compassion satisfaction,the lighter the compassion fatigue,and psychological capital plays a significant mediating role in the doctor’s professional identity,compassion satisfaction and compassion fatigue.Hospitals,medical schools and other relevant units are prompted to pay attention to the correct guidance of doctors’ professional quality of life and professional identity,and formulate positive response strategies and take timely interventions.