体面劳动视域下医疗护理员角色清晰度对留职意愿的影响OA

Objective:To explore the mechanism through which role clarity influences the intent to stay among medical nursing assistants,and to examine the mediating role of professional identity and the moderating effect of decent work perception.Methods:A convenience sampling method was used to select 473 medical nursing assistants from eight pilot medical institutions of"accompanied-free care"services in Guangdong province between August and October 2025.Data were collected using a general information questionnaire,the Role Clarity Scale,the Professional Identity Assessment Scale,the Decent Work Perception Scale,and the Intent to Stay Scale.Correlation analysis,mediation analysis,and moderated mediation analysis were conducted using SPSS 27.0.Results:The median intent to stay score among medical nursing assistants was 13.00(12.00,16.00).Age,education level,daily working hours,and employment relationship were significant factors influencing intent to stay(P<0.05).Role clarity,professional identity,and decent work perception were all positively correlated with intent to stay(P<0.01).Professional identity partially mediated the relationship between role clarity and intent to stay,with an indirect effect value of 0.084(accounting for 39.25%of the total effect).Decent work perception negatively moderated the path from role clarity to professional identity(interaction effect=-0.047,P<0.001),such that the marginal contribution of role clarity to professional identity was stronger under low decent work perception.Conclusions:Role clarity not only directly and positively affects medical nursing assistants' intent to stay but also indirectly enhances their intent to stay through professional identity.Decent work perception serves as a moderator:under low decent work conditions,the protective effect of role clarity on professional identity becomes more pronounced.