Patient-Nurse Ratio is Related to Nurses' Intention to Leave Their Job through Mediating Factors of Burnout and Job Dissatisfaction
Patient-Nurse Ratio is Related to Nurses' Intention to Leave Their Job through Mediating Factors of Burnout and Job Dissatisfaction
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DOI：
10.3390/ijerph16234801
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发表时间：
2019-12-01
影响因子：
--
通讯作者：
Shiao, Judith Shu-Chu
中科院分区：
文献类型：
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作者：
Chen, Yi-Chuan;Guo, Yue-Liang Leon;Shiao, Judith Shu-Chu
在医疗机构，护士的工作量，倦怠和工作满意度与病人护士比。这个比例是否也会影响他们离开护理行业的意图，沿着潜在的压力途径，仍然不清楚。本研究旨在探讨护患比对护士离职意愿的影响，并探讨工作倦怠与工作不满意在护患比与离职意愿间的中介作用。该研究分析了2013年和2014年收集的两项汇总横断面调查的数据。通过结构式问卷调查，询问平均每日病人-护士比率（ADPNR），护士的个人倦怠，客户相关的倦怠，工作不满意度，离职意向，和其他人口统计学。ADPNR根据医院级别进行标准化。多元回归模型检验中介假设，并采用百分位数自举置信区间来确定间接效应的显著性。研究对象为台湾地区24所二、三级医院内、外科病房的1409名全职注册护士。大多数参与者为女性（97.2%），平均年龄为29.9岁。标准化ADPNR与离职意向之间的关联受个人倦怠、客户相关倦怠和工作不满意度的影响。更高的标准化ADPNR预测更高水平的个人倦怠，客户相关的倦怠和工作不满，每一个导致更高水平的意图离开目前的工作。研究结果显示，适当的护患比例标准可进一步探讨，选择个人倦怠，客户相关的倦怠和工作不满意度为指标。
In healthcare settings, nurses' workload, burnout, and job satisfaction are associated to the patient-nurse ratio. Whether this ratio also affects their intention to leave the nursing profession, along with the underlying stress pathway, remains unclear. This study aimed to investigate the effects of the patient-nurse ratio on nurses' intention to leave and considering the mediating roles of burnout and job dissatisfaction. The study analyzed the data of two pooled cross-sectional surveys collected in 2013 and 2014. Measures were obtained by a structure questionnaire, which queried the average daily patient-nurse ratio (ADPNR), nurses' personal burnout, client-related burnout, job dissatisfaction, intention to leave, and other demographics. ADPNRs were standardized according to hospital levels. Multiple regression models examined mediation hypotheses, and a percentile bootstrap confidence interval was applied to determine the significance of indirect effects. A total of 1409 full-time registered nurses in medical and surgical wards of 24 secondary or tertiary hospitals in Taiwan completed self-administered questionnaires. Most of the participants were female (97.2%), and the mean age was 29.9 years. The association between the standardized ADPNR and intention to leave their job was significantly mediated by personal burnout, client-related burnout, and job dissatisfaction. Higher standardized ADPNRs predicted higher levels of personal burnout, client-related burnout, and job dissatisfaction, each of which resulted in higher levels of intention to leave the current job. The results highlight that appropriate patient-nurse ratio standards may be further discussed by selecting personal burnout, client-related burnout, and job dissatisfaction as indicators.