Psychosocial work environment and intention to leave the nursing profession: Results from the longitudinal Chinese NEXT study
Psychosocial work environment and intention to leave the nursing profession: Results from the longitudinal Chinese NEXT study
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DOI：
10.1177/1403494809354361
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发表时间：
2010-02-01
影响因子：
3.4
通讯作者：
Hasselhorn, Hans Martin
中科院分区：
文献类型：
--
作者：
Li, Jian;Fu, Hua;Hasselhorn, Hans Martin
目的：护士短缺不仅发生在发达国家，而且在发展中国家，如在中国，但护士流动这里使情况变得更糟。为什么中国护士想离开护理行业？我们的假设是，不利的心理社会工作环境可以预测护士的离职意图（ITL）。研究方法：与欧盟NEXT研究（Nurses' Early EXit sTudy）合作，在中国进行了纵向研究，采用哥本哈根心理社会问卷（Copenhagen Psychosocial Questionnaire，COPSOQ）测量了护士的心理社会工作环境。共有3，088名在医院工作的注册女护士符合多变量logistic回归的基线分析，1，521名符合多变量Poisson回归的一年随访分析。结果如下：在调整了许多混杂因素后，在基线分析和前瞻性分析中，工作中的各种心理社会因素-特别是情感需求增加、工作意义减少、对工作场所的承诺减少和工作满意度降低-与国际交易日志有关。结论：研究结果表明，不利的心理社会工作环境预测ITL在中国护士。心理社会工作环境的改善可能有助于留住护理人员。
Aims: A shortage of nurses happens not only in developed countries, but also in developing countries, such as in China, but the nurse turnover here makes the situation worse. Why do Chinese nurses want to leave the nursing profession? Our hypothesis is that unfavourable psychosocial work environment could predict nurses' intention to leave (ITL). Methods: Collaborating with the EU NEXT study (Nurses' Early eXit sTudy), the longitudinal study was conducted in China, and the psychosocial work environment was measured with the Copenhagen Psychosocial Questionnaire (COPSOQ). A total of 3,088 registered female nurses working in hospitals were eligible for the baseline analyses by multivariate logistic regression, and 1,521 for the one-year follow-up analyses by multivariate Poisson regression. Results: A wide range of psychosocial factors at work - in particular, increased emotional demands, decreased meaning of work, decreased commitment to the workplace, and decreased job satisfaction - were associated with ITL in both baseline analyses and prospective analyses after adjusting for numerous confounders. Conclusions: The findings suggest that unfavourable psychosocial work environment predicts ITL in Chinese nurses. Improvements in the psychosocial work environment may be helpful in retention of the nursing workforce.