The nurse work environment, job satisfaction and turnover rates in rural and urban nursing units.

The nurse work environment, job satisfaction and turnover rates in rural and urban nursing units.
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DOI:
10.1111/j.1365-2834.2009.01027.x
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发表时间:
2009-12
影响因子:
5.5
通讯作者:
Mark BA
Mark BA
中科院分区:
医学2区
文献类型:
--
作者:
Baernholdt M;Mark BA

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本研究的目的是确定是否有差异的医院特点,护理单位的特点,护士的工作环境,工作满意度和流动率在农村和城市的护理单位。城市医院的研究发现护士工作环境与工作满意度和离职率之间存在关联,但这种关联在农村医院尚未得到研究。农村和城市护理单位进行了比较,在全国随机抽样的97家美国医院(194个护理单位)之间的99和450张病床。农村和城市护理单位的医院和护理单位的特点和护士的工作环境之间存在显着差异。护理单位的特点和工作环境被发现有显着的影响护士工作满意度和离职率。农村和城市护理单位的工作满意度和离职率与护理单位的特点和工作环境有关。农村和城市医院都可以通过改变单位特征来提高护士工作满意度和离职率,例如创造更好的支持服务和支持自主护理实践的工作环境。农村医院还可以通过为护士提供更多的教育机会来改善工作环境。
The aim of the present study was to determine whether there are differences in hospital characteristics, nursing unit characteristics, the nurse work environment, job satisfaction and turnover rates in rural and urban nursing units. Research in urban hospitals has found an association between the nurse work environment and job satisfaction and turnover rates, but this association has not been examined in rural hospitals. Rural and urban nursing units were compared in a national random sample of 97 United States hospitals (194 nursing units) with between 99 and 450 beds. Significant differences were found between hospital and nursing unit characteristics and the nurse work environment in rural and urban nursing units. Both nursing unit characteristics and the work environment were found to have a significant influence on nurse job satisfaction and turnover rates. Job satisfaction and turnover rates in rural and urban nursing units are associated with both nursing unit characteristics and the work environment. Both rural and urban hospitals can improve nurse job satisfaction and turnover rates by changing unit characteristics, such as creating better support services and a work environment that supports autonomous nursing practice. Rural hospitals can also improve the work environment by providing nurses with more educational opportunities.
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