The impact of social work environment, teamwork characteristics, burnout, and personal factors upon intent to leave among European nurses
The impact of social work environment, teamwork characteristics, burnout, and personal factors upon intent to leave among European nurses
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DOI：
10.1097/mlr.0b013e31806728d8
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发表时间：
2007-10-01
期刊：
影响因子：
3
通讯作者：
Hasselhorn, Hans-Martin
中科院分区：
文献类型：
--
作者：
Estryn-Behar, Madeleine;Van der Heijden, Beatrice I. J. M.;Hasselhorn, Hans-Martin
目标：欧洲的护士短缺要求更有效的方法来招聘和留住护士。这一贡献的目的是澄清是否以及如何社会工作环境，团队合作的特点，职业倦怠和个人因素与护士的意图leave（ITL）。方法：我们的样本包括28,561医院的护士来自10个欧洲国家。考虑到了不同的职业水平：合格的注册护士（n = 18 594），专科护士（n = 3957），护士长（n = 3256），以及护理助理和辅助人员结果：我们的结果表明，国际交易日志在欧洲相当普遍，尽管我们发现各国之间存在一些差异，具体取决于工作条件和经济状况。团队合作的质量，人际关系，职业发展的可能性，治疗的不确定性，在工作中的影响力与护士的决定离开整个欧洲的职业，尽管一些国家的具体结果。在7个国家，严重缺乏团队精神似乎与国际交易日志风险的5倍有关。就个人因素而言，我们的数据支持假设的重要性，工作家庭冲突，满意度与薪酬，倦怠。一个高的倦怠得分似乎与3倍的风险ITL在5 countries.Conclusions：为了防止过早离开，重要的是要扩大护士的专业知识，通过协作和多学科的团队合作，以改善工作流程，并制定团队培训的方法和病房设计促进团队合作。
Objectives: Europe's nursing shortage calls for more effective ways to recruit and retain nurses. This contribution aims to clarify whether and how social work environment, teamwork characteristics, burnout, and personal factors are associated with nurses' intent to leave (ITL).Methods: Our sample comprises 28,561 hospital-based nurses from 10 European countries. Different occupational levels have been taken into account: qualified registered nurses (n = 18,594), specialized nurses (n = 3957), head nurses (n = 3256), and nursing aides and ancillary staff (n = 2754).Results: Our outcomes indicate that ITL is quite prevalent across Europe, although we have found some differences across the countries depending on working conditions and economic situation. Quality of teamwork, interpersonal relationships, career development possibilities, uncertainty regarding treatment, and influence at work are associated with nurses' decision to leave the profession across Europe, notwithstanding some country-specific outcomes. A serious lack of quality of teamwork seems to be associated with a 5-fold risk of ITL in 7 countries. As far as personal factors are concerned, our data support the hypothesized importance of work-family conflicts, satisfaction with pay, and burnout. A high burnout score seems to be associated with 3 times the risk of ITL in 5 countries.Conclusions: To prevent premature leaving, it is important to expand nurses' expertise, to improve working processes through collaboration and multidisciplinary teamwork, and to develop team training approaches and ward design facilitating teamwork.