Perceived Impact of Nurse Turnover on the Organization: A Delphi Study on Managers of Nursing

Perceived Impact of Nurse Turnover on the Organization: A Delphi Study on Managers of Nursing
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护士流动对组织的影响:针对护理管理者的德尔菲研究

DOI:
10.1111/jonm.13738
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发表时间:
2022
影响因子:
5.5
通讯作者:
& Kida R
& Kida R
中科院分区:
医学2区
文献类型:
--
作者:
Sawada S;Takemura Y;Isobe T;Koyanagi H;& Kida R

文献摘要

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AimsThe研究旨在确定护士流动率的方面和项目对组织的影响,认为由护理management.BackgroundTurnover率不捕获的程度,一个组织是受营业额。另一个指标是需要评估的控制状态的离职impact.MethodsA德尔菲研究进行了2021年,其中2670名管理人员在712家医院被要求完成调查三次。因素分析进行了这些项目达成了共识。ResultsOverall,232经理多次回应,包括第三次调查,被列入分析。达成共识的36个项目的营业额的影响,并认为重要的护理管理。采用探索性因素分析,提取了以下六个因素:护理质量、护理人员身心健康、护理人员工作量及工作条件、护理人员人际关系、护理人员责任感、结论本研究共提取出6个因子36项,可用于评估护士对护理工作的影响护理管理的影响护士管理者可以通过了解影响护士流动率的因素,更适当地评估组织的状态,并寻找策略来克服对护士人员配置的影响。
AimsThe study aimed to identify the aspects and items of nurse turnover impact on organizations as perceived by nursing management.BackgroundTurnover rate does not capture the extent to which an organization is affected by turnover. Another indicator is required to assess the control status of turnover impact.MethodsA Delphi study was conducted in 2021, where 2670 managers of nursing at 712 hospitals were asked to complete the survey three times. Factor analysis was conducted on these items for which a consensus was reached.ResultsOverall, 232 managers who responded multiple times, including the third survey, were included in the analysis. Consensus was reached for 36 items affected by turnover and considered important for nursing management. Using exploratory factor analysis, the following six factors were extracted: quality of nursing care, physical and mental health of nursing staff, workload and working conditions of nursing staff, relationships among nursing staff members, sense of responsibility among nursing staff, and cost and benefit of hiring replacement personnel.ConclusionsSix factors consisting of 36 items were extracted that can be used to assess the impact of nurse turnover.Implications for Nursing ManagementNurse managers can assess the status of the organization more appropriately by understanding the factors that impact nurse turnover in vaious facilitites and look at strategies to overcome the impact on nurse staffing.