Stabilizing and destabilizing forces in the nursing work environment: a qualitative study on turnover intention.
Stabilizing and destabilizing forces in the nursing work environment: a qualitative study on turnover intention.
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在护理工作环境中稳定和破坏稳定的力量：关于离职意图的定性研究。
DOI：
10.1016/j.ijnurstu.2011.03.005
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发表时间：
2011-10
影响因子：
8.1
通讯作者：
Wong TK
中科院分区：
文献类型：
--
作者：
Choi SP;Pang SM;Cheung K;Wong TK
提供护理服务环境的护理工作环境近年来受到越来越多的关注。越来越多的证据表明，护理工作环境的属性与护士和患者的治疗效果之间存在着不可分割的联系。虽然大多数研究都采用调查设计来检查劳动力和工作环境问题，但本研究采用现象学方法来提供有关护士对其工作和工作环境的看法的经验证据。本研究的目的是通过探讨前线注册护士在香港公立医院工作的生活经历，加深我们对护士流动率增加现象的理解。采用了 Van Kaam 受控解释方法的修改版本。对来自香港十间急症地区、地区及非急症公立医院的 26 名前线护士进行个别半结构化访谈。广泛研究了他们对工作和工作环境的看法，例如工作量、人力需求和专业价值观，并提出了将护理工作环境与护士离职倾向联系起来的假设描述。对护士经历的反思揭示了护理工作的脆弱性以及护理工作环境的六个基本要素，即人员配备水平、工作责任、管理、同事关系、工作和专业激励。这些基本要素促成了两类力量：稳定力量和不稳定力量，这些力量源于护理工作环境的属性。护士们将和谐的同事关系、认可和专业发展视为留住护士的关键因素。然而，在不利的环境中工作的护士却被不稳定的力量压垮了；他们表达了沮丧并表示打算离开工作环境。护理工作环境是一个由多个组成部分组成的复杂实体；其属性影响护士对其工作和工作环境的看法，在解决护士流动率上升的现象时需要特别关注。
The nursing work environment, which provides the context of care delivery, has been gaining increasing attention in recent years. A growing body of evidence points to an inseparable link between attributes of the nursing work environment and nurse and patient outcomes. While most studies have adopted a survey design to examine the workforce and work environment issues, this study employed a phenomenological approach to provide empirical evidence regarding nurses’ perceptions of their work and work environment. The aim of this study was to advance our understanding of the phenomenon of increasing nurse turnover through exploring frontline registered nurses’ lived experiences of working in Hong Kong public hospitals. A modified version of Van Kaam's controlled explication method was adopted. Individual semi-structured interviews were conducted with 26 frontline nurses recruited from ten acute regional, district and non-acute public hospitals in Hong Kong. Their perspectives in regard to their work and work environment, such as workload, manpower demand and professional values, were extensively examined, and a hypothetical description relating the nursing work environment with nurses’ turnover intention was posited. Contemplation of nurses’ experiences revealed the vulnerable aspects of nursing work and six essential constituents of the nursing work environment, namely staffing level, work responsibility, management, co-worker relationships, job, and professional incentives. These essential constituents have contributed to two sets of forces, stabilizing and destabilizing forces, which originate from the attributes of the nursing work environment. Nurses viewed harmonious co-worker relationships, recognition and professional development as the crucial retaining factors. However, nurses working in an unfavorable environment were overwhelmed by destabilizing forces; they expressed frustration and demonstrated an intention to leave their work environment. The nursing work environment is a complex entity comprising multiple constituents; its attributes affect nurses’ perceptions of their work and work environment, which warrant special attention in addressing the phenomenon of increasing nurse turnover.
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影响因子：
3.8
作者：
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通讯作者：
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