The Impact of Changes in Professional Autonomy and Occupational Commitment on Nurses' Intention to Leave: A Two-Wave Longitudinal Study in Japan.
The Impact of Changes in Professional Autonomy and Occupational Commitment on Nurses' Intention to Leave: A Two-Wave Longitudinal Study in Japan.
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DOI：
10.3390/ijerph17176120
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发表时间：
2020-08-22
影响因子：
--
通讯作者：
Asakura T
中科院分区：
文献类型：
--
作者：
Hara Y;Asakura K;Asakura T
本研究采用两波纵向设计，探讨护士对专业自主与职业承诺的态度随时间的变化，及其对护士离职意向的影响。匿名的自我报告问卷在两个不同的场合分发给在日本西部28家医院工作的所有护士(n=1778)。采用广义估计方程进行多因素分析，以第二时间离职意向为因变量，以职业自主态度和职业承诺态度各分量表的长期变化趋势为自变量。年龄、性别、教育程度和在第一时间离开的意图是控制变量。结果显示，职业自主态度的子量表--工作条件控制的长期趋势变化在时间2增加，而职业承诺各分量表的长期趋势变化则在时间2降低离职意向。对自由裁量工作条件控制持进步态度的护士可能有更高的离职意愿。因此，加强对他们工作条件的控制可能会减少这一意图。此外，有必要通过提供职业发展计划来不断提高护士的职业承诺。
This study aimed to investigate changes in nurses’ attitudes toward professional autonomy and occupational commitment over time, and their effect on nurses’ intentions to leave, using a two-wave longitudinal design. Anonymous, self-report questionnaires were distributed to all nurses working at 28 hospitals in western Japan on two separate occasions (n = 1778). Multivariate analysis using a generalized estimation equation was conducted, with the intention to leave at Time 2 as the dependent variable, and the changing secular trends in all subscales of attitudes toward professional autonomy and occupational commitment as the independent variables. Age, sex, education, and intention to leave at Time 1 were control variables. Results showed that increasing changing secular trends in control over work conditions, which is a subscale of attitudes toward professional autonomy, increased intention to leave at Time 2, while increasing changing secular trends in all subscales of occupational commitment decreased intention to leave at Time 2. Nurses with a progressive attitude toward discretion of control over work conditions may have higher intentions to leave. Therefore, increasing control over their work conditions may reduce this intention. Additionally, it is necessary to continually enhance nurses’ occupational commitment by offering professional development programs.
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