Nurses' leaving intentions: antecedents and mediating factors.

Nurses' leaving intentions: antecedents and mediating factors.
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护士离职意愿:前因与中介因素

DOI:
10.1111/j.1365-2648.2007.04554.x
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发表时间:
2008
影响因子:
3.8
通讯作者:
Keiko Oba
Keiko Oba
中科院分区:
医学3区
文献类型:
--
作者:
Miyuki Takase;N. Yamashita;Keiko Oba

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目的 本文是一项研究报告,旨在调查护士的工作价值观、对环境特征的看法和组织承诺与他们的离职意愿之间的关系。 背景 护士离职是一个严重的国际问题,因为它导致护士短缺,威胁社会福利。护士的特点、工作环境以及护士对工作(或组织)的感受等都会影响护士的离职意愿。 方法 2006 年,我们从日本中西部地区的三所公立医院随机抽取了 849 名注册护士,回收了 319 份完整的调查问卷(答复率为 39%)。使用回归分析对数据进行分析。 研究结果 护士的工作价值观和对工作环境的看法相互作用,影响离职意愿。当护士对挑战当前临床实践的重要性与挑战当前临床实践的实际机会数量相匹配时,离职意愿较低。当不匹配的时候,辞职的念头就更强烈了。此外,组织承诺会影响护士对临床挑战匹配度和离职意向的看法。 结论 护士的离职意向,值得深入探究其原因。这种探索应包括关注护士的需求和组织特征,调查它们之间的匹配如何影响护士的离职意向,并探索干预护士对匹配的看法和离职意向之间的因素。
AIM This paper is a report of a study to investigate how nurses' work values, perceptions of environmental characteristics, and organizational commitment are related to their leaving intentions. BACKGROUND Nurse leaving is a serious international problem as it contributes to the nursing shortage that threatens the welfare of society. The characteristics of nurses, the work environment and nurses' feelings towards their jobs (or organizations) have an impact on their leaving intentions. METHOD A convenience sample of 849 Registered Nurses was recruited from three public hospitals in the central-west region of Japan during 2006 and 319 completed questionnaires were returned (response rate 39%). Data were analysed using regression analysis. FINDINGS Nurses' work values and their perceptions of their workplace environment interacted to influence leaving intentions. When there was a match between the importance nurses placed on being able to challenge current clinical practices and the number of the actual opportunities to do so, leaving intentions were low. When there was a mismatch, intention to quit the job became stronger. In addition, organizational commitment intervened between nurses' perceptions of the match in clinical challenges and leaving intention. CONCLUSION Nurses' leaving intentions, deserve extensive exploration of their causes. Such exploration should include attending to both nurses' needs and organizational characteristics, investigating how the match between them could affect nurses' leaving intention, and exploring factors that intervene between nurses' perceptions of the match and leaving intention.
DOI: 10.1037/0022-3514.89.6.852
发表时间: 2005-12-01
影响因子: 7.6
作者:
Muller, D;Judd, CM;Yzerbyt, VY
通讯作者: Yzerbyt, VY
DOI: 10.1037/1082-989x.7.1.83
发表时间: 2002-03-01
影响因子: 7
作者:
MacKinnon, DP;Lockwood, CM;Sheets, V
通讯作者: Sheets, V