Autonomous home-care nursing staff are more engaged in their work and less likely to consider leaving the healthcare sector: A questionnaire survey
Autonomous home-care nursing staff are more engaged in their work and less likely to consider leaving the healthcare sector: A questionnaire survey
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DOI：
10.1016/j.ijnurstu.2015.07.006
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发表时间：
2015-12-01
影响因子：
8.1
通讯作者：
Francke, Anneke L.
中科院分区：
文献类型：
--
作者：
Maurits, Erica E. M.;de Veer, Anke J. E.;Francke, Anneke L.
背景资料：在许多西欧国家，由于人口老龄化和政府以家庭护理取代机构护理的政策，对家庭护理的需求正在增加。与此同时，许多国家普遍缺乏合格的家庭护理工作人员，或预计会出现这种情况。重要的是保留医疗保健部门现有的护理人员，以确保未来稳定的家庭护理工作队伍。然而，到目前为止，关于家庭护理中工作因素对员工是否考虑离开医疗保健部门的影响的研究还很少。目的：本研究的主要目的是探讨家庭护理护理人员的自我感知自主性与他们是否考虑离开医疗保健部门的关系，并评估工作投入的可能中介作用。设计、设置和参与者：这项以护士为基础的横断面研究涉及262名注册护士和荷兰家庭护理组织的认证护理助理（平均年龄51岁; 97%为女性）。受访者是荷兰护理人员小组的成员，一个全国性的组的护理人员在各种医疗环境（67%的响应率）。方法：问卷包括验证量表自我感知的自主性和工作参与度和考虑追求的职业以外的医疗保健部门的措施。Logistic回归和中介分析进行测试自我感知的自主性，工作参与和考虑离开healthcare sect.Results之间的关联：护理人员在家庭护理谁认为更多的自主性是更多地参与他们的工作，不太可能考虑离开医疗保健部门。自我感知的自主性和考虑离开，发现护理人员之间的积极关联，无论他们的教育水平，是介导的工作engagement.Conclusion：在制定战略，保留护理人员在家庭护理，雇主和政策制定者应针对他们的努力，提高护理人员的自主性，从而提高他们的工作敬业度。(C)2015爱思唯尔有限公司版权所有。
Background: The need for home care is rising in many Western European countries, due to the ageing population and governmental policies to substitute institutional care with home care. At the same time, a general shortage of qualified home-care staff exists or is expected in many countries. It is important to retain existing nursing staff in the healthcare sector to ensure a stable home-care workforce for the future. However, to date there has been little research about the job factors in home care that affect whether staff are considering leaving the healthcare sector.Objective: The main purpose of the study was to examine how home-care nursing staff's self-perceived autonomy relates to whether they have considered leaving the healthcare sector and to assess the possible mediating effect of work engagement.Design, setting and participants: The questionnaire-based, cross-sectional study involved 262 registered nurses and certified nursing assistants employed in Dutch home-care organisations (mean age of 51; 97% female). The respondents were members of the Dutch Nursing Staff Panel, a nationwide group of nursing staff members in various healthcare settings (67% response rate).Methods: The questionnaire included validated scales concerning self-perceived autonomy and work engagement and a measure for considering pursuing an occupation outside the healthcare sector. Logistic regression and mediation analyses were conducted to test associations between self-perceived autonomy, work engagement and considering leaving the healthcare sector.Results: Nursing staff members in home care who perceive more autonomy are more engaged in their work and less likely to have considered leaving the healthcare sector. The positive association between self-perceived autonomy and considering leaving, found among nursing staff members regardless of their level of education, is mediated by work engagement.Conclusion: In developing strategies for retaining nursing staff in home care, employers and policy makers should target their efforts at enhancing nursing staff's autonomy, thereby improving their work engagement. (C) 2015 Elsevier Ltd. All rights reserved.