Health indicators as moderators of occupational commitment and nurses' intention to leave
Health indicators as moderators of occupational commitment and nurses' intention to leave
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DOI：
10.1111/jjns.12277
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发表时间：
2020-01-01
影响因子：
1.7
通讯作者：
Hara, Yukari
中科院分区：
文献类型：
--
作者：
Asakura, Kyoko;Asakura, Takashi;Hara, Yukari
目的通过在日本的大样本研究，验证健康指标对护士职业承诺与离职意向之间关系的调节作用的假设。方法对2014年在日本西部集体医院工作的所有注册护士(N=11,171)进行自填式问卷调查。问卷评估了离职意向、职业承诺、心理困扰、累积疲劳感和人口统计学变量。在初步分析变量与离职意向之间的双变量和多变量关联后，我们检验了职业承诺与健康指标之间的交互作用。结果在回收的5768份问卷中，5505份(49.3%)的数据被分析。参与者的平均年龄为36.27岁(SD=10.37)。女性居多(95.14%)。根据广义估计方程，持续职业承诺与累积疲劳的交互作用与离职意向显著相关(b=-0.0055)。此外，情感职业承诺和心理苦恼的交互作用与离职意向显著相关(b=0.0079)。结论本研究明确了健康护士的职业承诺与离职意向之间的关系。应采取旨在减少疲劳和改善心理困扰的干预措施，以防止职业承诺对护士离职意向的保护作用受到损害。
Aim This study examined the hypothesis that health indicators moderate the relationship between occupational commitment and intention to leave among nurses, using a large sample in Japan. Methods A self-administered questionnaire was distributed to all registered nurses (N = 11,171) working in group hospitals in western Japan in 2014. The questionnaire evaluated intention to leave, occupational commitment, psychological distress, cumulative fatigue, and demographic variables. After a preliminary analysis of the bivariate and multivariate associations between variables and intention to leave, we tested the interactions between occupational commitment and health indicators on intention to leave. Results Of the 5,768 returned questionnaires, data from 5,505 (49.3%) participants were analyzed. Participants' mean age was 36.27 years (SD = 10.37). Most (95.14%) were women. According to a generalized estimating equation, the interaction of continuance occupational commitment and cumulative fatigue was significantly related to intention to leave (b = -0.0055). Additionally, the interaction of affective occupational commitment and psychological distress was significantly related to intention to leave (b = 0.0079). Conclusions This study clarified that the relationship between occupational commitment and intention to leave was robust for nurses in good health. Interventions aimed at reducing fatigue and improving psychological distress should be implemented to prevent the protective effects of occupational commitment on nurses' intention to leave from being compromised.