Reward frustration at work and intention to leave the nursing profession-Prospective results from the European longitudinal NEXT study
Reward frustration at work and intention to leave the nursing profession-Prospective results from the European longitudinal NEXT study
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DOI：
10.1016/j.ijnurstu.2010.09.011
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发表时间：
2011-05-01
影响因子：
8.1
通讯作者：
Hasselhorn, Hans Martin
中科院分区：
文献类型：
--
作者：
Li, Jian;Galatsch, Michael;Hasselhorn, Hans Martin
背景资料：许多国家都面临着护理短缺的严重局面，留住护士是一项挑战。目标：使用欧洲纵向护士提前退出研究的数据，研究工作中的奖励挫败感（通过努力-奖励失衡模型衡量）是否可以预测离开护理行业的意愿。设计：前瞻性研究，为期一年随访。方法：6469名注册女护士在7个欧洲国家的医院工作谁没有打算离开护理专业在基线被纳入我们的分析通过多变量Poisson regression.Results：8.24%的护士新开发的意图在后续离开。基线时的高努力-回报不平衡预测了离职意愿的风险升高（相对风险1.33，95%置信区间1.22-1.45），而回报挫折（薪水和晋升前景差，缺乏自尊）显示出最强的解释力。结果是相似的，在大多数的countries.Conclusions：结果表明，改善心理社会工作环境，特别是职业奖励，可能有助于留住护士，从而减少护理短缺在欧洲。(C)2010爱思唯尔有限公司版权所有。
Background: Many countries are facing a serious situation of nursing shortage, and retention of nurses is a challenge.Objectives: To examine whether reward frustration at work, as measured by the effort-reward imbalance model, predicts intention to leave the nursing profession, using data from the European longitudinal nurses' early exit study.Design: A prospective study with one-year follow-up.Methods: 6469 registered female nurses working in hospitals in seven European countries who did not have intention to leave the nursing profession at baseline were included in our analyses by multivariate Poisson regression.Results: 8.24% nurses newly developed intention to leave during follow-up. High effort-reward imbalance at baseline predicted an elevated risk of intention to leave the profession (relative risk 1.33, 95% confidence interval 1.22-1.45), and reward frustration (poor salary and promotion prospects, lack of esteem) showed the strongest explanatory power. Findings were similar in a majority of the countries.Conclusions: Results suggest that improving the psychosocial work environment, and specifically occupational rewards, may be helpful in retaining nurses and consequently reducing nursing shortage in Europe. (C) 2010 Elsevier Ltd. All rights reserved.