Job Retention Among Home Healthcare Nurses

描述（由申请人提供）：预计严重的护理短缺和对家庭健康服务的需求日益增加，使有经验的，合格的护理人员的保留家庭医疗保健机构的优先事项。虽然许多研究已经研究了护士短缺，工作满意度和保留护士在医院设置很少知道的变量，影响护士保留在家庭医疗保健。本研究旨在探讨影响居家护理人员工作保留率之变数。这项研究的具体目标是： 1.研究工作满意度与留职意愿和工作保留的关系 2.研究个体护士特征与留职意愿和工作满意度的关系 3.测试工作满意度的直接和间接影响的理论模型，个别护士的特点，并打算留在家庭护理护士的工作保留。 通过邮寄调查问卷的自我报告，从具有代表性的家庭护理护士区域样本中收集数据。分析将研究整体工作满意度，个人特征和意图留下来和保留之间的关系。该理论模型被测试所提出的研究是一个整合的实证研究结果相关的工作满意度和保留，护士保留模式提出的亚历山大和陶顿和尼尔的家庭保健护理实践理论的组成部分。该理论模型认为，工作满意度的内在特征（自主性、专业成长、群体凝聚力和组织特征），外在特征;工作满意（压力、工作灵活性、工资和福利以及对其他地方机会的看法）和个人特征（年龄，在家庭保健护理实践的任期）直接和间接相关的意图留在家庭保健护理实践和意图留下来是直接相关的保留。知识的变量，有助于在家庭护理工作保留将提供必要的信息，以保持护理人员，并确保获得高质量的家庭医疗保健服务。

DESCRIPTION (Provided by Applicant): Predicted severe nursing shortages and an increasing demand for home health services has made the retention of experienced, qualified nursing staff a priority for home healthcare agencies. Although many studies have examined nurse shortage, job satisfaction, and retention among nurses in hospital settings little is know about the variables that affect nurse retention in home healthcare. The purpose of this study is to identify the variables that affect job retention among home healthcare nurses. The specific aims for this study are to: 1. examine the relationship of job satisfaction to intent to stay and job retention 2. examine the relationship of individual nurse characteristics to intent to stay and job satisfaction 3. test a theoretical model of the direct and indirect effects of job satisfaction, individual nurse characteristics, and intent to stay on job retention for home healthcare nurses. Data will be collected from a representative regional sample of home healthcare nurses by self-report on a mailed survey questionnaire. The analysis will examine the relationship between overall job satisfaction, individual characteristics and intent to stay and retention. The theoretical model being tested by the proposed study is an integration of the findings of empirical research related to job satisfaction and retention, models of nurse retention proposed by Alexander and Tauton and components of Neal's theory of home healthcare nursing practice. The theoretical model proposes that the intrinsic characteristics of job satisfaction (autonomy, professional growth, group cohesion and characteristics of organization), the extrinsic characteristics; of job satisfaction (stress, job flexibility, salary and benefits and perception of opportunities elsewhere) and the individual characteristics (age, tenure in home healthcare nursing practice) are directly and indirectly related to intention to stay in home healthcare nursing practice and that intention to stay is directly related to retention. Knowledge of variables that contribute to job retention in home care will provide the information necessary to maintain nursing staff and assure access to quality home healthcare services.