Job Retention Among Home Healthcare Nurses

描述(由申请人提供)：预计将出现严重的护理短缺和对家庭健康服务日益增长的需求，这使得留住经验丰富、合格的护理人员成为家庭医疗保健机构的优先事项。虽然许多研究调查了医院护士的护士短缺、工作满意度和保留率，但对家庭保健中影响护士保留率的变量知之甚少。这项研究的目的是确定影响家庭保健护士工作保留率的变量。这项研究的具体目的是： 1.考察工作满意度与留任意向和工作保留率的关系 2.调查护士个人特质与留任意向及工作满意度的关系。 3.检验家庭保健护士工作满意度、护士个体特征和留任意向对工作满意度的直接和间接影响的理论模型。 数据将通过邮寄调查问卷的自我报告从具有代表性的地区家庭保健护士样本中收集。该分析将考察总体工作满意度、个人特征以及留任意向和留任意向之间的关系。这项拟议研究正在检验的理论模型是关于工作满意度和保留率的实证研究的结果、Alexander和Tauton提出的护士保留率模型以及尼尔的家庭保健护理实践理论的组成部分的整合。理论模型认为，工作满意度的内在特征(自主性、专业成长性、群体凝聚力和组织特征)、工作满意度的外在特征(压力、工作灵活性、工资和福利以及对其他地方的机会的感知)和个人特征(年龄、家庭保健护理实践的年限)直接或间接地与留在家庭保健护理实践的意向有关，留在意向与留住直接相关。了解有助于家庭护理保住工作的变量将提供必要的信息，以维持护理人员并确保获得高质量的家庭保健服务。

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.