医院执业护士周转率的驱动因素:国家抽样调查分析
Esita Patel1, Lindsay T Munn2, Britney Broyhill3
1The Center for Advanced Practice, Atrium Health Carolinas Medical Center, Charlotte, NC; Public Health Sciences, Implementation Science, Wake Forest University School of Medicine, Winston-Salem, NC.
Nursing outlook
|May 11, 2024
概括
医院执业护士 (NP) 的流动性很高,每年有10%的人离开工作. 组织因素,如实践范围和以团队为基础的护理,显著影响NP保留和招聘策略.
科学领域:
- 医疗保健管理的管理
- 护理劳动力研究 护理劳动力研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医院执业护士 (NP) 的流动量带来了重大的财务和运营挑战.
- 了解疫情前的NP营业额对于建立基线数据至关重要.
研究的目的:
- 建立医院护士从业人员 (NP) 周转率的COVID-19流行前基线.
- 确定影响NP离开或留在医院职位的决定的关键因素.
主要方法:
- 国家注册护士样本调查 (NSSRN18) 数据的二次分析.
- 截至2017年12月31日,包括6,558名 (67,863名加权) 在医院工作的NP.
- 多变量后勤回归检查NP特征与营业额之间的关联,对调查权重和刀标准错误进行核算.
主要成果:
- 大约10%的医院NP在接下来的一年内离开了他们的职位.
- 超过一半 (53%) 剩余的NP考虑在某个时候离开他们的工作.
- 与营业额增加相关的关键因素包括不充分练习,收入较低,缺乏以团队为基础的护理以及非白人种族.
结论:
- 组织因素是医院NP营业额的主要驱动因素.
- 确定可修改的因素可以为NP提供有针对性的招聘和保留策略.
- 解决实践范围,薪酬和团队动态对于改善NP稳定性至关重要.
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