护理工作参与度,职业生活质量和离开的意图:一个结构方程建模路径分析分析
Holly Wei1, Yan Cao2, Quinton Carroll3
1PhD, RN, CPN, NEA-BC, FAAN, Professor, School of Nursing, Texas Tech University Health Sciences Center, Texas, USA.
The journal of nursing research : JNR
|September 26, 2024
概括
护士工作参与度通过职业生活质量影响离开的意图. 倦怠和二次创伤性压力显著增加了护士离开的意图,而同情的满意度间接地减少了它.
科学领域:
- 护理 护理 护理
- 组织心理学 组织心理学
- 医疗保健管理的管理
背景情况:
- 工作参与度,职业生活质量 (ProQOL) 和离职意向 (ITL) 是影响护理工作人员稳定性和患者护理的关键因素.
- 之前的研究经常孤立地检查这些变量,需要对护理专业内的相互关系进行全面分析.
- 了解这些动态对于改善护士保留,工作满意度和整体医疗保健结果至关重要.
研究的目的:
- 调查护士工作参与,ProQOL (包括同情满意度,倦怠和二次创伤性压力) 和ITL之间的复杂关系.
- 利用结构方程建模 (SEM) 路径分析来定量评估这些相互依赖关系.
主要方法:
- 采用了一种定量,描述性的研究设计.
- 数据来自美国900名注册护士.
- 使用了经过验证的工具,包括乌得勒支工作参与度表和ProQOL-5,以及带有ITL问题的人口统计数据表. 应用了SEM来测试理论模型.
主要成果:
- 工作参与度通过ProQOL间接影响护士的ITL.
- 倦怠在ITL (0.31) 上表现出最大的调解效应,其次是次要创伤性压力 (STS) (0.12).
- 同情满意度 (CS) 与ITL有间接的负相关性 (-0.12),而燃烧和STS与ITL有直接相关性.
结论:
- 促进工作参与度,减轻倦怠和STS,促进CS的策略对于提高护士留守率和工作满意度至关重要.
- 医疗保健领导者和决策者应优先考虑旨在改善护士参与和福祉的干预措施,以积极影响组织成果和患者护理质量.
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