探索护士的退休意图:基于JD-R和社会交换理论的结构方程建模和调解分析
Dhurata Ivziku1, Blerina Duka2, Alketa Dervishi3
1Department of Health Professions, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy.
Healthcare (Basel, Switzerland)
|April 12, 2025
概括
高的就业需求增加了护士的轮流意图,而就业资源促进了护士的留守. 支持性的工作环境是保持护士和确保医疗保健可持续性的关键. 这项研究突出了影响护士留任的因素.
科学领域:
- 医疗保健管理的管理
- 护理学研究 护理学研究
- 组织心理学 组织心理学
背景情况:
- 了解护士轮流对于医疗保健的可持续性和组织稳定性至关重要.
- 关于影响意大利护士营业额意向的因素的研究有限.
- 解决护士保留问题是全球卫生保健系统的优先事项.
研究的目的:
- 确定影响护士离开工作意图的个人,人际关系和工作相关因素.
- 检查工作满意度在工作环境因素与营业额意图之间的关系中所扮演的调解角色.
- 为制定有效的护士保留策略提供见解.
主要方法:
- 使用结构方程建模 (SEM) 进行横截面研究.
- 在意大利各个医疗保健机构的1745名护士中收集的在线调查数据 (2022年8月 - 2023年12月).
- 该研究测试了基于工作需求-资源 (JD-R) 理论和社会交换理论 (SET) 的假设调解模型.
主要成果:
- 高要求的工作 (体力,精神,情感工作负担) 与不满和营业额意向的增加有关.
- 工作资源 (自主性,领导质量,领导成员交流) 与更高的工作满意度和保留率有关.
- 工作满意度没有调解需求与营业额的关系,但具有强烈的直接影响;年轻的护士表现出更高的营业额意图.
结论:
- 早期识别面临离职风险的护士对于医疗保健组织的可持续性至关重要.
- 增强就业资源的支持性工作环境对于改善护士福利和保养至关重要.
- 医疗保健组织必须优先考虑加强就业资源的战略,并减轻减少护士轮流的需求.
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