护士营业额中的微型,中型和宏观因素关系:来自调查和采访数据的见解
Jennifer Sumner1,2, Hui Wen Lim1, Brigitte Woo3
1Medical Affairs-Research, Innovation & Enterprise, Alexandra Hospital, National University Health System, Singapore.
护士的保留是复杂的,受到个人,组织和社会因素的影响. 解决这些相互关联的微,中和宏级别对于改善护士保留至关重要.
科学领域:
- 护理科学 护理科学
- 医疗保健管理的管理
- 卫生社会学 卫生社会学
背景情况:
- 保留护士是医疗保健中的一个重大和多方面的挑战.
- 了解影响护理人员流动的复杂因素对于劳动力稳定至关重要.
研究的目的:
- 调查影响护理人员流动量的微,中,宏观层面因素.
- 探索这些不同层次对护士留学影响的相互作用.
主要方法:
- 一种混合方法的方法,包括调查 (n=479) 和采访 (n=35) 与现任和前任护士.
- 通过系统镜头分析数据,检查个人 (微观),组织 (meso) 和社会 (宏观) 因素.
主要成果:
- 关于工作与生活平衡,工作控制和报酬的重大不满.
- 高比例的护士考虑离开他们的组织或职业,原因是疲劳,人力不足,感觉被低估,低薪和压力.
- 定性数据揭示了一些问题,包括负面互动,行政负担,有限的自主权和影响保留的社会观念.
结论:
- 系统方法对于理解和解决护理保留问题至关重要.
- 干预措施必须解决微,中和宏观层面因素的相互联系,以有效地提高护士保留率.
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