新护士的流动率和过渡冲击与流动意图之间的关系:一个元分析
Khin Sandi Myint Lay1, Khemaradee Masingboon1
1Faculty of Nursing, Burapha University, Long-hard-bangsaen Rd. Saen Suk, Mueang, Chonburi district, Chonburi Province 20131, Thailand.
International journal of nursing studies advances
|August 22, 2025
概括
这是一个全球性的危机. 转型冲击对护士产生重大影响
科学领域:
- 护理劳动力研究
- 医疗管理
- 组织心理学
背景情况:
- 新的护士轮流是一个重大的全球挑战,影响员工稳定和患者护理质量.
- 新护士在第一年经历过的过渡冲击与他们离开这个职业的意图增加有关.
- 缺乏对"新护士"的普遍定义使研究和干预变得复杂.
研究的目的:
- 为了确定新毕业的护士的流动意图的普遍性.
- 在这个人口群体中调查过渡冲击和营业额意图之间的关联.
主要方法:
- 从九个数据库 (例如,CINAHL,PubMed,Scopus) 进行系统审查和元分析,直到2024年10月.
- 使用JBI检查清单进行质量评估;使用随机效应模型估计聚合流行率和效应大小.
- 使用综合元分析和R软件进行的统计分析.
主要成果:
- 对15项研究 (8593名新护士) 的元分析显示,轮流意向的综合流行率为36% (95% CI: 27% - 46%),单个研究的比例为6% - 61%.
- 在过渡冲击和转换意图之间发现了显著的中等关联 (效应大小为0. 489,95% CI为0. 297- 0. 644).
- 在各个研究中发现了很高的异质性 (I2=98%的流行率,I2=97%的关联率).
结论:
- 这种流动意图的高普遍性凸显了解决全球护士短缺问题的迫切需要.
- 实施结构化转型计划对于缓解转型冲击和减少新护士流动至关重要.
- 需要护士和医院管理人员采取紧急行动,
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