与护士保留和工作方式相关的关键因素:一种混合方法研究
Neeltje de Vries1,2,3, Peter de Winter3,4,5,6, Sanne Drost-Goossens7
1IQ Health Science Department, Radboud University Medical Centre, Nijmegen, the Netherlands.
International journal of nursing studies advances
|February 2, 2026
概括
护士想要具有挑战性的工作,有机会表现出色,并感到有价值. 解决这些因素,让护士参与策略制定是改善护士保留和缓解护士短缺的关键.
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:
- 全球护士短缺是一个关键的医疗保健挑战,预计到2030年将恶化.
- 护士流动率高的原因是工作量,发展有限,缺乏支持,影响护理质量和成本.
- 由于缺乏以护士为中心的视角,现有的保留策略可能不那么有效.
研究的目的:
- 确定影响护士留在医院的关键因素.
- 了解护士对影响他们留下决定的关键因素的看法.
主要方法:
- 一种混合方法的方法,结合了Q方法和半结构面试.
- 29名护士 (现任和前任) 在荷兰医院参加了Q-sort和采访.
- 定量分析确定了共同的观点,而定性分析则加深了对保留因素的理解.
主要成果:
- 出现了三个主要因素:"具有挑战性的工作和高质量的护理的包容性定位"",在护理角色中表现出色的空间"和"被看到,被听到和被重视".
- 这些看法显著影响了护士继续工作的意图.
- 在所有因素中,一个一致的主题是护士在他们的组织中感觉结构上没有被听到.
结论:
- 护士的留守受到挑战性工作,专业认可,支持和成长机会的复杂相互作用的影响.
- 解决这些多方面的系统性方法对于改善患者留守和患者护理质量至关重要.
- 让护士参与保持策略的设计和实施对于其有效性至关重要.
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