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影响女性注册护士工作行为的因素。

Factors influencing female registered nurses' work behavior.

作者信息

Brewer Carol S, Kovner Christine T, Wu Yow-Wu, Greene William, Liu Yu, Reimers Cordelia W

机构信息

University at Buffalo School of Nursing, 918 Kimball Tower, Buffalo, NY 14214, USA.

出版信息

Health Serv Res. 2006 Jun;41(3 Pt 1):860-6. doi: 10.1111/j.1475-6773.2006.00527.x.

Abstract

OBJECTIVE

To analyze factors that are related to whether registered nurses (RNs) work (WK) or do not work (NW) in nursing; and if the RN works, whether she works full- (FT) or part-time (PT).

DATA SOURCES

Secondary data from National Sample Survey of Registered Nurses 2000 (NSSRN), the InterStudy Competitive Edge Part III Regional Market Analysis (2001), and the Area Resource File (2002).

STUDY DESIGN

Using a cross-sectional design we tested the relationship between WK or NW and FT or PT; and demographic, job-related, and metropolitan statistical area (MSA)-level variables.

DATA COLLECTION/EXTRACTION METHODS: We combined the data sources noted above to produce the analytic sample of 25,471 female RNs.

PRINCIPAL FINDINGS

Working in nursing is not independent of working FT or PT. Age (55 and older), other family income, and prior other work experience in health care are negatively related to working as an RN. The wage is not related to working as an RN, but negatively influences FT work. Age, children, minority status, student status, employment status, other income, and some job settings have a negative impact on working FT. Previous health care work has a positive effect on whether married RNs worked. Married RNs who are more dissatisfied are less likely to work FT. A greater number of market-level factors influence FT/PT than WK/NW behavior.

CONCLUSIONS

An important contribution of this study is demonstrating that MSA-level variables influence RN work behavior. The market environment seems to have little effect on whether a nurse works, but is influential on how much the nurse works, and has differential effects on married versus single nurses.

摘要

目的

分析与注册护士(RN)是否从事护理工作(WK)或不从事护理工作(NW)相关的因素;以及如果注册护士从事护理工作,她是全职(FT)还是兼职(PT)工作。

数据来源

2000年注册护士全国抽样调查(NSSRN)、InterStudy竞争优势第三部分区域市场分析(2001年)和区域资源文件(2002年)的二手数据。

研究设计

采用横断面设计,我们测试了WK或NW与FT或PT之间的关系;以及人口统计学、与工作相关的和大都市统计区(MSA)层面的变量。

数据收集/提取方法:我们合并了上述数据源,以生成25471名女性注册护士的分析样本。

主要发现

从事护理工作与全职或兼职工作并非相互独立。年龄(55岁及以上)、其他家庭收入以及先前在医疗保健领域的其他工作经历与担任注册护士呈负相关。工资与担任注册护士无关,但对全职工作有负面影响。年龄、子女、少数族裔身份、学生身份、就业状况、其他收入以及一些工作环境对全职工作有负面影响。先前的医疗保健工作对已婚注册护士是否工作有积极影响。满意度较高的已婚注册护士从事全职工作的可能性较小。影响全职/兼职工作的市场层面因素比工作/不工作行为更多。

结论

本研究的一个重要贡献是表明MSA层面的变量会影响注册护士的工作行为。市场环境似乎对护士是否工作影响不大,但对护士的工作时长有影响,并且对已婚护士和单身护士有不同的影响。

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