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护士离职意向:与性别、种族和教育水平相关的问题。

Nurses' intent to leave the profession: issues related to gender, ethnicity, and educational level.

作者信息

Borkowski Nancy, Amann Robert, Song Seok-Ho, Weiss Cynthia

机构信息

South University, West Palm Beach, Florida, USA.

出版信息

Health Care Manage Rev. 2007 Apr-Jun;32(2):160-7. doi: 10.1097/01.HMR.0000267793.47803.41.

Abstract

BACKGROUND

The increase in demand for registered nurses will exceed supply by 29% by 2020, which is due in part to difficulties in retaining the existing nursing workforce. The researchers postulated that nursing professionals are experiencing a higher level of job dissatisfiers than motivators, and this is causing a high percentage of nurses to consider leaving the profession. Prior research has found that nurses' dissatisfaction with their working environments is a predictor of their intent to leave their professions; however, few have addressed the demographic characteristics of the population as predictors of this intent.

PURPOSE

The purpose of this study was to explore issues relating to the retention of the existing nursing workforce. This article describes the results of a research study that was designed to identify and evaluate the variables that contribute to nurses' intent to leave their profession and the relationships of gender, ethnicity, and educational levels to this intent.

METHODOLOGY

Data were collected from 284 nurses, of which 46% indicated that they were considering leaving their profession. Using multiple regression analysis, the researchers were able to test whether certain groups (according to gender, ethnicity, and education levels) had a greater intent to leave the profession and what factors were related to each subgroups' intent to leave.

FINDINGS

The results of this study revealed that (a) nurses who are male, are White-non-Hispanic, or have less than a master's degree are more inclined to consider leaving the nursing profession, and (b) benefits were a more important consideration to male and White-non-Hispanic nurses regarding their intent to leave the nursing profession.

PRACTICE IMPLICATIONS

In today's environment of low reimbursement and high cost containment, health care managers need to focus on those items that will have the greatest impact on retaining high-quality nurses because nurses "make the critical, cost-effective difference in providing safe, high-quality patient care."

摘要

背景

到2020年,注册护士的需求增长将超过供给29%,部分原因是留住现有护理人员存在困难。研究人员推测,护理专业人员面临的工作不满意因素多于激励因素,这导致很大比例的护士考虑离职。先前的研究发现,护士对工作环境的不满是其离职意向的一个预测因素;然而,很少有研究探讨人口统计学特征作为这种意向的预测因素。

目的

本研究的目的是探讨与留住现有护理人员相关的问题。本文描述了一项研究的结果,该研究旨在识别和评估导致护士离职意向的变量,以及性别、种族和教育水平与这种意向的关系。

方法

从284名护士中收集数据,其中46%表示他们正在考虑离职。通过多元回归分析,研究人员能够测试某些群体(根据性别、种族和教育水平)是否有更大的离职意向,以及哪些因素与每个亚组的离职意向相关。

结果

本研究结果显示,(a)男性、非西班牙裔白人或拥有硕士以下学位的护士更倾向于考虑离开护理行业,(b)福利对于男性和非西班牙裔白人护士离职意向而言是更重要的考虑因素。

实践意义

在当今报销率低和成本控制高的环境下,医疗保健管理人员需要关注那些对留住高素质护士影响最大的因素,因为护士“在提供安全、高质量的患者护理方面发挥着关键的、具有成本效益的作用”。

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