Arthur Labatt Family School of Nursing, The University of Western Ontario, London, Ontario, Canada.
J Nurs Manag. 2009 Apr;17(3):302-11. doi: 10.1111/j.1365-2834.2009.00999.x.
The aim of this study was to examine the influence of empowering work conditions and workplace incivility on nurses' experiences of burnout and important nurse retention factors identified in the literature.
A major cause of turnover among nurses is related to unsatisfying workplaces. Recently, there have been numerous anecdotal reports of uncivil behaviour in health care settings.
We examined the impact of workplace empowerment, supervisor and coworker incivility, and burnout on three employee retention outcomes: job satisfaction, organizational commitment, and turnover intentions in a sample of 612 Canadian staff nurses.
Hierarchical multiple linear regression analyses revealed that empowerment, workplace incivility, and burnout explained significant variance in all three retention factors: job satisfaction (R(2) = 0.46), organizational commitment (R(2) = 0.29) and turnover intentions (R(2) = 0.28). Empowerment, supervisor incivility, and cynicism most strongly predicted job dissatisfaction and low commitment (P < 0.001), whereas emotional exhaustion, cynicism, and supervisor incivility most strongly predicted turnover intentions.
In our study, nurses' perceptions of empowerment, supervisor incivility, and cynicism were strongly related to job satisfaction, organizational commitment, and turnover intentions.
Managerial strategies that empower nurses for professional practice may be helpful in preventing workplace incivility, and ultimately, burnout.
本研究旨在探讨赋权工作条件和工作场所粗言秽语对护士倦怠感的影响，以及文献中确定的重要护士保留因素。
护士离职的一个主要原因与工作场所不满意有关。最近，有大量关于医疗保健环境中不文明行为的传闻报告。
我们研究了工作场所赋权、主管和同事的粗言秽语以及倦怠感对 612 名加拿大在职护士的三个员工保留结果的影响：工作满意度、组织承诺和离职意向。
分层多元线性回归分析显示，赋权、工作场所粗言秽语和倦怠感解释了所有三个保留因素的显著差异：工作满意度（R² = 0.46）、组织承诺（R² = 0.29）和离职意向（R² = 0.28）。赋权、主管粗言秽语和犬儒主义最能预测工作不满和低承诺（P < 0.001），而情绪耗竭、犬儒主义和主管粗言秽语最能预测离职意向。
在我们的研究中，护士对赋权、主管粗言秽语和犬儒主义的看法与工作满意度、组织承诺和离职意向密切相关。
赋予护士专业实践权力的管理策略可能有助于预防工作场所粗言秽语，最终预防倦怠感。
