Division of Public Health, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Tohoku J Exp Med. 2010 Mar;220(3):191-8. doi: 10.1620/tjem.220.191.
Retaining experienced nurses is an indispensable part of securing the safety and reliability of medical care. In this study, we investigate how the working conditions affect staff nurses' intention to remain in their current employment positions (intention to remain employed). A total of 319 staff nurses working for three private hospitals were given a questionnaire in order to evaluate their working conditions. A stepwise multiple logistic regression analysis selected 5 out of 44 question items as significant independent variables for their intention to remain employed; they were assumed to directly affect their intentions (direct modulators). From the remaining 39 items, seven meaningful factors were extracted via factor analysis. We constructed a path network model so that these factors would indirectly affect the intention to remain employed via any of the five direct modulators (indirect modulators). In this network, the factor, "Rapport with coworkers" had the strongest positive effect on three of the five direct modulators (beta = 0.28-0.55, p < 0.05). According to factor loadings, positive teamwork together with appropriate supervision and recognition from superiors and colleagues seems to characterize this factor, and therefore, may play a key role in retaining staff nurses in their current positions. Two indirect modulators related to "Management by Objectives" (MBO)--"Understanding MBO" and "Clear personal objectives" also played negligible roles in this path model. These findings could be helpful in improving management systems of the nursing sections of hospitals, which could contribute to retaining staff nurses in their current employment positions.
留住经验丰富的护士是确保医疗安全和可靠性的不可或缺的一部分。在这项研究中，我们调查了工作条件如何影响在职护士留在当前工作岗位的意愿（留职意愿）。我们向三家私立医院的 319 名在职护士发放了一份问卷，以评估他们的工作条件。逐步多项逻辑回归分析从 44 个问题中选择了 5 个作为留职意愿的显著独立变量；它们被认为直接影响他们的意愿（直接调节剂）。从其余的 39 个项目中，通过因素分析提取了七个有意义的因素。我们构建了一个路径网络模型，使这些因素可以通过五个直接调节剂中的任何一个间接影响留职意愿（间接调节剂）。在这个网络中，“与同事的融洽关系”这一因素对五个直接调节剂中的三个有最强的正向影响（β=0.28-0.55，p<0.05）。根据因子负荷，积极的团队合作，加上来自上级和同事的适当监督和认可，似乎是这个因素的特征，因此，可能在留住在职护士方面发挥关键作用。与“目标管理”（MBO）相关的两个间接调节剂——“理解 MBO”和“明确个人目标”，在这个路径模型中也起着微不足道的作用。这些发现有助于改善医院护理部门的管理系统，从而有助于留住在职护士。
