Coombs Crispin, Arnold John, Loan-Clarke John, Bosley Sara, Martin Caroline
Business School, Loughborough University, Loughborough, UK.
Health Serv Manage Res. 2010 May;23(2):47-53. doi: 10.1258/hsmr.2009.009019.
While there has been a recent squeeze on staff costs, it continues to be important to offer graduating clinical staff National Health Service (NHS) employment in order to maintain the long-term strength of the service. In addition, the experiences of the Canadian nursing profession suggest that complacency about an improving recruitment situation can lead to problems. Consequently, the objective of this study was to identify what influences allied health professionals' (AHPs) intention to work for the NHS. A postal survey was sent to members of four Allied Health Professions equally (N = 4800), targeting Stayers in, Leavers from, and Returners to, the NHS. One thousand nine hundred and thirty-nine questionnaires were returned giving an overall response rate of 40%. Stayers' intention to remain in the NHS was influenced by continuing professional development opportunities, confidence that they can find NHS work, commitment to their profession, a sense of moral obligation and a belief that other people important to them think it is a good idea. Returners' intention is influenced by similar factors as Stayers. Leavers are influenced by similar factors as Stayers/Returners but to a lesser extent. The study shows that perceptions of various NHS work characteristics, which lead to reasonably positive attitudes towards the NHS, do not necessarily translate into intention to work for it. The study also shows that intention to work for the NHS is not solely dependent on perceptions of NHS jobs and that career-decision-making is a social process, with the opinions of people who are important to AHPs also influencing career decisions.
尽管近期员工成本受到压缩，但为即将毕业的临床工作人员提供国民医疗服务体系（NHS）的工作机会对于维持该服务的长期实力依然至关重要。此外，加拿大护理行业的经验表明，对招聘形势好转的自满可能会引发问题。因此，本研究的目的是确定哪些因素会影响专职医疗人员（AHP）为NHS工作的意愿。我们向四个专职医疗行业的成员平等发放了邮政调查问卷（N = 4800），目标群体包括留在NHS工作的人员、离开NHS的人员以及重返NHS工作的人员。共收回1939份问卷，总体回复率为40%。留在NHS工作的人员的意愿受到持续专业发展机会、对能在NHS找到工作的信心、对自身职业的承诺、道德义务感以及认为对自己重要的其他人觉得这是个好主意的信念的影响。重返者的意愿受到与留任者相似的因素影响。离职者受到与留任者/重返者相似的因素影响，但程度较小。该研究表明，对NHS各项工作特征的认知会导致对NHS持较为积极的态度，但不一定会转化为为之工作的意愿。该研究还表明，为NHS工作的意愿并非仅取决于对NHS工作的认知，而且职业决策是一个社会过程，对AHP重要的人的意见也会影响职业决策。
