Nursing Department, Changhai Hospital Affiliated to Second Military Medical University, Shanghai, China.
J Clin Nurs. 2012 Jan;21(1-2):255-63. doi: 10.1111/j.1365-2702.2011.03766.x. Epub 2011 Aug 21.
To explore nurses' views and experiences regarding job satisfaction and their intention to leave in Shanghai.
The widespread nursing shortage and nurses' high turnover rate has become a global issue. Job satisfaction is the most consistent predictor of nurses' intention to leave and has been reported as explaining most of the variance on their intention to leave.
A cross-sectional survey.
A convenience sample of nurses was recruited from 19 large general hospitals in Shanghai and the research assistants distributed 2850 questionnaires to nurses. The response rate of this study was 78·95%, and 2250 nurses completed the questionnaire.
Regarding the overall job satisfaction, 50·2% nurses were dissatisfied and 40·4% nurses reported that they had intention to leave the current employment. Respondents' characteristics had an impact on job satisfaction and their intention to leave. The results showed that age, marital status, work experience, overall job satisfaction, job satisfaction: extrinsic rewards, interaction, praise/recognition and control/responsibility were significant factors contributing to nurses' intention to leave.
The finding may be a cause of concern for hospital management and highlights the importance of the two concepts (job satisfaction and intention to leave) in Shanghai. Innovative and adaptable managerial interventions need to be taken to improve nurses' job satisfaction and to strengthen their intention to stay.
Our findings outline some issues contributing to these problems and provide nurse administrators with information regarding specific influences on nurses' job satisfaction and intention to leave in Shanghai and innovative and adaptable managerial interventions that are needed. Our findings may also provide direction for nurse managers and healthcare management to implement strategies to improve nurses' job satisfaction and their intention to stay.
探讨上海护士对工作满意度和离职意向的看法和体验。
广泛的护士短缺和护士高离职率已成为全球性问题。工作满意度是护士离职意向最一致的预测指标，据报道，它解释了离职意向的大部分差异。
横断面调查。
从上海 19 家大型综合医院中抽取便利样本，研究助理向护士分发了 2850 份问卷。本研究的回复率为 78.95%，有 2250 名护士完成了问卷。
在整体工作满意度方面，有 50.2%的护士不满意，有 40.4%的护士表示有离职意向。受访者的特征对工作满意度和离职意向有影响。结果表明，年龄、婚姻状况、工作经验、整体工作满意度、工作满意度：外在奖励、互动、表扬/认可和控制/责任是导致护士离职意向的重要因素。
这一发现可能引起医院管理层的关注，并强调了工作满意度和离职意向这两个概念在上海的重要性。需要采取创新和适应性的管理干预措施来提高护士的工作满意度，增强他们的留职意愿。
我们的研究结果概述了一些导致这些问题的因素，并为护士管理人员提供了有关上海护士工作满意度和离职意向的具体影响因素以及需要采取的创新和适应性管理干预措施的信息。我们的研究结果还可以为护士管理人员和医疗保健管理人员提供方向，以实施策略来提高护士的工作满意度和留职意愿。
