留住护士：安大略省“70%全职承诺”的影响。

Retaining nurses: the impact of Ontario's "70% full-time commitment".

机构信息

Department of Health Policy, Management and Evaluation, Faculty of Medicine, University of Toronto, Health Sciences Building, 155 College Street, Suite 425, Toronto, Ontario M5T 3M6 Canada.

出版信息

Health Policy. 2012 Sep;107(1):54-65. doi: 10.1016/j.healthpol.2012.05.013. Epub 2012 Jul 17.

DOI:10.1016/j.healthpol.2012.05.013

PMID:22809778

Abstract

OBJECTIVES

To evaluate the effectiveness of a nurse retention strategy, the "70% Full-Time Commitment", in retaining part-time and casual nurses in Ontario's nurse profession.

METHODS

Using the College of Nurses of Ontario database, a longitudinal dataset for all nurses registered with the college from 1993 to 2006 was created (N=216,353). One-year transition probabilities of nurse employment status (full-time, part-time and casual) were conducted (1993-2009) to generate trends of nurses' likelihood to stay in, switch or leave their full-time, part-time or casual position in Ontario's nurse profession.

RESULTS

After the 70% Full-Time Commitment (2004-2009) was initiated, most full-time (89.7%), part-time (76.6%) and casual (62.5%) nurses stayed in their employment position. A slightly larger proportion of part-time nurses (13.6%) switched to full-time compared to casual nurses (8.6%). However, a similar proportion of young part-time (24.5%) and casual (23.3%) nurses switched to full-time. A smaller proportion of part-time (3.2%) and casual (7.1%) nurses left the profession.

CONCLUSION

Part-time and casual nurses have different employment switching patterns. The "70% Full-Time Commitment" was not an effective mechanism in retaining part-time and casual nurses. It might be more effective as a recruitment initiative for young nurses.

摘要

目的

评估护士保留策略“70%全职承诺”在安大略省护士职业中保留兼职和临时护士的效果。

方法

利用安大略省护士学院数据库，创建了一个从 1993 年到 2006 年所有注册护士的纵向数据集（N=216353）。对护士就业状态（全职、兼职和临时）的一年转换概率进行了分析（1993-2009 年），以生成安大略省护士职业中护士留在、转换或离开全职、兼职或临时职位的可能性趋势。

结果

在实施 70%全职承诺（2004-2009 年）后，大多数全职（89.7%）、兼职（76.6%）和临时（62.5%）护士都留在了他们的工作岗位上。与临时护士（8.6%）相比，更多的兼职护士（13.6%）转为全职。然而，年轻的兼职（24.5%）和临时（23.3%）护士转为全职的比例相似。兼职（3.2%）和临时（7.1%）护士离开该职业的比例较小。