Faculty of Public Health and Tropical Medicine, Jazan University, Jazan, Saudi Arabia.
BMC Health Serv Res. 2012 Sep 12;12:314. doi: 10.1186/1472-6963-12-314.
Quality of work life (QWL) has been found to influence the commitment of health professionals, including nurses. However, reliable information on QWL and turnover intention of primary health care (PHC) nurses is limited. The aim of this study was to examine the relationship between QWL and turnover intention of PHC nurses in Saudi Arabia.
A cross-sectional survey was used in this study. Data were collected using Brooks' survey of Quality of Nursing Work Life, the Anticipated Turnover Scale and demographic data questions. A total of 508 PHC nurses in the Jazan Region, Saudi Arabia, completed the questionnaire (RR = 87%). Descriptive statistics, t-test, ANOVA, General Linear Model (GLM) univariate analysis, standard multiple regression, and hierarchical multiple regression were applied for analysis using SPSS v17 for Windows.
Findings suggested that the respondents were dissatisfied with their work life, with almost 40% indicating a turnover intention from their current PHC centres. Turnover intention was significantly related to QWL. Using standard multiple regression, 26% of the variance in turnover intention was explained by QWL, p < 0.001, with R2 = .263. Further analysis using hierarchical multiple regression found that the total variance explained by the model as a whole (demographics and QWL) was 32.1%, p < 0.001. QWL explained an additional 19% of the variance in turnover intention, after controlling for demographic variables.
Creating and maintaining a healthy work life for PHC nurses is very important to improve their work satisfaction, reduce turnover, enhance productivity and improve nursing care outcomes.
工作生活质量（QWL）已被发现会影响卫生专业人员的承诺，包括护士。然而，关于初级卫生保健（PHC）护士的 QWL 和离职意向的可靠信息有限。本研究旨在调查沙特阿拉伯 PHC 护士的 QWL 与离职意向之间的关系。
本研究采用横断面调查。使用 Brooks 的护理工作生活质量调查、预期离职量表和人口统计学数据问题收集数据。沙特阿拉伯吉赞地区的 508 名 PHC 护士完成了问卷（RR=87%）。使用 SPSS v17 for Windows 进行分析，采用描述性统计、t 检验、方差分析、一般线性模型（GLM）单变量分析、标准多元回归和分层多元回归。
研究结果表明，受访者对工作生活不满意，近 40%的人表示有离开当前 PHC 中心的意向。离职意向与 QWL 显著相关。使用标准多元回归，QWL 解释了离职意向变异的 26%，p<0.001，R2=.263。使用分层多元回归进一步分析发现，模型（人口统计学和 QWL）整体解释的总方差为 32.1%，p<0.001。在控制人口统计学变量后，QWL 解释了离职意向变异的另外 19%。
为 PHC 护士创造和维持健康的工作生活非常重要，可以提高他们的工作满意度，减少离职，提高生产力，改善护理服务结果。
