Lee Ya-Wen, Dai Yu-Tzu, McCreary Linda L
Department of Nursing, College of Medicine, National Taiwan University, Changhua Christian Hospital, Changhua, Taiwan; Nursing Department, Changhua Christian Hospital, Changhua, Taiwan.
J Nurs Manag. 2015 May;23(4):521-31. doi: 10.1111/jonm.12166. Epub 2013 Nov 18.
To examine the relationships between quality of work life (QWL) and nurses' intention to leave their unit (ITLunit), organisation (ITLorg) and profession (ITLpro).
The high turnover rate among nurses presents a major challenge to health care systems across the globe. QWL plays a significant role in nurses' turnover.
A descriptive cross-sectional survey design was conducted via purposive sampling of 1283 hospital nurses and administering the Chinese version of the Quality of Nursing Work Life scale (C-QNWL), a three-ITL-type scale questionnaire, and a demographic questionnaire for individual- and work-related variables. Descriptive data, correlations, and ordinal regression models were analyzed.
QWL predicted ITLpro and ITLorg better than ITLunit. Three QWL dimensions (work arrangement and workload, nursing staffing and patient care, and work-home life balance) were significantly predictive of all three ITL measures. However, the dimension of teamwork and communication was only predictive for ITLunit, not for ITLorg and ITLpro.
Different patterns of QWL dimensions are predictive of ITLunit, ITLorg, and ITLpro.
The study provides important information to nurse administrators about the aspects of QWL that most commonly lead nurses to leave their units, organisations, and even the profession itself.
探讨工作生活质量（QWL）与护士离开所在科室的意愿（ITLunit）、离开所在机构的意愿（ITLorg）以及离开护理职业的意愿（ITLpro）之间的关系。
护士的高离职率给全球医疗保健系统带来了重大挑战。工作生活质量在护士离职方面起着重要作用。
采用描述性横断面调查设计，通过立意抽样选取1283名医院护士，并发放中文版护理工作生活质量量表（C-QNWL）、一个包含三种离职意愿类型的量表问卷以及一份关于个人和工作相关变量的人口统计学问卷。对描述性数据、相关性和有序回归模型进行了分析。
工作生活质量对离开护理职业的意愿和离开所在机构的意愿的预测效果优于对离开所在科室的意愿的预测效果。工作生活质量的三个维度（工作安排与工作量、护理人员配备与患者护理以及工作与家庭生活平衡）对所有三种离职意愿测量指标均有显著预测作用。然而，团队合作与沟通维度仅对离开所在科室的意愿有预测作用，对离开所在机构的意愿和离开护理职业的意愿则没有预测作用。
工作生活质量维度的不同模式对离开所在科室的意愿、离开所在机构的意愿和离开护理职业的意愿具有预测作用。
该研究为护士管理人员提供了重要信息，涉及工作生活质量中最常导致护士离开所在科室、机构甚至护理职业本身的方面。
