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影响南非德班一家综合医院护士缺勤率的因素。

Factors influencing nurse absenteeism in a general hospital in Durban, South Africa.

作者信息

Mudaly P, Nkosi Z Z

机构信息

School of Nursing, University of KwaZulu-Natal, Howard College Campus, Durban, South Africa.

Department of Health Studies, University of South Africa, Theo van Wyk Building, Pretoria, South Africa.

出版信息

J Nurs Manag. 2015 Jul;23(5):623-31. doi: 10.1111/jonm.12189. Epub 2013 Dec 30.

DOI:10.1111/jonm.12189
PMID:24372737
Abstract

AIM

To establish reasons for absenteeism amongst professional nurses, enrolled nurses and enrolled nurse auxiliaries in a general hospital in Durban, in order to recommend strategies that could decrease absenteeism.

BACKGROUND

Nurses endure increased workload, resulting in burnout and absenteeism in workplace environments that already suffer staff shortages.

METHOD

This study was a quantitative, non-experimental survey. The study population consisted of 60 nurses, including professional and enrolled nurses and enrolled nurse auxiliaries. The survey consisted of closed-ended questions to options of 'agree' and 'disagree' and an open-ended section.

RESULT

Family matters, lack of motivation to attend work, illness, finance, favouritism, unfriendly nurse managers, long work hours, increased workload, unsatisfactory work conditions, lack of equipment, unfair promotions and selection of nurses for training, staff shortages, lack of a reward system and incoherent decision-making caused nurse absenteeism.

CONCLUSION

Personal, professional and organisational factors may cause nurse absenteeism, crippling the health sector further against the backdrop of human and mechanical resource shortage.

IMPLICATIONS FOR NURSING MANAGEMENT

Nurse managers have an important role in reducing absenteeism by addressing the employees' concerns, which can lead to productivity, increased staff morale, decreased medical hazards and satisfied patients.

摘要

目的

确定德班一家综合医院专业护士、注册护士及助理注册护士旷工的原因,以便推荐可减少旷工的策略。

背景

在本就存在人员短缺问题的工作环境中,护士承受着日益增加的工作量,这导致了职业倦怠和旷工现象。

方法

本研究是一项定量非实验性调查。研究对象包括60名护士,涵盖专业护士、注册护士及助理注册护士。该调查包括针对“同意”和“不同意”选项的封闭式问题以及一个开放式部分。

结果

家庭事务、缺乏上班动力、疾病、经济问题、偏袒、护士长不友善、工作时间长、工作量增加、工作条件不理想、设备短缺、晋升不公平以及选派护士参加培训不合理、人员短缺、缺乏奖励制度和决策不连贯等因素导致护士旷工。

结论

个人、职业和组织因素可能导致护士旷工,在人力和物力资源短缺的背景下,这会进一步削弱卫生部门的功能。

对护理管理的启示

护士长在通过解决员工的担忧来减少旷工方面发挥着重要作用,这能够提高工作效率、提升员工士气、减少医疗风险并让患者满意。

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