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护理人员及其团队:对离职意愿的影响。

Nursing staff and their team: Impact on intention to leave.

作者信息

Trybou J, Malfait S, Gemmel P, Clays E

机构信息

Department of Public Health, Ghent University, Ghent, Belgium.

Department of Management, Innovation & Entrepreneurship, Ghent University, Ghent, Belgium.

出版信息

Int Nurs Rev. 2015 Dec;62(4):489-96. doi: 10.1111/inr.12216. Epub 2015 Sep 22.

DOI:10.1111/inr.12216
PMID:26390899
Abstract

AIM

The aim was to examine the relationship between the quality of team-member exchange experienced by nursing staff and their intention to leave. Job satisfaction and affective organizational commitment are considered as mediators.

BACKGROUND

While the shortage of nurses is a management and policy priority, few studies have studied the relationships between nursing staff and their team, key organizational attitudes, and intentions to leave the organization.

METHOD

A questionnaire was administered to 217 registered nurses and nurse assistants in Belgium. Data were collected in 2012. To analyse the data, descriptive statistics, correlation, regression and path analyses were conducted.

FINDINGS

Team-member exchange has a positive impact on nursing staff satisfaction and affective commitment. Job satisfaction and affective organizational commitment fully mediated the impact of team-member exchange on nursing staff's intention to leave.

CONCLUSION AND IMPLICATIONS FOR NURSING AND HEALTH POLICY

This study illustrates the potential benefits of the positive influence of team-member exchange on key organizational attitudes of nursing staff, and the negative influence on intention to leave through affective commitment and job satisfaction.

摘要

目的

本研究旨在探讨护理人员所经历的团队成员交换质量与其离职意愿之间的关系。工作满意度和情感组织承诺被视为中介变量。

背景

尽管护士短缺是管理和政策的重点,但很少有研究探讨护理人员与其团队之间的关系、关键的组织态度以及离职意愿。

方法

对比利时的217名注册护士和护士助理进行问卷调查。数据于2012年收集。为分析数据,进行了描述性统计、相关性分析、回归分析和路径分析。

研究结果

团队成员交换对护理人员的满意度和情感承诺有积极影响。工作满意度和情感组织承诺完全中介了团队成员交换对护理人员离职意愿的影响。

结论及对护理和卫生政策的启示

本研究表明团队成员交换对护理人员关键组织态度的积极影响以及通过情感承诺和工作满意度对离职意愿的消极影响具有潜在益处。

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