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新毕业护士的职业承诺及其与专业能力和工作相关因素的关联。

Newly graduated nurses' occupational commitment and its associations with professional competence and work-related factors.

作者信息

Numminen Olivia, Leino-Kilpi Helena, Isoaho Hannu, Meretoja Riitta

机构信息

Corporate Headquarters, Hospital District of Helsinki and Uusimaa, Helsinki, Finland.

Department of Nursing Science, University of Turku, Turku, Finland.

出版信息

J Clin Nurs. 2016 Jan;25(1-2):117-26. doi: 10.1111/jocn.13005. Epub 2015 Sep 30.

Abstract

AIMS AND OBJECTIVES

To explore newly graduated nurses' occupational commitment and its associations with their self-assessed professional competence and other work-related factors.

BACKGROUND

As a factor affecting nurse turnover, newly graduated nurses' occupational commitment and its associations with work-related factors needs exploring to retain adequate workforce. Nurses' commitment has mainly been studied as organisational commitment, but newly graduated nurses' occupational commitment and its association with work-related factors needs further studying.

DESIGN

This study used descriptive, cross-sectional, correlation design.

METHODS

A convenience sample of 318 newly graduated nurses in Finland participated responding to an electronic questionnaire. Statistical software, NCSS version 9, was used in data analysis. Frequencies, percentages, ranges, means and standard deviations summarised the data. Multivariate Analyses of Variance estimated associations between occupational commitment and work-related variables. IBM SPSS Amos version 22 estimated the model fit of Occupational Commitment Scale and Nurse Competence Scale.

RESULTS

Newly graduated nurses' occupational commitment was good, affective commitment reaching the highest mean score. There was a significant difference between the nurse groups in favour of nurses at higher competence levels in all subscales except in limited alternatives occupational commitment. Multivariate analyses revealed significant associations between subscales of commitment and competence, turnover intentions, job satisfaction, earlier professional education and work sector, competence counting only through affective dimension.

CONCLUSION

The association between occupational commitment and low turnover intentions and satisfaction with nursing occupation was strong. Higher general competence indicated higher overall occupational commitment.

RELEVANCE TO CLINICAL PRACTICE

Managers' recognition of the influence of all dimensions of occupational commitment in newly graduated nurses' professional development is important. Follow-up studies of newly graduated nurses' commitment, its relationship with quality care, managers' role in enhancing commitment and evaluation of the impact of interventions on improving commitment need further studying.

摘要

目的与目标

探讨新毕业护士的职业承诺及其与自我评估的专业能力和其他工作相关因素的关联。

背景

作为影响护士离职率的一个因素,新毕业护士的职业承诺及其与工作相关因素的关联需要进行探索,以保留足够的劳动力。护士的承诺主要作为组织承诺进行研究,但新毕业护士的职业承诺及其与工作相关因素的关联需要进一步研究。

设计

本研究采用描述性、横断面、相关性设计。

方法

芬兰318名新毕业护士的便利样本参与了电子问卷的回答。使用统计软件NCSS 9版进行数据分析。频率、百分比、范围、均值和标准差对数据进行了总结。多变量方差分析估计了职业承诺与工作相关变量之间的关联。IBM SPSS Amos 22版估计了职业承诺量表和护士能力量表的模型拟合度。

结果

新毕业护士的职业承诺良好,情感承诺得分最高。除有限选择职业承诺外,在所有子量表中,能力水平较高的护士组之间存在显著差异。多变量分析显示,承诺子量表与能力、离职意愿、工作满意度、早期专业教育和工作部门之间存在显著关联,能力仅通过情感维度起作用。

结论

职业承诺与低离职意愿和对护理职业的满意度之间的关联很强。较高的总体能力表明较高的总体职业承诺。

与临床实践的相关性

管理者认识到职业承诺的所有维度对新毕业护士专业发展的影响很重要。对新毕业护士承诺的后续研究、其与优质护理的关系、管理者在增强承诺方面的作用以及对干预措施改善承诺影响的评估需要进一步研究。

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