Topçu I, Türkmen E, Badır A, Göktepe N, Miral M, Albayrak S, Kebapçı A, Serbest Ş, Özcan D
Bezmialem Foundation University, School of Medicine, Department of Medical History and Ethics, Istanbul, Turkey.
Koc University School of Nursing, Istanbul, Turkey.
Int Nurs Rev. 2016 Jun;63(2):242-9. doi: 10.1111/inr.12247. Epub 2016 Feb 2.
This study aimed to understand nursing practice environment characteristics in Istanbul-area hospitals in Turkey, the relationship between these characteristics, nurse burnout levels and nurses' intentions to leave work.
A well-known relationship exists in many countries between nursing practice environments and nurse burnout and intention to leave work. However, little is known about the relationship between practice environment characteristics and nursing outcomes in Turkey.
This cross-sectional study was conducted among 2592 nurses in 20 Ministry of Health and 29 private hospitals in Istanbul, Turkey. A demographic questionnaire, Practice Environment Scale of the Nursing Work Index and Maslach Burnout Inventory were used for data collection.
Almost half of nurses suffered from high-level burnout related to emotional exhaustion and personal accomplishment, and one-third reported depersonalization and the intent to leave their jobs within a year. A poor nursing practice environment was the leading factor, increasing nurses' burnout levels in all subdimensions. Burnout related to emotional exhaustion, personal accomplishment and poor practice environment increased intention to leave. Permanent positions decreased intention.
There was a relationship between poor practice environments and nursing outcomes in Turkey.
The use of a survey data collection method is a potential study limitation. Quantitative and qualitative methods could be combined to obtain more detailed objective data about nursing practice environments.
Poor practice environments, high-level burnout and intention to leave work are significant problems in Istanbul, Turkey. Favourable practice environments and job security should be provided to improve nursing outcomes.
Policymakers and nurse managers should be aware of any negative issues regarding nursing practice environments and job security to improve nursing outcomes.
本研究旨在了解土耳其伊斯坦布尔地区医院的护理实践环境特征、这些特征之间的关系、护士职业倦怠水平以及护士的离职意愿。
在许多国家，护理实践环境与护士职业倦怠及离职意愿之间存在着一种众所周知的关系。然而，在土耳其，关于实践环境特征与护理结果之间的关系却知之甚少。
本横断面研究在土耳其伊斯坦布尔的20家卫生部医院和29家私立医院的2592名护士中进行。使用人口统计学调查问卷、护理工作指数实践环境量表和马氏职业倦怠量表收集数据。
几乎一半的护士存在与情感耗竭和个人成就感相关的高水平职业倦怠，三分之一的护士报告有去个性化现象以及在一年内离职的意愿。不良的护理实践环境是主要因素，在所有子维度中均增加了护士的职业倦怠水平。与情感耗竭、个人成就感和不良实践环境相关的职业倦怠增加了离职意愿。永久职位则降低了离职意愿。
在土耳其，不良的实践环境与护理结果之间存在关联。
使用调查数据收集方法是本研究的一个潜在局限。可以结合定量和定性方法以获取关于护理实践环境更详细的客观数据。
不良的实践环境、高水平的职业倦怠和离职意愿是土耳其伊斯坦布尔的重大问题。应提供良好的实践环境和工作保障以改善护理结果。
政策制定者和护士管理者应意识到护理实践环境和工作保障方面的任何负面问题，以改善护理结果。
