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对影响护士离开临床护理岗位意愿的促进因素和阻碍因素的质性探索。

A qualitative exploration of facilitators and inhibitors influencing nurses' intention to leave clinical nursing.

作者信息

Alilu Leyla, Valizadeh Leila, Zamanzadeh Vahid, Habibzadeh Hosein, Gillespie Mark

机构信息

Urmia University of Medical Sciences, Faculty of Nursing and Midwifery,Department of Medical Surgical Nursing, Urmia, Iran.

Tabriz University of Medical Sciences, Faculty of Nursing and Midwifery, Department of Pediatric Nursing, Tabriz, Iran.

出版信息

Rev Esc Enferm USP. 2016 Nov-Dec;50(6):982-989. doi: 10.1590/S0080-623420160000700015.

Abstract

OBJECTIVE

The aim of this study was to determine the barriers and facilitators shaping the development of an intent to leave the nursing profession, from the perspective of Iran's clinical nurses.

METHOD

The study was completed using qualitative content analysis And included 21 Participants who were clinical nurses with a variety of work experience across a range of clinical posts. Semi-structured interviews were used to collect data and data obtained from the interviews were analyzed and interpreted utilizing a content analysis method.

RESULTS

During data analysis, 2 main themes, 5 categories and 12 subcategories were extracted as follows. Facilitators include: (I) spoiled identity (weak social status and violation of dignity), (II) frustration (feeling subordinate including a lack of appreciation), and (III) experience of hard labor (job stress, hard work and shift work). Inhibitors include: (I) positive management behaviors (rewards and support systems), and (II) being valuable (spiritual satisfaction, the efficient presence and professional capabilities development).

CONCLUSION

Based on the findings, it can be concluded that managers can prevent nurses from leaving clinical nursing by providing appropriate activities for them and increasing their motivation and satisfaction.

摘要

目的

本研究旨在从伊朗临床护士的角度,确定影响离职意愿形成的障碍和促进因素。

方法

本研究采用定性内容分析法完成,纳入了21名临床护士作为参与者,他们在一系列临床岗位上拥有不同的工作经验。采用半结构式访谈收集数据,并运用内容分析法对访谈获得的数据进行分析和解读。

结果

数据分析过程中,提取了2个主要主题、5个类别和12个子类别,具体如下。促进因素包括:(I)身份受损(社会地位低下和尊严受侵犯),(II)挫败感(感觉地位低,包括缺乏赏识),以及(III)繁重的工作体验(工作压力、高强度工作和轮班工作)。抑制因素包括:(I)积极的管理行为(奖励和支持系统),以及(II)自身价值感(精神满足、高效工作和专业能力发展)。

结论

基于研究结果,可以得出结论,管理者可以通过为护士提供适当的活动并提高他们的积极性和满意度,来防止护士离开临床护理岗位。

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