De Simone Silvia, Planta Anna
Università degli Studi di Cagliari.
Med Lav. 2017 Apr 21;108(2):87-97. doi: 10.23749/mdl.v108i2.6074.
Retaining nursing staff within hospitals is essential to limit the negative impact of excessive voluntary turnover on the quality of care and organization costs.
The purpose of this study is to explain voluntary turnover in the nursing profession by analyzing the influence of job satisfaction and, in particular, self-efficacy and work engagement on turnover intention.
210 nurses working in three hospitals in Southern Italy have completed a self-report questionnaire. A correlation analysis was applied in order to test the relationship between variables, while the role of age, professional and organizational seniority was estimated through partial correlations. A multiple linear regression was performed to verify the role of self-efficacy and work engagement in predicting turnover intention.
Job satisfaction, self-efficacy and work engagement are positively correlated. These dimensions are negatively correlated with the intention to change the hospital; furthermore, age, professional and organizational seniority have an effect on this relationship. Work engagement fully mediates the relationship between self-efficacy and turnover intention.
Results highlight the importance of considering not only job satisfaction, but also self-efficacy and work engagement, in studies on turnover intentions. These findings suggest to implement actions to increase self-efficacy, and especially work engagement, to reduce the voluntary turnover of nursing staff.
在医院留住护理人员对于限制过度自愿离职对护理质量和组织成本的负面影响至关重要。
本研究的目的是通过分析工作满意度，特别是自我效能感和工作投入对离职意愿的影响，来解释护理行业的自愿离职现象。
意大利南部三家医院的210名护士完成了一份自我报告问卷。应用相关性分析来检验变量之间的关系，同时通过偏相关性估计年龄、专业和组织资历的作用。进行多元线性回归以验证自我效能感和工作投入在预测离职意愿中的作用。
工作满意度、自我效能感和工作投入呈正相关。这些维度与更换医院的意愿呈负相关；此外，年龄、专业和组织资历对这种关系有影响。工作投入完全中介了自我效能感与离职意愿之间的关系。
结果强调了在离职意愿研究中不仅要考虑工作满意度，还要考虑自我效能感和工作投入的重要性。这些发现建议采取行动提高自我效能感，特别是工作投入，以减少护理人员的自愿离职。
