Aluwihare-Samaranayake Dilmi, Gellatly Ian, Cummings Greta, Ogilvie Emerita Linda
Faculty of Nursing, University of Alberta, Edmonton, AB, Canada.
Strategic Management and Organization, University of Alberta, Edmonton, AB, Canada.
J Adv Nurs. 2018 May 17. doi: 10.1111/jan.13718.
The aim of this study was to present a discussion and model depicting most effecting work-life experience contextual factors that influence commitment and turnover intentions for nurses in Sri Lanka.
Increasing demand for nurses has made the retention of experienced, qualified nursing staff a priority for healthcare organizations and highlights the need to capture contextual work-life experiences that influence nurses' turnover decisions.
Discussion paper.
This discussion paper and model is based on our experiences and knowledge of Sri Lanka and represents an integration of classic turnover research and commitment theory and others published between 1958 - 2017, contextualized to reflect the reality faced by Sri Lanka nurses.
The model presents a high-level view of intrinsic, extrinsic, personal and professional antecedents to nurse turnover where relevance can be used by researchers, policy makers, clinicians and educators to establish focused and limited scope models and examine comprehensive contexts.
This model emphasizes the role that work-life experiences play to fortify (or weaken) nurses' motivation to remain committed to their organization, profession, family, and country. Understanding of contextual work-life influences on nurses' intent to stay should lead to evidence-based strategies that result in a higher number of nurses wanting to remain in the nursing profession and work in the health sector in Sri Lanka.
本研究旨在进行讨论并构建一个模型，描述影响斯里兰卡护士工作投入和离职意愿的最具影响力的工作生活体验背景因素。
对护士需求的不断增加，使得留住经验丰富、资质合格的护理人员成为医疗保健机构的首要任务，并凸显了了解影响护士离职决策的工作生活体验背景的必要性。
讨论文件。
本讨论文件及模型基于我们对斯里兰卡的经验和了解，整合了1958年至2017年间发表的经典离职研究、承诺理论及其他研究，并结合实际情况以反映斯里兰卡护士所面临的现实。
该模型展示了护士离职的内在、外在、个人和职业前因的高层次观点，研究人员、政策制定者、临床医生和教育工作者可利用其相关性来建立重点突出、范围有限的模型，并审视全面的背景情况。
该模型强调了工作生活体验在强化（或削弱）护士对其组织、职业、家庭和国家保持忠诚的动机方面所起的作用。了解工作生活背景对护士留任意愿的影响，应能催生基于证据的策略，从而使更多护士愿意留在斯里兰卡的护理行业并在卫生部门工作。
