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结构授权、工作场所不文明行为、护士离开组织和职业的意愿:路径分析。

Structural empowerment, workplace incivility, nurses' intentions to leave their organisation and profession: A path analysis.

机构信息

Department of Nursing Management, Faculty of Nursing, Dokuz Eylul University, Izmir, Turkey.

出版信息

J Nurs Manag. 2019 May;27(4):732-739. doi: 10.1111/jonm.12751. Epub 2019 Feb 20.

DOI:10.1111/jonm.12751
PMID:30656776
Abstract

AIM

The aim of this study is to test the theoretical model involving the relationships between nurses' perceptions of structural empowerment, supervisor and coworker incivility, and their intention to leave both the organisations and the nursing profession.

BACKGROUND

Studies investigating the relationships between structural empowerment, workplace incivility and nurses' intentions to leave their organisation are increasing. However, the results of studies indicating the effects of structural empowerment on these variables are inadequate.

METHODS

We used a cross-sectional, correlational study to investigate relations among the variables with a sample of 574 nurses.

RESULTS

Structural empowerment had significantly direct negative effects on supervisor incivility, coworker incivility and nurses' intentions to leave their organisation, as well as indirect negative effects on intention to leave the profession through its negative influence on intention to leave the organisation.

CONCLUSIONS

Strong evidence points out the importance of making plans to reduce nurses' intentions to leave their organisation and profession, to increase the structural empowerment in organisations and to reduce workplace incivility is presented.

IMPLICATIONS FOR NURSING MANAGEMENT

The results of this study can provide guidance for managers attempting to improve working conditions for nurses by drawing attention to the various factors affecting nurses' intentions to leave.

摘要

目的

本研究旨在检验一个理论模型,其中包括护士对结构授权、主管和同事不文明行为的看法,以及他们离开组织和护理行业的意图之间的关系。

背景

越来越多的研究调查了结构授权、工作场所不文明行为与护士离开组织意图之间的关系。然而,表明结构授权对这些变量的影响的研究结果并不充分。

方法

我们使用横断面相关性研究,对 574 名护士进行了变量之间关系的调查。

结果

结构授权对主管不文明行为、同事不文明行为和护士离开组织的意图有显著的直接负向影响,通过对离开组织的意图的负面影响,对离开职业的意图也有间接的负向影响。

结论

强有力的证据表明,减少护士离开组织和职业的意图,在组织中增强结构授权,减少工作场所不文明行为,对于护理管理具有重要意义。

启示

本研究的结果可以为管理者提供指导,通过关注影响护士离职意图的各种因素,努力改善护士的工作条件。

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