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急诊护士工作场所暴力、工作满意度与离职意愿之间的关系。

The relationship between workplace violence, job satisfaction and turnover intention in emergency nurses.

作者信息

Li Na, Zhang Lichuan, Xiao Guangqing, Chen Jie, Lu Qian

机构信息

School of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, China.

School of Nursing, Peking University, Beijing, China.

出版信息

Int Emerg Nurs. 2019 Jul;45:50-55. doi: 10.1016/j.ienj.2019.02.001. Epub 2019 Feb 21.

Abstract

BACKGROUND

Emergency department personnel are exposed to high risk of workplace violence (WPV) and nurses are the main victims. Few researchers have investigated the effects of WPV on job satisfaction and turnover intention among nurses.

AIMS

To describe WPV, job satisfaction and turnover intention of emergency nurses and clarify the relationship between them.

METHODS

A cross-sectional study was used to collect data on WPV, job satisfaction and turnover intention among 385 nurses working in emergency department in 13 general hospitals in Beijing. Structural equation modeling was used to test the relationship between them.

RESULTS

Among them, 89.9% had experienced WPV in the previous year. WPV had short-term and long-term impacts on over 80% of them. The score of job satisfaction and turnover intention was 2.48 ± 0.49, 2.75 ± 0.58 respectively. WPV had significant direct effect on turnover intention (β = 0.105) and job satisfaction (β = -0.161). Job satisfaction had a significant negative effect on turnover intention (β = -0.604) and it mediated the relationship between WPV and turnover intention.

CONCLUSION

Emergency nurses in China are at great risk of WPV. Their job satisfaction is low and turnover intention is high. Job satisfaction plays the mediator role between WPV and turnover intention among emergency nurses.

摘要

背景

急诊科工作人员面临着较高的工作场所暴力(WPV)风险,护士是主要受害者。很少有研究调查WPV对护士工作满意度和离职意愿的影响。

目的

描述急诊护士的WPV、工作满意度和离职意愿,并阐明它们之间的关系。

方法

采用横断面研究方法,收集北京市13家综合医院急诊科385名护士的WPV、工作满意度和离职意愿数据。采用结构方程模型检验它们之间的关系。

结果

其中,89.9%的护士在前一年经历过WPV。WPV对其中80%以上的护士有短期和长期影响。工作满意度和离职意愿得分分别为2.48±0.49、2.75±0.58。WPV对离职意愿(β = 0.105)和工作满意度(β = -0.161)有显著直接影响。工作满意度对离职意愿有显著负向影响(β = -0.604),并在WPV与离职意愿之间起中介作用。

结论

中国急诊护士面临较高的WPV风险。他们的工作满意度较低,离职意愿较高。工作满意度在急诊护士的WPV和离职意愿之间起中介作用。

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