Department of Management and Marketing, Swinburne Business School, Swinburne University of Technology, John Street, Hawthorn, VIC 3122, Australia.
School of Management, RMIT University, 445 Swanston Street, Melbourne, VIC 3000, Australia.
Appl Nurs Res. 2019 Oct;49:70-76. doi: 10.1016/j.apnr.2019.06.001. Epub 2019 Jul 3.
In the drive to make the health sector more economically efficient and effective, what is potentially being lost is the need to look after the well-being of those who work within this profession. Nurses are the largest group in the health sector workforce and the frontline of patient care. Workload perceptions are known to be impacting nurses' well-being and are becoming a critical concern for the retention of this workforce. In response, this study aims to examine the relationships among perceived workload, satisfaction with work-life balance (an indicator of well-being), and intention to leave the occupation. Additionally, high involvement work practices (HIWPs) are examined as a form of organisational support that may buffer the negative impact of perceived workload on nurses' well-being and intention to leave the occupation.
A 2016 online survey of the nursing profession in Australia yielded 2984 responses. We assessed the impact of perceived workload on nurses' well-being and intention to leave the occupation, and the role of HIWPs in ameliorating the negative impact of perceived workload.
Our results show that perceived workload is associated with increasing intention to leave the occupation and is mediated by nurses' satisfaction with work-life balance. Where organisational support is provided through HIWPs, this can mitigate such intentions. These aspects are within the control of those who manage this workforce and should be central to human resource management strategies in the health care sector.
在提高卫生部门经济效率和效益的过程中，可能会忽视对从事这一职业人员福祉的关注。护士是卫生部门劳动力中最大的群体，也是患者护理的第一线。众所周知，工作负荷感会影响护士的福祉，并成为保留这一劳动力的关键问题。有鉴于此，本研究旨在探讨工作负荷感、工作-生活平衡满意度（福祉的一个指标）与离职意愿之间的关系。此外，还研究了高参与度工作实践（HIWPs），这是一种组织支持形式，可能会减轻工作负荷感对护士福祉和离职意愿的负面影响。
2016 年对澳大利亚护理行业进行了在线调查，共收到 2984 份回复。我们评估了工作负荷感对护士福祉和离职意愿的影响，以及 HIWPs 在减轻工作负荷感负面影响方面的作用。
我们的研究结果表明，工作负荷感与离职意愿的增加有关，且这种关系受到护士对工作-生活平衡满意度的中介作用。在通过 HIWPs 提供组织支持的情况下，这种意图可以得到缓解。这些方面在那些管理这一劳动力的人员的控制范围内，应该成为医疗保健部门人力资源管理战略的核心。
