School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.
Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan.
J Adv Nurs. 2019 Dec;75(12):3577-3587. doi: 10.1111/jan.14191. Epub 2019 Sep 30.
Our study investigates the influence of career facilitators and barriers on nurses' improvement of their professional capabilities and their professional turnover intention.
Reducing nurses' professional turnover intention could help alleviate the global nursing shortage. Nevertheless, little research has addressed how career facilitators and barriers, nurses' improvement of their professional capabilities and professional turnover intention are related, indicating a gap.
This study used a cross-sectional design.
We surveyed 502 out of 2,660 full-time nurses who worked for a medical centre in Taiwan between January-March 2018. Our items were adapted from Cunningham et al. and Teng et al. and had adequate reliability and validity. Structural equation modelling was used to test the study hypotheses.
Human capital, social capital, and discrimination were positively related to intention to improve professional capabilities. Moreover, intention to improve professional capabilities was positively related to action to improve professional capabilities, which was negatively related to professional turnover intention.
Most of the career facilitators and even barriers, boost the improvement of professional capabilities and are useful for retaining nurses in the nursing profession.
Findings of this study should have an impact on nursing managers by offering them means to retain nurses, for example, enhancing human capital and social capital among nurses to reduce their turnover intention.
本研究旨在探讨职业促进因素和障碍对护士提升专业能力和职业离职意愿的影响。
降低护士的职业离职意愿有助于缓解全球护士短缺问题。然而，很少有研究探讨职业促进因素和障碍、护士提升专业能力和职业离职意愿之间的关系，这表明存在研究空白。
本研究采用横断面设计。
我们调查了 2018 年 1 月至 3 月期间在台湾一家医疗中心工作的 2660 名全职护士中的 502 名。我们的项目改编自 Cunningham 等人和 Teng 等人的研究，具有足够的信度和效度。结构方程模型用于检验研究假设。
人力资本、社会资本和歧视与提高专业能力的意愿呈正相关。此外，提高专业能力的意愿与提高专业能力的行动呈正相关，而提高专业能力的行动与职业离职意愿呈负相关。
大多数职业促进因素甚至障碍都有助于提高专业能力，有利于护士留在护理行业。
本研究的结果应该对护理管理人员产生影响，为他们提供留住护士的方法，例如，通过增强护士的人力资本和社会资本来降低他们的离职意愿。
