Liselotte Dyrbye is a physician at Mayo Clinic Minnesota in Rochester, where Colin West is a physician, Pamela Johnson is chief nursing officer, and Brittny Major-Elechi is a statistician. Pamela Cipriano was president of the American Nurses Association (ANA) at the time of this study; she is currently first vice president of the International Council of Nurses and a research associate professor at the University of Virginia School of Nursing, Charlottesville. Cheryl Peterson is vice president-nursing programs at the ANA in Silver Spring, MD. Dale Beatty is chief nursing officer and vice president of patient care services at Stanford Health Care, Stanford, CA, where Tait Shanafelt is chief wellness officer. Funding for this study was provided by the Mayo Clinic Program on Physician Well-Being and the ANA. Contact author: Liselotte Dyrbye,
Am J Nurs. 2020 Apr;120(4):24-33. doi: 10.1097/01.NAJ.0000660020.17156.ae.
To explore whether burnout is an independent predictor of career choice regret among nurses.
In November 2017 we invited a random sample of 89,995 members of the American Nurses Association to participate in an anonymous online survey. The survey collected demographic and professional information and included the Maslach Burnout Inventory-Human Services Survey for Medical Personnel (known as the MBI-HSS [MP]), as well as several items exploring career choice regret. Of the 86,858 nurses who received the e-mail invitation, 8,638 (9.9%) responded. Multivariable logistic regression analysis was conducted for the final sample of 6,933 nurses who provided complete responses to the MBI-HSS (MP) and the career choice regret survey items.
Fifteen percent of the 6,933 participating nurses had career choice regret. On multivariable analysis, experiencing burnout, working unplanned or mandatory overtime, being male, and having a higher academic degree related to nursing were independent predictors of career choice regret. Burnout was the strongest such predictor.
Career choice regret among U.S. nurses is relatively common. Of the independent predictors this study identified, burnout had the strongest relationship with career choice regret. Organizational strategies aimed at reducing burnout and supporting nurses' ongoing professional development should be pursued.
探讨倦怠是否是护士职业选择后悔的独立预测因素。
2017 年 11 月，我们邀请了美国护士协会的 89995 名随机成员参加了一项匿名在线调查。该调查收集了人口统计学和专业信息，包括医学人员的 Maslach 倦怠量表-人力服务调查（称为 MBI-HSS [MP]），以及几个探索职业选择后悔的项目。在收到电子邮件邀请的 86858 名护士中，有 8638 名（9.9%）做出了回应。对提供了 MBI-HSS（MP）和职业选择后悔调查项目完整回复的 6933 名护士的最终样本进行了多变量逻辑回归分析。
在参与的 6933 名护士中，有 15%的人对职业选择感到后悔。在多变量分析中，经历倦怠、非计划性或强制性加班、男性和具有较高护理学历与职业选择后悔相关，是独立的预测因素。倦怠是最强的预测因素。
美国护士的职业选择后悔相对常见。在本研究确定的独立预测因素中，倦怠与职业选择后悔的关系最强。应采取旨在减少倦怠和支持护士持续职业发展的组织策略。
