College of Nursing, Ewha Womans University, Seoul, Korea.
College of Nursing, Konyang University, Daejeon, Korea.
Int Nurs Rev. 2020 Sep;67(3):387-394. doi: 10.1111/inr.12600. Epub 2020 Jul 7.
The purpose of this study was to identify the effects of depressive symptoms and professional quality of life on turnover intention.
The high turnover rate of nurses is a critical healthcare issue globally.
Nurses often experience depressive symptoms and compassion fatigue due to the efforts of patient care. The impact of such psychological health issues on turnover intention needs to be confirmed.
Participants were 10 163 female nurses who completed an online or mobile survey using the Korea Nurses' Health Study. To identify the influencing factors on the turnover intention of nurses, descriptive statistics, spearman's correlation coefficients and multivariable ordinal logistic regression were performed.
The turnover intention increased by about 2.81-4.60 times when depressive symptom was moderate or more, 1.14 times when secondary traumatic stress disorder was moderate or more, and 1.54 times when burnout was moderate or more. When compassion satisfaction was moderate or high, the turnover intention decreased by 0.72 and 0.52 times.
Korean nurses demonstrated high levels of depressive symptoms, secondary traumatic stress and burnout, while demonstrating lower levels of compassion satisfaction. The results of this study demonstrate that depressive symptoms, secondary traumatic stress, burnout and compassion satisfaction affect turnover intention.
To reduce nurses' turnover intention, it is necessary to reduce depressive symptoms and enhance the quality of professional life.
Hospital managers need to maintain adequate nurse-to-patient ratios and provide nurses with a supportive work environment. Also, health policymakers need to identify factors affecting hospital nurses' turnover intention and provide strategies to address them. These conditions may reduce the excessive workload placed on nurses, thereby preventing depression and burnout and improving nurses' quality of work-life.
本研究旨在确定抑郁症状和职业生活质量对离职意愿的影响。
护士离职率高是全球范围内一个严重的医疗保健问题。
护士由于照顾患者的努力，经常会出现抑郁症状和同情疲劳。需要确认这些心理健康问题对离职意愿的影响。
参与者为 10163 名女性护士，他们使用韩国护士健康研究在线或移动调查完成了调查。为了确定护士离职意愿的影响因素，进行了描述性统计、斯皮尔曼相关系数和多变量有序逻辑回归分析。
当抑郁症状为中度或更严重时，离职意愿增加了约 2.81-4.60 倍；当创伤后应激障碍为中度或更严重时，离职意愿增加了 1.14 倍；当倦怠为中度或更严重时，离职意愿增加了 1.54 倍。当同情满足感为中度或高度时，离职意愿分别降低了 0.72 和 0.52 倍。
韩国护士表现出较高的抑郁症状、创伤后应激和倦怠水平，同时表现出较低的同情满足感。本研究结果表明，抑郁症状、创伤后应激、倦怠和同情满足感会影响离职意愿。
为了降低护士的离职意愿，有必要减轻抑郁症状，提高职业生活质量。
医院管理者需要保持适当的护士与患者比例，并为护士提供支持性的工作环境。此外，卫生政策制定者需要确定影响医院护士离职意愿的因素，并提供解决这些问题的策略。这些措施可能会减轻护士过度的工作负荷，从而预防抑郁和倦怠，提高护士的工作生活质量。
