The University of Toledo, Toledo, OH, USA.
Rehabil Nurs. 2020 Dec 1;45(6):323-331. doi: 10.1097/rnj.0000000000000232.
Over 1 million Americans utilize skilled nursing facilities (SNFs) annually. Within SNFs, State Tested Nursing Assistants (STNAs) are primary caregivers; however, low retention rates are notable and threaten patient care.
A phenomenological, qualitative study was conducted to explore intrinsic factors that influence STNAs' intent to stay in their positions.
Ten STNAs employed at for-profit SNFs participated in semistructured face-to-face interviews. Data were analyzed to identify broad concepts and recurrent themes.
Findings suggest that intrinsic factors supporting and threatening intent to stay included the fulfillment of basic psychological needs. Supporting themes included self-confidence, appreciation, positive relationships, and a willingness to go beyond required duties. Threatening themes included frustration, lack of support, and career advancement opportunities.
Findings provide an understanding of factors that influence STNAs' intent to stay.
The results may help guide the development of responsive strategies that improve quality and continuity of care in SNFs.
每年有超过 100 万美国人使用熟练护理机构（SNFs）。在 SNFs 中，州立注册护士助理（STNAs）是主要的护理人员；然而，低留存率是值得注意的，这威胁到患者的护理。
进行了一项现象学、定性研究，以探讨影响 STNAs 留任意愿的内在因素。
在营利性 SNFs 工作的 10 名 STNAs 参加了半结构化的面对面访谈。对数据进行了分析，以确定广泛的概念和反复出现的主题。
研究结果表明，支持和威胁留任意愿的内在因素包括满足基本心理需求。支持性主题包括自信、感激、积极的关系以及愿意超越规定职责。威胁性主题包括挫折感、缺乏支持和职业发展机会。
研究结果提供了对影响 STNAs 留任意愿因素的理解。
研究结果可能有助于指导制定响应策略，以提高 SNFs 的护理质量和连续性。
