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韩国降低医院护士离职率的策略:护士的看法与建议。

Strategies for reducing hospital nurse turnover in South Korea: Nurses' perceptions and suggestions.

作者信息

Yun Mi Ra, Yu Boas

机构信息

Red Cross College of Nursing, Chung-Ang University, Seoul, Korea.

Henry P. Becton School of Nursing and Allied Health, Fairleigh Dickinson University, Teaneck, NJ, USA.

出版信息

J Nurs Manag. 2021 Jul;29(5):1256-1262. doi: 10.1111/jonm.13264. Epub 2021 Feb 10.

DOI:10.1111/jonm.13264
PMID:33486834
Abstract

AIM

To explore the South Korean nurses' perspectives on the current hospital working conditions in order to identify causes of persistent high turnover rates among the nurses.

BACKGROUND

High turnover rates of hospital nurses continue to pose a serious challenge to South Korean health care system despite the government's recent efforts to improve working conditions. Many studies in the past had examined factors related to the turnover and provided only a partial understanding of turnover predictors. However, nurses' perceptions on the current working conditions must be considered to explore possible causes of continued high turnover, to identify solutions and to improve working conditions by addressing nurses' concerns.

METHOD

This study is a qualitative study using focus group interviews with 33 nurses from 11 South Korean hospitals.

RESULTS

Three main themes and eight subthemes related to reducing hospital nurse turnover were identified.

CONCLUSIONS

To address hospitals' nursing shortages in South Korea, it is important to address poor work environments.

IMPLICATION FOR NURSING MANAGEMENT

This study showed that more transformational policies should be developed and implemented to change working conditions by reducing excessive workloads and improve how nurses are treated and viewed so as to retain existing nurses and ease the nurse turnover rates.

摘要

目的

探讨韩国护士对当前医院工作条件的看法,以确定护士持续高离职率的原因。

背景

尽管政府最近努力改善工作条件,但医院护士的高离职率仍继续给韩国医疗保健系统带来严峻挑战。过去许多研究调查了与离职相关的因素,但对离职预测因素的理解仅为部分。然而,为了探究持续高离职率的可能原因、确定解决方案并通过解决护士的担忧来改善工作条件,必须考虑护士对当前工作条件的看法。

方法

本研究是一项定性研究,采用焦点小组访谈法,对来自韩国11家医院的33名护士进行了访谈。

结果

确定了与降低医院护士离职率相关的三个主要主题和八个子主题。

结论

为解决韩国医院的护理短缺问题,改善恶劣的工作环境很重要。

对护理管理的启示

本研究表明,应制定并实施更多变革性政策,通过减少过多工作量来改变工作条件,改善对护士的待遇和看法,以留住现有护士并缓解护士离职率。

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