Tokyo Healthcare University, Shinagawa-ku, Tokyo, Japan.
International University of Health and Welfare Graduate School, Tokyo, Japan.
Inquiry. 2021 Jan-Dec;58:469580211005192. doi: 10.1177/00469580211005192.
The increase in the elderly population in need of healthcare services has led to a serious shortage in the nursing workforce. To retain a large nursing workforce, a strong work-life balance among nurses is needed along with a healthy work environment. This prospective study investigates the influence of work-life balance and sense of coherence on intention to leave among hospital nurses. A questionnaire survey was conducted with 2239 nurses as a baseline. The explanatory variables included striving for work-life balance behavior, a sense of coherence in terms of personal resources, and work-, organizational-, and individual-related factors. Using a cohort of 1368 valid responses, we measured intention to leave among 975 nurses with whom we were able to follow up 6 months after the baseline survey. We then performed multiple regression analysis. The behavior striving for work-life balance was shown to influence nurses' intention to leave. Nurses who exhibited less striving for work-life balance behavior showed higher intentions to leave. The sense of coherence was not identified as a factor affecting intention to leave. Securing a comfortable work-life balance would reduce the nurses' desire to quit the hospital. To reduce nurse turnover, nurse managers should develop support programs that can help nurses achieve a better work-life balance.
人口老龄化导致对医疗保健服务的需求增加，这导致护理人员严重短缺。为了留住大量的护理人员，护士需要有一个强大的工作与生活平衡，以及一个健康的工作环境。本前瞻性研究调查了工作与生活平衡感和应对感对医院护士离职意向的影响。对 2239 名护士进行了基线问卷调查。解释变量包括努力实现工作与生活平衡的行为、个人资源方面的应对感，以及工作、组织和个人相关因素。使用了一个由 1368 份有效回复组成的队列，我们对其中的 975 名护士进行了离职意向测量，我们能够在基线调查后 6 个月对这些护士进行随访。然后我们进行了多元回归分析。努力实现工作与生活平衡的行为对护士的离职意向产生了影响。表现出较少努力实现工作与生活平衡行为的护士离职意向更高。应对感不是影响离职意向的因素。确保舒适的工作与生活平衡将减少护士辞职的意愿。为了减少护士离职，护士管理者应制定支持计划，帮助护士实现更好的工作与生活平衡。
