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考察新生儿护士从业者的工作满意度和留职意愿:导师制的影响。

Examining Job Satisfaction and Intent to Stay for Neonatal Nurse Practitioners: The Impact of Mentoring.

机构信息

Vanderbilt University School of Nursing, Nashville, Tennessee; and Monroe Carrell Jr Children's Hospital at Vanderbilt, Nashville, Tennessee.

出版信息

Adv Neonatal Care. 2022 Aug 1;22(4):341-351. doi: 10.1097/ANC.0000000000000931. Epub 2021 Sep 30.

Abstract

BACKGROUND

In 2017, the National Association of Neonatal Nurse Practitioners (NANNP) recommended that organizations implement formalized mentoring programs for neonatal nurse practitioners (NNPs). There is significant evidence to support that mentoring positively impacts nurse practitioners' job satisfaction and retention. However, there is a lack of evidence-based literature specific to NNP mentoring.

PURPOSE

Determine the impact of participation in the NANNP formalized mentoring program on job satisfaction and retention for novice and experienced NNPs in an academic medical center in Tennessee.

METHODS

This quality improvement project utilized a secure online survey that included the Misener Nurse Practitioner Job Satisfaction Scale (MNPJSS) and 2 intent-to-stay items prior to implementation of a 6-month mentoring program. Neonatal intensive care unit nurse practitioners completed the same electronic survey at 3 intervals after program implementation to determine the impact of the mentoring program on job satisfaction and intent to stay.

RESULTS

Project results identified a significant difference in MNPJSS scores for participants in a 6-month formal mentoring program using the NANNP tool kit. The MNPJSS scores moderately correlated with intent to stay at 1 year and strongly correlated with intent to stay at 3 years.

IMPLICATIONS FOR PRACTICE

The results of this project support the positive impact of a formalized mentoring program on job satisfaction for new graduate nurse practitioners. Recognizing the challenge to recruit and retain NNPs, organizations should explore creative solutions to develop and support formalized mentoring programs.

IMPLICATIONS FOR RESEARCH

Further research is warranted to validate use of the NANNP tool kit in the establishment and evaluation of a formalized mentoring program.Video abstract available at:https://journals.lww.com/advancesinneonatalcare/Pages/videogallery.aspx .

摘要

背景

2017 年,新生儿护士从业者协会(NANNP)建议各组织为新生儿护士从业者(NNP)实施规范化的指导计划。有大量证据表明指导对护士从业者的工作满意度和保留率有积极影响。然而,针对 NNP 指导的循证文献却很少。

目的

确定参与 NANNP 规范化指导计划对田纳西州一家学术医疗中心的新手和经验丰富的 NNP 的工作满意度和保留率的影响。

方法

本质量改进项目使用了一个安全的在线调查,在实施为期 6 个月的指导计划之前,包括了米泽尔护士从业者工作满意度量表(MNPJSS)和 2 项留任意向项目。新生儿重症监护病房的护士从业者在计划实施后的 3 个时间间隔内完成了相同的电子调查,以确定指导计划对工作满意度和留任意向的影响。

结果

项目结果表明,使用 NANNP 工具包的 6 个月规范化指导计划参与者的 MNPJSS 评分有显著差异。MNPJSS 评分与 1 年留任意向中度相关,与 3 年留任意向高度相关。

实践意义

该项目的结果支持规范化指导计划对新毕业护士从业者工作满意度的积极影响。鉴于招聘和保留 NNP 的挑战,组织应探索创造性的解决方案,以制定和支持规范化的指导计划。

研究意义

需要进一步的研究来验证使用 NANNP 工具包在建立和评估规范化指导计划中的有效性。视频摘要可在以下网址查看:https://journals.lww.com/advancesinneonatalcare/Pages/videogallery.aspx。

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