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新毕业护士的护患合作、离职意愿与职业承诺。

Nurse-physician collaboration, intention to leave job, and professional commitment among new graduate nurses.

机构信息

Deparmant of Nursing, Faculty of Health Science, Medipol University, Istanbul, Turkey.

Deparmant of Nursing, Faculty of Health Science, Bahcesehir University, Istanbul, Turkey.

出版信息

Nurs Forum. 2022 Mar;57(2):252-259. doi: 10.1111/nuf.12672. Epub 2021 Nov 23.

Abstract

BACKGROUND

The quality of communication and collaboration with colleagues, managers, and physicians affects the intention to leave a job and the profession for new graduate nurses (NGNs). New graduates have difficulties communicating and collaborating with physicians, especially.

AIM

This study aimed to determine the relationship between the attitudes of nurse-physician collaboration and the levels of intention to leave the current job and professional commitment among NGNs.

METHODOLOGY

This descriptive, cross-sectional study was carried out with 231 NGNs in four private hospitals affiliated with an university. Data were collected by using a self-administered questionnaire, including a personal information form, the Jefferson Scale of Attitudes towards Physician-Nurse Collaboration, Intention to Leave Scale, and Nursing Professional Commitment Scale. Data analysis was performed using descriptive statistics, and Spearman's rank correlation coefficients.

RESULTS

NGNs had a high positive attitude towards nurse-physician collaboration with a median score of 49 (45-54). The professional commitment of NGNs was high level with a median score of 75 (69-86). The intention to leave the current job median score was 3 (2.3-3.6) out of 5. There was a statistically significant correlation between attitudes towards nurse-physician collaboration and the levels of intention to leave the current job (r  = -0.22; p < 0.01) and professional commitment (r  = 0.42; p < 0.01).

CONCLUSION

The results showed that improving NGNs' attitudes towards nurse-physician collaboration increases the professional commitment and reduces turnover intention.

摘要

背景

与同事、管理者和医生的沟通和协作质量会影响新毕业护士(NGN)离职和改行的意愿。新毕业护士尤其难以与医生进行沟通和协作。

目的

本研究旨在确定护士-医生协作态度与 NGN 离职意愿和职业承诺水平之间的关系。

方法

这是一项在四所与大学附属医院的私立医院进行的描述性、横断面研究,共纳入 231 名 NGN。使用自我管理问卷收集数据,包括个人信息表、Jefferson 医生-护士协作态度量表、离职意愿量表和护理专业承诺量表。采用描述性统计和 Spearman 等级相关系数进行数据分析。

结果

NGN 对护士-医生协作的态度呈高度积极,中位数得分为 49(45-54)。NGN 的职业承诺水平较高,中位数得分为 75(69-86)。目前离职意愿的中位数评分为 3(2.3-3.6)。护士-医生协作态度与离职意愿(r=-0.22;p<0.01)和职业承诺(r=0.42;p<0.01)之间存在统计学显著相关性。

结论

结果表明,改善 NGN 对护士-医生协作的态度会提高其职业承诺并降低离职意愿。

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