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burnout 及其各维度对护士离职意愿的影响:一项荟萃分析研究。

The effect of burnout and its dimensions on turnover intention among nurses: A meta-analytic review.

机构信息

International Trade and Finance, Faculty of Economics, Administrative and Social Sciences, Istanbul Gedik University, Istanbul, Turkey.

出版信息

J Nurs Manag. 2022 Apr;30(3):660-669. doi: 10.1111/jonm.13525. Epub 2022 Feb 22.

Abstract

AIM

The objective of this study is elaborating on the relationship between burnout and turnover intention.

BACKGROUND

Burnout and its dimensions have a significant effect on turnover intention.

EVALUATION

Meta-analysis technique is used. Forty-four studies were brought together to form four data sets. These data sets were heterogeneous, and they did not include publication bias. The effect sizes of burnout, emotional exhaustion, depersonalization and professional efficacy on turnover intention among nurses were computed.

KEY ISSUES

Random-effects model was used. The groups including two or more studies were added into moderator analysis.

CONCLUSIONS

The effect size of the relationship between professional efficacy and turnover intention was small, and the effect size of the other surveyed reationships was medium among both nurses and other health employees. The moderator analysis results suggested that the effect size of the relationship between professional efficacy and turnover intention among nurses is significantly different from the other health employees. Being a nurse was determined as a significant moderator for the relationship between professional inefficacy and turnover intention, and it weakened this relationship.

IMPLICATIONS FOR NURSING MANAGEMENT

The findings of this study can be used by health managers as burnout and turnover intention are important to determine organizational policies.

摘要

目的

本研究旨在阐述倦怠与离职意向之间的关系。

背景

倦怠及其各维度对离职意向有显著影响。

评估

采用荟萃分析技术。汇集了 44 项研究,形成了四个数据集。这些数据集存在异质性,且不包括发表偏倚。计算了倦怠、情绪耗竭、去人性化和专业效能对护士离职意向的影响大小。

关键问题

使用了随机效应模型。将包含两个或更多研究的组纳入了调节分析。

结论

专业效能与离职意向之间关系的效应量较小,而护士和其他卫生工作者中其他调查关系的效应量为中等。调节分析结果表明,护士中专业效能与离职意向之间关系的效应量与其他卫生工作者显著不同。护士身份是专业效能与离职意向之间关系的一个重要调节因素,它削弱了这种关系。

对护理管理的启示

本研究结果可被卫生管理者用于确定组织政策,因为倦怠和离职意向非常重要。

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