慢性疲劳预测医院护士离职意向。
Chronic Fatigue Predicts Hospital Nurse Turnover Intentions.
机构信息
Author Affiliations : Nursing Research Consultant (Dr Rutledge) and Nurse Researcher (Dr Winokur), St Joseph Hospital, Orange, California; Professor Emeritus (Dr Rutledge), California State University, Fullerton; and Associate Director and Associate Professor (Dr Winokur), California State University, Los Angeles. Ms Douville is an independent researcher and evaluator in Pomona, California.
出版信息
J Nurs Adm. 2022 Apr 1;52(4):241-247. doi: 10.1097/NNA.0000000000001139.
OBJECTIVE
The objective of this study was to determine the impact of workforce engagement factors on hospital nurse turnover intentions.
BACKGROUND
Nurse turnover intentions are impacted by occupational fatigue and burnout, which are differentially impacted by fatigue, meaning and joy in work, and work-related resilience.
METHODS
One hundred fifty-one nurses from a southwestern hospital completed online surveys. Path analyses evaluated relationships among variables.
RESULTS
Chronic occupational fatigue was the only significant predictor of turnover intentions among nurses. Although strongly associated with emotional exhaustion and depersonalization (burnout components), burnout did not predict turnover intention. High levels of chronic fatigue predicted lower meaning and joy in work and lower work-related resilience. Although significantly correlated, meaning and joy in work and resilience did not predict total burnout scores when analyzed in causal models.
CONCLUSIONS
Nurse administrators should focus efforts on factors such as chronic occupational fatigue that are likely to impact nurses' decisions to leave their positions.
目的
本研究旨在确定劳动力参与因素对医院护士离职意向的影响。
背景
护士离职意向受职业疲劳和倦怠的影响，而疲劳、工作中的意义和快乐以及与工作相关的适应力对其有不同的影响。
方法
来自西南某医院的 151 名护士完成了在线调查。路径分析评估了变量之间的关系。
结果
慢性职业疲劳是护士离职意向的唯一显著预测因素。尽管与情绪疲惫和去人性化（倦怠成分）密切相关，但倦怠并未预测离职意向。慢性疲劳水平高预示着工作中的意义和快乐较低，与工作相关的适应力较低。虽然意义和工作中的快乐以及适应力显著相关，但在因果模型中分析时，它们并不能预测总倦怠得分。
结论
护士管理人员应将精力集中在可能影响护士离职决定的因素上，如慢性职业疲劳。
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