Jiang Nan, Zhou Xuan, Gong Yanhong, Tian Mengge, Wu Yafei, Zhang Jiali, Chen Zhenyuan, Wang Jing, Wu Jianxiong, Yin Xiaoxv, Lv Chuanzhu
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Nurs Crit Care. 2023 Mar;28(2):236-244. doi: 10.1111/nicc.12770. Epub 2022 Apr 5.
Turnover intention among nurses is high, especially in the emergency department. However, factors that are associated with Chinese emergency department nurses' turnover intention have been scarcely studied.
The present study examined relationships between turnover intention and demographic characteristics, job-related factors, depressive symptoms, and organizational commitment among emergency department nurses.
A cross-sectional study of emergency department nurses was conducted in China between July and August 2018. The questionnaire included demographic characteristics (age, gender, level of education, and self-rated health status), job-related factors (qualification title, job seniority, night shifts, and workplace violence), depressive symptoms, organizational commitment, and turnover intention. A hierarchical linear regression model was used to identify factors that are associated with turnover intention among emergency department nurses.
A total of 17 582 emergency department nurses participated in the study. The response rate was 68.9%. The findings indicated that poor self-rated health status (β = 0.25, p < .001), working more than 11 night shifts per month (β = 0.14, p < .01), experiencing workplace violence in the past year (β = 0.08, p < .05), and higher depressive symptom scores (β = 0.07, p < .001) positively correlated with turnover intention. More years of service (β = -0.38, p < .001) and higher organizational commitment scores (β = -0.45, p < .001) negatively correlated with turnover intention.
Health status, job seniority, night shift frequency per month, workplace violence, depressive symptoms, and organizational commitment were significantly associated with emergency department nurses' turnover intention.
To reduce turnover intention in the emergency department nurses, hospital administrators and managers should implement measures to improve their physical and mental health, increase organizational commitment, develop staff acceptable shift schedules, and reduce incidences of workplace violence.
护士的离职意愿较高，尤其是在急诊科。然而，与中国急诊科护士离职意愿相关的因素鲜有研究。
本研究探讨急诊科护士离职意愿与人口统计学特征、工作相关因素、抑郁症状及组织承诺之间的关系。
2018年7月至8月在中国对急诊科护士进行了一项横断面研究。问卷包括人口统计学特征（年龄、性别、教育程度和自评健康状况）、工作相关因素（职称、工作年限、夜班和工作场所暴力）、抑郁症状、组织承诺和离职意愿。采用分层线性回归模型确定与急诊科护士离职意愿相关的因素。
共有17582名急诊科护士参与了本研究。应答率为68.9%。研究结果表明，自评健康状况较差（β = 0.25，p <.001）、每月值夜班超过11次（β = 0.14，p <.01）、过去一年经历过工作场所暴力（β = 0.08，p <.05）以及抑郁症状得分较高（β = 0.07，p <.001）与离职意愿呈正相关。工作年限越长（β = -0.38，p <.001）和组织承诺得分越高（β = -0.45，p <.001）与离职意愿呈负相关。
健康状况、工作年限、每月夜班频率、工作场所暴力、抑郁症状和组织承诺与急诊科护士的离职意愿显著相关。
为降低急诊科护士的离职意愿，医院管理人员应采取措施改善他们的身心健康，增强组织承诺，制定员工可接受的排班表，并减少工作场所暴力事件的发生。
