Department of Nursing, Graduate School, Keimyung University, Daegu, South Korea.
College of Nursing, Keimyung University, Daegu, South Korea.
J Nurs Manag. 2022 Oct;30(7):2915-2926. doi: 10.1111/jonm.13666. Epub 2022 May 23.
To investigate the effects of job embeddedness and nursing working environment on trauma centre nurses' turnover intention.
Trauma centre nurses have higher average turnover intention than hospital nurses. However, factors that increase the turnover intention of trauma centre nurses remain unexplored.
This cross-sectional study was conducted from August to October 2019, with 120 trauma centre nurses working at three trauma centres in B, D and U cities using measures of demographic characteristics, job embeddedness, nursing working environment and turnover intention.
The mean turnover intention score was 3.60/5 points. There were significant correlations among turnover intention and fit, sacrifice, foundation for quality nursing, ability and leadership of nursing managers, cooperation of nurses and doctors, nurse participation in hospital management and sufficient manpower and material support. Turnover intention was predicted by nurse participation in hospital management, gender, clinical experience and fit, which explained 54%.
Factors that influence nurses' turnover intention at trauma centres were gender, clinical experience, job fit and, especially, nurses' participation in hospital management, which had the most effect on the nursing working environment.
To expand participation of trauma centre nurses, hospital management systems and organisational culture need improvement.
调查工作嵌入和护理工作环境对创伤中心护士离职意愿的影响。
创伤中心护士的平均离职意愿高于医院护士。然而，增加创伤中心护士离职意愿的因素仍未得到探索。
本横断面研究于 2019 年 8 月至 10 月在 B、D 和 U 市的 3 家创伤中心进行，采用人口统计学特征、工作嵌入、护理工作环境和离职意愿的测量方法，共调查了 120 名创伤中心护士。
离职意愿平均得分为 3.60/5 分。离职意愿与契合度、牺牲、优质护理基础、护理管理者能力和领导力、护士与医生的合作、护士参与医院管理以及充足的人力和物力支持之间存在显著相关性。离职意愿由护士参与医院管理、性别、临床经验和契合度预测，解释了 54%的变化。
影响创伤中心护士离职意愿的因素有性别、临床经验、工作契合度，尤其是护士参与医院管理，对护理工作环境的影响最大。
为了扩大创伤中心护士的参与度，需要改进医院管理系统和组织文化。
