Eriksson Andrea, Vulkan Patrik, Dellve Lotta
Division of Ergonomics, Department of Biomedical Engineering and Health Systems, Royal Institute of Technology KTH, Huddinge, Sweden.
Department of Sociology and Work Science, University of Gothenburg, Gothenburg, Sweden.
J Multidiscip Healthc. 2022 May 25;15:1213-1224. doi: 10.2147/JMDH.S363390. eCollection 2022.
The aim of this study was to analyze how critical factors at different levels in a health-care system interact and impact nurses' intention to leave and decision to quit their job at a hospital unit.
A case study of assistant and registered nurses' intentions to leave as well as staff turnover at a smaller Swedish public hospital was performed. Employee surveys and interviews with assistant and registered nurses who had quit their job at four units in the hospital during the period 2012-2019 were performed. Critical factors regarding nurses' intention to leave and staff turnover are analyzed by combining narrative methods with a critical incidence technique.
Three main themes emerge from the analysis of factors contributing to the decision to quit, namely and .
Decision-makers, including hospital management, need to consider how supportive factors in nurses' closest work environment that promote staff retention may be impacted by decisions at higher levels, such as health-care reorganizations and stricter governance. In this context, upper management adopting a servant leadership approach might contribute to employees to a greater extent feeling valued and being listened to. Finally, the results indicate that individual nurses' recovery, ability to work and ability to coordinate their personal life with their work life need to be supported by policies and decisions at higher levels in order to retain nurses in intensive and emergency health-care settings.
本研究旨在分析医疗保健系统中不同层面的关键因素如何相互作用，并影响护士离职意愿以及决定辞去医院某科室工作的情况。
对瑞典一家规模较小的公立医院助理护士和注册护士的离职意愿以及员工流动情况进行了一项案例研究。对2012年至2019年期间在该医院四个科室辞职的助理护士和注册护士进行了员工调查和访谈。通过将叙述方法与关键事件技术相结合，分析了与护士离职意愿和员工流动相关的关键因素。
在对导致辞职决定的因素分析中出现了三个主要主题，即……和……
包括医院管理层在内的决策者需要考虑护士最直接工作环境中的支持性因素（这些因素有助于留住员工）是如何受到更高层面决策（如医疗保健重组和更严格的管理）影响的。在这种情况下，高层管理人员采用仆人式领导方式可能会在更大程度上让员工感到被重视和被倾听。最后，结果表明，为了在重症和急诊医疗环境中留住护士，个别护士的恢复情况、工作能力以及将个人生活与工作生活协调的能力需要得到更高层面政策和决策的支持。
