Abhicharttibutra Kulwadee, Wichaikhum Orn-Anong, Nantsupawat Apiradee, Kunaviktikul Wipada, Turale Sue
Faculty Member, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
Assistant to the President, Health Science Academic Affairs, The Panyapiwat Institute of Management, Pak Kret, Thailand.
Int Nurs Rev. 2023 Jun;70(2):229-238. doi: 10.1111/inr.12784. Epub 2022 Jun 28.
In this time of global nursing shortages, investment in nursing is vital, and hospitals need to apply a range of strategies to attract and retain nurses. Rewards are an effective strategy for the retention of nurses and help improve the performance and productivity of hospitals. In rural and remote communities, however, nurses may not have access to the rewards that urban-based nurses have.
To explore the preferred rewards of registered nurses in rural and remote community hospitals in Thailand.
An explanatory mixed-methods design was employed for the overall study, and the results from the qualitative descriptive phase are reported here using the COREQ checklist. We collected data during in-depth interviews with 24 informants from 8 community hospitals. Thematic analysis was used for data analysis.
Four major themes regarding reward types were preferred by the nurses: reasonable pay, good benefits, accessible learning and development, and a favorable work environment.
A package of total rewards that best suit nurses working in rural and remote areas needs to be implemented, for a combination of different types of rewards has a greater impact than a single reward at both individual and organizational levels.
It is crucial to identify those rewards to attract and retain nurses. In Thailand, nursing and health workforce policies need to be based on nurse preferences regarding salary, benefits, and recognition commensurate with other healthcare professionals, including civil servant status, as well as improving the work environment.
在全球护理人才短缺的时代，对护理领域进行投资至关重要，医院需要运用一系列策略来吸引和留住护士。奖励是留住护士的有效策略，有助于提高医院的绩效和生产力。然而，在农村和偏远社区，护士可能无法获得城市护士所享有的奖励。
探讨泰国农村和偏远社区医院注册护士偏好的奖励。
本研究采用解释性混合方法设计，本文使用COREQ清单报告定性描述阶段的结果。我们对来自8家社区医院的24名受访者进行深入访谈时收集了数据。数据分析采用主题分析法。
护士们偏好的奖励类型主要有四个主题：合理的薪酬、良好的福利、可及的学习与发展以及良好的工作环境。
需要实施一套最适合在农村和偏远地区工作的护士的全面奖励方案，因为不同类型奖励的组合在个人和组织层面都比单一奖励有更大的影响。
确定那些吸引和留住护士的奖励至关重要。在泰国，护理和卫生人力政策需要基于护士对薪资、福利以及与其他医疗专业人员相称的认可（包括公务员身份）的偏好，同时改善工作环境。
