Robinson Jane, Engward Hilary, Godier-McBard Lauren, Jones Kerry
Clinical Improvement Project Lead - Nursing, Patient Safety and Innovation Team, Nursing Directorate, NHS England, London, UK.
Lecturer, Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Chelmsford, UK.
J Res Nurs. 2022 Nov;27(6):545-557. doi: 10.1177/17449871211058853. Epub 2022 Jul 20.
Registered nurses are 'critical' to population health, international responses to emergencies, epidemics and disasters. Retention of registered nurses (RNs) is an international nursing priority. In England, RNs are encouraged to be involved in improving healthcare services. This benefits quality of care, operational and financial performance. However, RN involvement in improvement may reduce RN retention. It is important to understand this relationship when developing effective RN retention strategies.
The purpose of this research is to describe possible relationships between RN involvement in improving healthcare services and RN retention, using published 2018 data for National Health Service (NHS) Trusts in England.
The relationship between RN involvement in improving healthcare services and RN retention was explored using a correlational design, involving secondary data from the annual NHS Staff Survey and Model Hospital.
In mental health NHS Trusts in England, a statistically significant, positive correlation of 0.24 was found between RN 'ab(ility) to make suggestions for improvement' and RN retention. In mental health NHS Trusts, a statistically significant correlation of 0.278 was found between RNs 'making improvements happen' and RN retention. In acute NHS Trusts in England, a statistically significant, negative correlation of -0.15 was identified between RNs 'mak(ing) improvements happen' and RN retention.
The findings suggest that RN retention factors in mental health and acute NHS Trusts differ from community and specialist NHS Trusts in England. This is an important consideration for national RN retention programmes as a single approach to RN retention may not be effective across all healthcare settings.
注册护士对人群健康、国际应急响应、流行病和灾害应对“至关重要”。留住注册护士是国际护理工作的重点。在英国，鼓励注册护士参与改善医疗服务。这有利于提高护理质量、运营和财务绩效。然而，注册护士参与改善工作可能会降低其留职率。在制定有效的注册护士留职策略时，了解这种关系很重要。
本研究的目的是利用2018年英国国家医疗服务体系（NHS）信托机构已发表的数据，描述注册护士参与改善医疗服务与留职率之间可能存在的关系。
采用相关设计探讨注册护士参与改善医疗服务与留职率之间的关系，涉及NHS年度员工调查和模范医院的二手数据。
在英国心理健康NHS信托机构中，注册护士“提出改进建议的能力”与留职率之间存在统计学上显著的正相关，相关系数为0.24。在心理健康NHS信托机构中，注册护士“推动改进实现”与留职率之间存在统计学上显著的相关系数为0.278。在英国急性病NHS信托机构中，注册护士“推动改进实现”与留职率之间存在统计学上显著的负相关，相关系数为-0.15。
研究结果表明，英国心理健康和急性病NHS信托机构中的注册护士留职因素与社区和专科NHS信托机构不同。这是国家注册护士留职计划的一个重要考虑因素，因为单一的留职方法可能在所有医疗环境中都无效。
