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保障护士队伍稳定:护士留职意愿决定因素的系统评价。

Safeguarding the retention of nurses: A systematic review on determinants of nurse's intentions to stay.

机构信息

University of Huddersfield, Huddersfield, UK.

出版信息

Nurs Open. 2023 May;10(5):2842-2858. doi: 10.1002/nop2.1588. Epub 2023 Jan 16.

DOI:10.1002/nop2.1588
PMID:36646646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10077373/
Abstract

AIM

To explore factors that influence registered nurses' intention to stay working in the healthcare sector.

DESIGN

A systematic review and narrative synthesis.

METHODS

CINAHL, Medline and Cochrane library databases were searched from Jan 2010 to Jan 2022 inclusive and research selected using a structured criterion, quality appraisal and data extraction and synthesis were guided by Campbell's Synthesis Without Meta-analysis.

RESULTS

Thirty-four studies identified that nurses stay if they have job satisfaction and/or if they are committed to their organizations. The factors permeating these constructs weigh differently through generations and while not an infallible explanation, demonstrate stark differences in workplace needs by age, which influence the intention to stay, job satisfaction, organizational commitment and ultimately nurse turnover.

PUBLIC CONTRIBUTION

Environmental, relational and individual factors have bearing on improving nurse satisfaction and commitment. Understanding why nurses stay through a generational behavioural and career stage lens can bolster safeguarding nurse retention.

摘要

目的

探讨影响注册护士在医疗保健领域工作意愿的因素。

设计

系统回顾和叙述性综合。

方法

从 2010 年 1 月至 2022 年 1 月,检索 CINAHL、Medline 和 Cochrane 图书馆数据库,并使用结构化标准选择研究,质量评估以及数据提取和综合均由 Campbell 的无荟萃分析综合指南指导。

结果

确定了 34 项研究,如果护士对工作感到满意且/或对组织有承诺,他们就会继续工作。这些结构中渗透的因素因代际而异,虽然不能作为万无一失的解释,但通过年龄展示了工作场所需求的明显差异,这些差异会影响工作意愿、工作满意度、组织承诺,最终影响护士离职率。

公众贡献

环境、关系和个人因素对提高护士满意度和忠诚度有影响。通过代际行为和职业阶段的视角理解护士为何留下,可以更好地保障护士的留用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6031/10077373/2fbc1e5599ac/NOP2-10-2842-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6031/10077373/2fbc1e5599ac/NOP2-10-2842-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6031/10077373/2fbc1e5599ac/NOP2-10-2842-g001.jpg

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本文引用的文献

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Factors influencing intention to stay of male nurses: A descriptive predictive study.影响男护士留任意向的因素:一项描述性预测研究。
Nurs Health Sci. 2022 Mar;24(1):322-329. doi: 10.1111/nhs.12928. Epub 2022 Feb 21.
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Professional characteristics and work attitudes of hospital nurses who leave compared with those who stay.离职与留职医院护士的职业特征和工作态度比较。
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I want to stay and excel: a field theory perspective on the career development of male nurses.我想要留下来并追求卓越:从场域理论视角看男护士的职业发展
BMC Nurs. 2025 Jul 28;24(1):981. doi: 10.1186/s12912-025-03631-7.
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