Rory Meyers College of Nursing, New York University, New York, NY, USA.
School of Global Public Health, New York University, New York, NY, USA.
Policy Polit Nurs Pract. 2023 Aug;24(3):168-177. doi: 10.1177/15271544231160694. Epub 2023 May 1.
The COVID-19 pandemic has been difficult for registered nurses. Media reports, most of them anecdotal, have reported upticks in nurse resignations, and plans to resign and/or leave nursing due to COVID-19. This article reports findings from an online anonymous 95-item survey completed by about 1,600 nurses from a New York City metropolitan area health system's (HS) four hospitals and ambulatory care centers about their COVID-19 experience in the spring of 2020, their intent to stay at the HS, and their intent to stay working as a nurse. Conducted early in the pandemic, this survey addresses a major gap in the literature, as there was no timely evaluation of nurses' intent to leave during the "Great Attrition" wave or to stay during the "Great Attraction" trend. Among those nurses completing the survey, 85.7% reported that they planned to work as a nurse one year later and 77.9% reported that they planned to work at the HS one year later. Those nurses who obtained a master's or doctoral degree as their first professional degree in nursing, or had a high level of mastery, were less likely to report an intent to stay at the HS. Those with no children, those who thought the HS was more supportive, and those who thought that registered nurse-medical doctor relations were higher were more likely to intend to stay at the HS. Those nurses who reported worse communication with their nurse manager were less likely to report an intent to stay in nursing. Those who reported lower stress, who were unmarried and had no children were more likely to intend to work as nurses. Our findings on nurses' intent to leave their organization and their intent to leave nursing are much lower than reports in the popular press. Our data were collected early in the pandemic and it may not reflect the accumulated stress nurses experienced from witnessing the death of so many patients.
新冠疫情给注册护士带来了重重困难。媒体报道（其中大多数为轶闻趣事）称，护士辞职人数有所增加，并且由于新冠疫情，许多护士计划辞职和/或离开护理行业。本文报告了一项在线匿名调查的结果，该调查共收到来自纽约市大都市区卫生系统（HS）的四家医院和门诊中心的约 1600 名护士填写的 95 项内容的反馈，内容涉及他们在 2020 年春季的新冠疫情经历、留在该 HS 的意愿，以及继续从事护士工作的意愿。这项调查是在大流行早期进行的，填补了文献中的一个主要空白，因为在“大离职”浪潮期间或在“大吸引力”趋势期间，没有及时评估护士离职的意愿。在完成调查的护士中，85.7%的人表示计划在一年后继续从事护士工作，77.9%的人表示计划在一年后留在该 HS 工作。那些获得护理学硕士或博士学位作为其第一个护理专业学位的护士，或对护理有较高掌握程度的护士，报告打算留在 HS 的意愿较低。没有孩子的护士、认为 HS 更有支持力的护士、认为注册护士与医生关系更高的护士，更有可能打算留在 HS。那些报告与护士长沟通较差的护士，报告打算留在护理行业的意愿较低。那些报告压力较小、未婚且没有孩子的护士，更有可能打算继续从事护士工作。与大众媒体的报道相比，我们关于护士离开组织和离开护理行业的意愿的调查结果要低得多。我们的数据是在大流行早期收集的，可能无法反映护士因目睹如此多患者死亡而积累的压力。
