Kim Young-Bum, Lee Seung-Hee
Department of Sociology, Institute of Aging, Hallym University, Chuncheon 24252, Republic of Korea.
Department of Nursing, The University of Ulsan, Ulsan 44610, Republic of Korea.
Healthcare (Basel). 2023 Jun 5;11(11):1653. doi: 10.3390/healthcare11111653.
This study aimed to examine the comprehensive impact of five aspects of the nursing work environment as well as supervisory support, nurse characteristics, and burnout on intent to stay (ITS) among Korean hospital nurses. A cross-sectional questionnaire was distributed in seven general hospitals from May to July of 2019. Data were collected from a sample of 631 Korean nurses. The hypothesized model was evaluated using the STATA program for path models. Findings demonstrated that burnout played a mediating role on the relationships between the nursing work environment, supervisory support, nurse characteristics, and ITS. Burnout was the most influential predictor of ITS ( = -0.36, < 0.001). Nurse participation in hospital affairs ( = 0.10, = 0.044) and collegial nurse-physician relationships ( = 0.08, = 0.038) had a direct effect on ITS. Supervisory support had a significant direct effect on ITS ( = 0.19, < 0.001). Therefore, to increase nurses' ITS, it is necessary to improve their participation in hospital affairs and collegial relationships, as well as strengthen support from supervisors and reduce burnout.
本研究旨在探讨韩国医院护士的护理工作环境的五个方面、监督支持、护士特征和职业倦怠对留任意向（ITS）的综合影响。2019年5月至7月，在七家综合医院发放了横断面调查问卷。数据收集自631名韩国护士的样本。使用STATA程序对路径模型评估假设模型。研究结果表明，职业倦怠在护理工作环境、监督支持、护士特征和留任意向之间的关系中起中介作用。职业倦怠是留任意向最具影响力的预测因素（β = -0.36，p < 0.001）。护士参与医院事务（β = 0.10，p = 0.044）和医护人员之间的同事关系（β = 0.08，p = 0.038）对留任意向有直接影响。监督支持对留任意向有显著直接影响（β = 0.19，p < 0.001）。因此，为了提高护士的留任意向，有必要提高他们对医院事务的参与度和同事关系，加强上级的支持并减少职业倦怠。
