Faculty of Health Sciences, University of Novo Mesto, Na Loko 2, 8000 Novo Mesto, Slovenia.
Int J Environ Res Public Health. 2023 Aug 20;20(16):6612. doi: 10.3390/ijerph20166612.
Staff turnover in long-term care (LTC) is considered one of the main causes of staff shortages and a key problem for LTC systems in the developed world. Factors affecting staff turnover in LTC facilities are poorly understood due to a fragmented approach. The aim of this study was to use multivariate analysis to identify the factors at the macro-, meso-, and micro-level that influence LTC workers' turnover in Slovenia, a typical Central and Eastern European country. A correlational cross-sectional survey design with a self-reported online questionnaire was used among Slovenian LTC workers ( = 452). The results show that more than half of LTC workers intend to quit their jobs and leave the LTC sector. LTC workers who intend to leave are generally younger, have worked in the LTC sector for a shorter period, are mainly employed in the public sector, especially in nursing homes, and earn less. The connection between the intention to leave and the factors at the macro-, meso-, and micro-level is very high. Over 75% of the variance of intention to leave was explained by the linear influence of sociodemographic characteristics, social recognition, and work environment. Urgent measures for improving the work environment are needed.
长期护理(LTC)中的员工流动被认为是员工短缺的主要原因之一,也是发达国家 LTC 系统的一个关键问题。由于方法分散,人们对影响长期护理设施员工流动的因素了解甚少。本研究旨在使用多元分析来确定影响斯洛文尼亚长期护理工作者流动的宏观、中观和微观层面的因素,斯洛文尼亚是一个典型的中东欧国家。采用自我报告的在线问卷调查对斯洛文尼亚长期护理工作者(n=452)进行了相关性横断面调查设计。结果表明,超过一半的长期护理工作者打算辞职并离开长期护理行业。打算离职的长期护理工作者通常更年轻,在长期护理行业工作的时间较短,主要受雇于公共部门,特别是在养老院,收入较低。离职意向与宏观、中观和微观层面因素之间的联系非常紧密。超过 75%的离职意向方差可以用社会人口特征、社会认可和工作环境的线性影响来解释。需要采取紧急措施改善工作环境。