Xu Jia-Bin, Zheng Qing-Xiang, Jiang Xiu-Min, Zhuo Qing, Nian Jin-Xia, Wang Jie-Ting
Nursing Department, Fujian Maternity and Child Health Hospital College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, No.18 Daoshan Street, Gulou District, Fuzhou City, Fujian Province, China.
Fujian Branch of Shanghai Children's Medical Center, Shanghai Jiaotong University school of Medicine, Fuzhou City, Fujian Province, China.
BMC Nurs. 2023 Oct 6;22(1):364. doi: 10.1186/s12912-023-01518-z.
The high rate of nurses turnover and nursing staff shortage have been an ongoing concern issue and a challenge for global health systems. To explore the turnover intention among operating theatre nurses, and to test the hypothetical model for estimating the effects of stress overload and fatigue between social support, mental health and turnover intention.
a multi-center and cross-sectional online survey.
This study was conducted from October 2020 to March 2021 comprised 1060 operating theatre nurses from 76 Chinese hospitals. The descriptive analysis, independent sample t test and one-way analysis of variance and Spearman correlation analysis were used to explore the relationships among variables by the SPSS software, and stepwise multiple linear regression analysis was utilized to identify influencing factors of turnover intention and its dimensions among operating theatre nurses. A structural equation model was analyzed by the AMOS software.
Social support, mental health, stress overload and fatigue were important predictors of turnover intention among operating theatre nurses. Besides, stress overload positively affected fatigue, mental health and turnover intention; fatigue negatively affected social support, however, fatigue positively affected mental health; social support negatively affected mental health and turnover intention; mental health positively affected turnover intention. Moreover, social support, mental health mediated between stress overload, fatigue and turnover intention among operating theatre nurses.
Social support, mental health mediated between stress overload, fatigue and turnover intention among operating theatre nurses.
护士高离职率和护理人员短缺一直是全球卫生系统持续关注的问题和挑战。旨在探讨手术室护士的离职意愿，并检验用于估计社会支持、心理健康与离职意愿之间压力过载和疲劳影响的假设模型。
一项多中心横断面在线调查。
本研究于2020年10月至2021年3月进行，纳入了来自76家中国医院的1060名手术室护士。采用描述性分析、独立样本t检验、单因素方差分析和Spearman相关性分析，通过SPSS软件探讨变量之间的关系，并采用逐步多元线性回归分析确定手术室护士离职意愿及其维度的影响因素。使用AMOS软件分析结构方程模型。
社会支持、心理健康、压力过载和疲劳是手术室护士离职意愿的重要预测因素。此外，压力过载对疲劳、心理健康和离职意愿有正向影响；疲劳对社会支持有负向影响，然而疲劳对心理健康有正向影响；社会支持对心理健康和离职意愿有负向影响；心理健康对离职意愿有正向影响。此外，社会支持、心理健康在手术室护士的压力过载、疲劳和离职意愿之间起中介作用。
社会支持、心理健康在手术室护士的压力过载、疲劳和离职意愿之间起中介作用。
