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护士离职与留职感知的探索性研究。

An explorative study of nurses' perception of turnover and retention.

机构信息

Department of Hospital Management, Bornholm Hospital.

Department of Anaesthesia and Intensive Care, Copenhagen University Hospital - Bispebjerg and Frederiksberg Hospital.

出版信息

Dan Med J. 2023 Sep 25;70(10):A01230018.

PMID:37897387
Abstract

INTRODUCTION

High nurse turnover at hospitals is a major societal problem. Knowledge of how to decrease the turnover rate is important. The aim of this study was to explore nurses' perception of nurse turnover and retention.

METHODS

An explorative study was designed with table-top simulations involving newly graduated nurses, experienced nurses and nurse supervisors in internal medicine departments. The simulations were audio-recorded and transcribed. The participants took notes, which were transcribed. The citations were sorted into subthemes and themes by use of inductive content analysis.

RESULTS

Fifteen workshops involving a total of 43 nurses were conducted. Four overarching themes were identified: core clinical competence, professionalism, organisation and culture. The new nurses focused on development and evaluation of core clinical competences to be able to provide safe patient care. The experienced nurses favoured influence on own work and a plan for continuous professional development. The importance of a good learning culture and of collegial and social factors was mentioned by both groups of nurses.

CONCLUSIONS

The table-top simulations with newly graduated nurses, senior nurses and nurses responsible for education provided valuable insights into the nurses´ perspectives of determinants of nurse turnover and retention in internal medicine wards.

FUNDING

None.

TRIAL REGISTRATION

Not relevant.

摘要

简介

医院护士高离职率是一个重大的社会问题。了解如何降低离职率很重要。本研究旨在探讨护士对离职和留任的看法。

方法

采用桌面模拟的方法设计了一项探索性研究,参与者包括内科病房的新毕业护士、有经验的护士和护士主管。模拟过程进行了录音和转录。参与者做了笔记,并对其进行了转录。通过归纳内容分析,将引文分类为子主题和主题。

结果

共进行了 15 次研讨会,共有 43 名护士参加。确定了四个总体主题:核心临床能力、专业精神、组织和文化。新护士注重发展和评估核心临床能力,以提供安全的患者护理。有经验的护士则更倾向于对自己的工作产生影响,并制定持续专业发展计划。两组护士都提到了良好的学习文化以及同事关系和社交因素的重要性。

结论

新毕业护士、资深护士和负责教育的护士参与的桌面模拟为内科病房护士离职和留任的决定因素提供了有价值的见解。

经费

无。

试验注册

不相关。

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