山西省某“三甲”综合医院基于磁性医院理念下护士留职现状及影响因素调查
An investigation into the present status and influencing factors of nurse retention in grade-a tertiary general hospitals in Shanxi Province within the framework of the magnet hospital concept.
机构信息
Department of Infection, Tongji Shanxi Hospital, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, 030032, Taiyuan, China.
Department of Nursing, Tongji Shanxi Hospital, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, No.99 of Longcheng Street, Xiaodian District, 030032, Taiyuan, China.
出版信息
BMC Health Serv Res. 2024 Apr 10;24(1):452. doi: 10.1186/s12913-024-10945-w.
BACKGROUND
The attrition of nursing staff significantly contributes to the shortage of healthcare professionals. This study entailed an examination of the propensity of nurses to sustain employment within Grade-A tertiary general hospitals and the various influencing factors.
METHODS
A total of 2,457 nurses from three grade-A tertiary general hospitals were surveyed. The survey instruments included a general information questionnaire, a scale measuring their willingness to continue working, and a Chinese version of the Magnet Hospital Factor scale.
RESULTS
The scores of the willingness to continue working scale and the Magnet Hospital Factor scale were 21.53 ± 4.52 and 145.46 ± 25.82, respectively. There were statistically significant differences in the scores of willingness of nurses to continue working across various factors, including the department, age, marital status, family location, length of service as nurses, professional title, position, and employment type, upon comparison (P < 0.001). The correlation analysis showed that there was a positive correlation between the willingness of nurses to continue working and the magnet hospital factors, with a correlation coefficient of 0.523 (P < 0.01). Regression analysis showed that department, length of service as nurses, professional title, position, average monthly income, number of night shifts, medical care relationship, educational support, and nursing manager support among the magnet hospital factors were important predictors of willingness to continue working (P < 0.001).
CONCLUSION
The willingness of nurses to continue working in grade-A tertiary general hospitals in Shanxi Province was determined to be at an upper-middle level. The magnet status of grade-A tertiary general hospitals needs to be improved, and there are many factors that influenced willingness of nurses to continue working. To cultivate a more favorable environment and bolster nurse recruitment and retention, all healthcare institutions should strive to establish a magnet nursing environment, thereby fostering the robust development of the nursing team.
背景
护理人员的离职率显著导致医疗保健专业人员短缺。本研究旨在考察护士在三甲综合医院工作的意愿及其影响因素。
方法
采用问卷调查法，对三家三甲综合医院的 2457 名护士进行调查。调查工具包括一般资料问卷、工作意愿量表和中文版磁性医院因素量表。
结果
护士工作意愿量表和磁性医院因素量表得分为 21.53±4.52 分、145.46±25.82 分。不同科室、年龄、婚姻状况、家庭所在地、护龄、职称、岗位、聘用类型的护士工作意愿得分比较，差异均有统计学意义（P<0.001）。相关性分析显示，护士工作意愿与磁性医院因素呈正相关，相关系数为 0.523（P<0.01）。回归分析显示，科室、护龄、职称、岗位、月均收入、夜班数、医护关系、教育支持、护理管理者支持是护士工作意愿的重要预测因素（P<0.001）。
结论
山西省三甲综合医院护士工作意愿处于中上水平。三甲综合医院的磁性有待提高，护士工作意愿受多种因素影响。为营造更有利的环境，加强护士队伍的招聘和留用，各医疗机构应努力建立磁性护理环境，促进护理队伍的蓬勃发展。
Zotero 插件