College of Nursing, Graduate Program in System Health Science and Engineering, Ewha Womans University, Seoul, Republic of Korea.
Int J Public Health. 2024 Apr 30;69:1607068. doi: 10.3389/ijph.2024.1607068. eCollection 2024.
This study examined the impact of nurse staffing, working hours, mandatory overtime, and turnover on nurse outcomes in acute care hospitals. Previous studies have focused on the single characteristics of sub-optimal nurse staffing but have not considered them comprehensively. Data were collected in July-September 2022 using convenience sampling and an online survey ( = 397). For the analysis, 264 nurses working as staff nurses at 28 hospitals met the inclusion criteria. Univariate analysis and multivariable generalized estimating equation (GEE) were performed. Both nurse staffing (β = -0.036, standard error [SE] = 0.011) and turnover (β = -0.006, SE = 0.003) were significant factors affecting job satisfaction. In the multivariable GEE, only mandatory overtime (β = 0.395, SE = 0.116) was significantly related to intent to leave. Nurse staffing, work hours, mandatory overtime, and turnover were not significantly related to burnout. Subjective health status and workload were significantly associated with burnout. Nurse staffing policies and improvement programs in hospitals should be implemented to improve nurses' job satisfaction. Labor policy should ban mandatory overtime.
本研究考察了护士人员配备、工作时间、强制性加班和离职对急症护理医院护士结果的影响。先前的研究集中在次优护士人员配备的单一特征上，但没有全面考虑这些特征。数据于 2022 年 7 月至 9 月通过便利抽样和在线调查收集（n=397）。在分析中，28 家医院的 264 名担任护士的护士符合纳入标准。进行了单变量分析和多变量广义估计方程（GEE）分析。护士人员配备（β=-0.036，标准误[SE]=0.011）和离职（β=-0.006，SE=0.003）都是影响工作满意度的显著因素。在多变量 GEE 中，只有强制性加班（β=0.395，SE=0.116）与离职意向显著相关。护士人员配备、工作时间、强制性加班和离职与倦怠感无显著关系。主观健康状况和工作量与倦怠感显著相关。医院应实施护士人员配备政策和改善计划，以提高护士的工作满意度。劳动政策应禁止强制性加班。
