Füreder Nina, Herber Gabriele, Stadlmayr Elke
Linz Institute for Transformative Change, Johannes Kepler Universität, Linz, Austria.
Juniorprofessur für Europäisches Management, Technische Universität Chemnitz, Germany.
Gesundheitswesen. 2024 Nov;86(11):691-704. doi: 10.1055/a-2389-8453. Epub 2024 Oct 1.
Addressing the global nursing shortage is crucial to both national and international public health efforts. This paper aims to highlight the importance of resilience and its impact on primary care nurses' job satisfaction and intentions to quit, especially in the face of current challenges.
The study utilized a mixed methods design involving nurses in intensive care units of a university hospital in Austria. In the first phase of data collection, qualitative focus group interviews were conducted to gather insights on the current challenges and stressors faced by nursing professionals. Building on relevant literature, a quantitative survey was then administered to all nurses, using scales measuring resilience, intention to quit, and job satisfaction in order to examine the relationships between these variables. In addition, a data structuring of the resilience scale by factors was achieved with the help of confirmatory factor analysis. Subsequently, the correlations of the resilience factors with the other variables were examined by means of an additional correlation, regression and mediation analysis.
The results showed negative correlations with regard to resilience and intention to quit as well as with regard to job satisfaction and intention to quit. In contrast, job satisfaction and resilience correlated significantly positively with each other. The negative correlation between resilience and the intention to quit was confirmed, but only for the factors "goal focus" and "pride and commitment". A closer examination of the two factors and their associated items revealed a connection to both professional identity and organizational identity.
This study provides valuable insights for health care leaders and health care decision makers to effectively lead, develop, and thereby retain primary care nurses. The authors argue that improving resilience and strengthening organizational identity are important influencing factors in increasing job satisfaction and reducing nurses' intention to quit.
应对全球护理人员短缺问题对国家和国际公共卫生努力都至关重要。本文旨在强调复原力的重要性及其对基层护理人员工作满意度和离职意愿的影响，尤其是在面对当前挑战的情况下。
该研究采用混合方法设计，涉及奥地利一家大学医院重症监护病房的护士。在数据收集的第一阶段，进行了定性焦点小组访谈，以收集有关护理专业人员当前面临的挑战和压力源的见解。在相关文献的基础上，随后对所有护士进行了定量调查，使用测量复原力、离职意愿和工作满意度的量表来检验这些变量之间的关系。此外，借助验证性因素分析实现了按因素对复原力量表进行数据结构化。随后，通过额外的相关性、回归和中介分析来检验复原力因素与其他变量的相关性。
结果显示，复原力与离职意愿之间以及工作满意度与离职意愿之间呈负相关。相比之下，工作满意度和复原力之间呈显著正相关。复原力与离职意愿之间的负相关得到了证实，但仅适用于“目标专注”和“自豪与承诺”这两个因素。对这两个因素及其相关项目的进一步检查揭示了与职业认同和组织认同的联系。
本研究为医疗保健领导者和医疗保健决策者有效领导、发展并因此留住基层护理人员提供了有价值的见解。作者认为，提高复原力和加强组织认同是提高工作满意度和降低护士离职意愿的重要影响因素。
