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工作丰富化对护士工作嵌入性及带病出勤的影响。

The influence of job enrichment on job embeddedness and sick presenteeism among nurses.

作者信息

Atalla Amal Diab Ghanem, El-Ashry Ayman Mohamed, Mohamed Samia Mohamed Sobhi

机构信息

Nursing Administration Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.

Psychiatric and Mental Health Nursing, Department of Nursing, College of Applied Medical Sciences, Jouf University, Al Qurayyat, Saudi Arabia.

出版信息

Int Nurs Rev. 2025 Jun;72(2):e13043. doi: 10.1111/inr.13043. Epub 2024 Oct 3.

DOI:10.1111/inr.13043
PMID:39359147
Abstract

AIM

To understand how job enrichment influences job embeddedness and sick presenteeism among nurses.

BACKGROUND

Job satisfaction and retention are critical issues in healthcare, particularly among nurses. Job enrichment has been identified as a potential strategy to enhance job satisfaction and reduce turnover rates. Understanding its impact on job embeddedness and sick presenteeism can inform policies to improve nurse well-being and organizational effectiveness.

METHODS

A cross-sectional descriptive design following STROBE guidelines was used. Data were collected from 360 nurses working in critical care units of a large university hospital. Three scales were used to measure job enrichment, job embeddedness, and sick presenteeism.

RESULTS

Nurses reported high job enrichment and embeddedness levels. However, a significant proportion also exhibited high levels of sick presenteeism. Strong positive correlations existed between job enrichment, job embeddedness, and sick presenteeism. Regression analyses revealed that job enrichment significantly predicted job embeddedness and sick presenteeism.

CONCLUSION

The findings highlight the complex interplay between job characteristics, organizational commitment, and employee health behaviors among nurses. Job enrichment emerged as a critical factor influencing job satisfaction, organizational commitment, and sick presenteeism. The study underscores the need for health policies that promote job enrichment strategies, as they can contribute to nurse retention, reduce sick presenteeism, and enhance productivity in healthcare settings.

IMPLICATIONS FOR NURSING AND HEALTH POLICY

Nurse retention and job satisfaction can be improved by implementing job enrichment practices in healthcare organizations. Policies to reduce sick presenteeism should prioritize creating healthier work environments and promoting employee well-being. Understanding the cost-effectiveness and productivity gains associated with job enrichment can inform workforce planning and staffing policies, ensuring adequate nurse staffing levels and quality patient care.

摘要

目的

了解工作丰富化如何影响护士的工作嵌入度和带病出勤情况。

背景

工作满意度和留任意愿是医疗保健领域的关键问题,在护士群体中尤为如此。工作丰富化已被视为提高工作满意度和降低离职率的一项潜在策略。了解其对工作嵌入度和带病出勤情况的影响可为改善护士福祉和组织效能的政策提供依据。

方法

采用遵循STROBE指南的横断面描述性设计。数据收集自一家大型大学医院重症监护病房的360名护士。使用三个量表来测量工作丰富化、工作嵌入度和带病出勤情况。

结果

护士报告的工作丰富化和嵌入度水平较高。然而,相当一部分护士也表现出较高的带病出勤水平。工作丰富化、工作嵌入度和带病出勤情况之间存在显著的正相关。回归分析表明,工作丰富化能显著预测工作嵌入度和带病出勤情况。

结论

研究结果凸显了护士工作特征、组织承诺和员工健康行为之间的复杂相互作用。工作丰富化是影响工作满意度、组织承诺和带病出勤情况的关键因素。该研究强调了制定促进工作丰富化策略的卫生政策的必要性,因为这些政策有助于留住护士、减少带病出勤,并提高医疗环境中的生产力。

对护理和卫生政策的启示

通过在医疗保健组织中实施工作丰富化措施,可以提高护士的留任意愿和工作满意度。减少带病出勤的政策应优先营造更健康的工作环境并促进员工福祉。了解与工作丰富化相关的成本效益和生产力提升情况可为劳动力规划和人员配备政策提供参考,确保有足够的护士人员配备水平并提供高质量的患者护理。

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