执业护士的种族和民族与基层医疗实践中离职意愿之间的关联。
The association between nurse practitioner race and ethnicity and intent to leave in primary care practices.
作者信息
Schlak Amelia E, Liu Jianfang, Dixon Justinna, Poghosyan Lusine, Lelutiu-Weinberger Corina, Cato Kenrick
机构信息
Department of Veteran Affairs, Washington, DC.
School of Nursing, Columbia University, New York, NY.
出版信息
Nurs Outlook. 2024 Nov-Dec;72(6):102289. doi: 10.1016/j.outlook.2024.102289. Epub 2024 Oct 10.
BACKGROUND
Retaining nurse practitioners (NPs) from diverse racial and ethnic groups is critical to achieving health equity as NPs disproportionately care for minoritized populations. Yet, little is known about intent to leave (ITL) among these NPs.
PURPOSE
To examine whether NP race and ethnicity were associated with ITL and if this relationship was affected by the work environment.
METHODS
Survey data from 1,232 NPs across six states were used. NPs completed measures of their ITL, work environment quality, and demographics. Regression models were used to determine if NP race and ethnicity resulted in differential reports of ITL.
FINDINGS
Minoritized NPs had significantly higher cumulative odds of ITL compared with White NPs.
DISCUSSION
Minoritized NPs had higher ITL, and the work environment did not demonstrate a protective effect against ITL. Future research should identify work environment features that may help retain a diverse NP workforce.
背景
留住来自不同种族和族裔群体的执业护士对于实现健康公平至关重要，因为执业护士不成比例地照顾少数族裔人群。然而，对于这些执业护士的离职意向知之甚少。
目的
研究执业护士的种族和族裔是否与离职意向相关，以及这种关系是否受到工作环境的影响。
方法
使用来自六个州的1232名执业护士的调查数据。执业护士完成了他们的离职意向、工作环境质量和人口统计学指标的测量。回归模型用于确定执业护士的种族和族裔是否导致离职意向的不同报告。
结果
与白人执业护士相比，少数族裔执业护士的累计离职几率显著更高。
讨论
少数族裔执业护士的离职意向更高，并且工作环境并未对离职意向起到保护作用。未来的研究应该确定可能有助于留住多样化执业护士队伍的工作环境特征。
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