护理实践环境、工作倦怠与工作满意度对离职意愿的影响途径：一项在台湾进行的横断面研究。
Pathways among the nursing practice environment, job burnout, and job satisfaction to intention to leave: a cross-sectional study conducted in Taiwan.
机构信息
Kaohsiung Medical University, College of Nursing, Kaohsiung, Taiwan.
Yuh-Ing Junior College of Health Care & Management, Department of Nursing, Kaohsiung, Taiwan.
出版信息
Rev Esc Enferm USP. 2024 Oct 11;58:e20240025. doi: 10.1590/1980-220X-REEUSP-2024-0025en. eCollection 2024.
OBJECTIVE
The purpose of this study was to explore the pathways among the practice environment, job burnout, and job satisfaction and their relationships with the intention to leave among clinical nurses.
METHOD
A cross-sectional survey was administered to 310 nursing staff members working in regional teaching hospitals in southern Taiwan. The instruments used included the practice environment, job satisfaction, job burnout, and sociodemographic characteristics questionnaires.
RESULTS
Structural equation modeling indicated that job satisfaction (β = -0.167) and job burnout (β = 0.361) were significantly and directly associated with the intention to leave, whereas the practice environment was significantly and directly associated with job satisfaction (β = 0.447). The practice environment (βindirect = -0.075) and job burnout (βindirect = 0.060) were significantly and indirectly associated with the intention to leave through job satisfaction.
CONCLUSION
Job burnout and job satisfaction are directly associated with the intention to leave. Therefore, improving the practice environment and subsequent job burnout could be strategies to improve job satisfaction and decrease the intention to leave.
目的
本研究旨在探讨临床护士工作环境、职业倦怠与工作满意度之间的关系及其与离职意向的关系。
方法
采用横断面调查方法，对台湾南部地区教学医院的 310 名护理人员进行问卷调查。问卷包括工作环境、工作满意度、职业倦怠和人口统计学特征。
结果
结构方程模型表明，工作满意度（β=-0.167）和职业倦怠（β=0.361）与离职意向显著正相关，而工作环境与工作满意度显著正相关（β=0.447）。工作环境（β间接=-0.075）和职业倦怠（β间接=0.060）通过工作满意度与离职意向显著间接相关。
结论
职业倦怠和工作满意度与离职意向直接相关。因此，改善工作环境和随后的职业倦怠可能是提高工作满意度和降低离职意向的策略。
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