Karjalainen Kirsi, Makkonen Marjo, Kuha Suvi, Kanste Outi
Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland.
The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence, Adelaide, South Australia, Australia.
J Adv Nurs. 2025 Apr;81(4):1734-1754. doi: 10.1111/jan.16634. Epub 2024 Nov 25.
To identify and integrate the best evidence on nurses' perceptions of organisational attractiveness and related factors in health care.
A mixed methods systematic review.
The review followed the Joanna Briggs Institute Mixed Methods Systematic Review methodology and a convergent segregated approach which involved separate qualitative and quantitative syntheses followed by integration in a narrative form.
A systematic search was conducted in August 2023 with no time or geographical limits in CINAHL, PubMed, Finnish database Medic, Scopus, ProQuest, Web of Science, MedNar and EBSCO databases. Studies published in English, Finnish and Swedish were included.
Eleven studies (three qualitative, eight quantitative) were identified and studied further. The results indicated that key themes of organisational attractiveness in health care were the dimensions of patient and professional work well-being, opportunities for professional growth and the responsibilities of the organisation.
Patient and work well-being for nurses have a considerable effect on organisational attractiveness. Organisations play a notable role in enabling nurses' professional growth. Responsibilities of the organisation extend to higher political decision-making as well as to managers of the healthcare organisations. Organisational attractiveness covers the entire organisation, its patients, professionals and managers. Enhancing multi-professional cooperation, implementing effective management practices and branding of the organisation can contribute to increased organisational attractiveness.
Organisations should consider nurses' wishes, develop strategies to improve competencies, leverage social media to develop their brand, extend the orientation to all levels of the organisation and increase interdepartmental and external collaboration. Future research on organisational attractiveness is necessary in health care and the views of healthcare professionals on a wider scale.
The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used when reporting the results.
There was no patient or public contribution.
The protocol was registered in the PROSPERO database of the National Institute of Health Research (CRD42023451680).
识别并整合关于护士对医疗保健机构吸引力及相关因素认知的最佳证据。
混合方法系统评价。
本评价遵循乔安娜·布里格斯研究所混合方法系统评价方法及收敛性分离法，即先分别进行定性和定量综合分析，然后以叙述形式进行整合。
2023年8月进行了系统检索，在CINAHL、PubMed、芬兰数据库Medic、Scopus、ProQuest、Web of Science、MedNar和EBSCO数据库中无时间或地域限制。纳入以英文、芬兰文和瑞典文发表的研究。
共识别并进一步研究了11项研究（3项定性研究，8项定量研究）。结果表明，医疗保健机构吸引力的关键主题包括患者和专业人员工作幸福感维度、专业成长机会以及机构的责任。
护士的患者和工作幸福感对机构吸引力有相当大的影响。机构在促进护士专业成长方面发挥着显著作用。机构的责任延伸至更高层面的政治决策以及医疗保健机构的管理者。机构吸引力涵盖整个机构、其患者、专业人员和管理者。加强多专业合作、实施有效的管理实践以及机构品牌建设有助于提高机构吸引力。
机构应考虑护士的意愿，制定提高能力的策略，利用社交媒体打造品牌，将入职培训扩展至机构各级人员，并加强部门间及外部合作。未来有必要对医疗保健机构吸引力进行更多研究，并更广泛地了解医疗保健专业人员的观点。
报告结果时采用系统评价和Meta分析的首选报告项目指南。
无患者或公众参与。
该方案已在英国国家卫生研究院的PROSPERO数据库中注册（CRD42023451680）。
