Nabi Foodani Mahdi, Abbasi Dolatabadi Zahra, Goudarzian Amir Hossein, Mosazadeh Hasan, Poortaghi Sarieh
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Department of Psychiatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
SAGE Open Nurs. 2024 Nov 22;10:23779608241299291. doi: 10.1177/23779608241299291. eCollection 2024 Jan-Dec.
This study explores the factors leading to decreased professional commitment among nurses and proposes actionable solutions to mitigate the challenges posed by this phenomenon in nursing.
This research was conducted by employing the scoping review methodology. To this end, the relevant studies were obtained by two researchers independently searching over Scopus, Medline (via PubMed), Proquest, SID, Magiran, and Web of Science databases. The extracted data from the primary studies were organized into a table, including author names, publication year, study population, study objectives, study methodology, and key findings.
Based on the primary research question, seven main themes contributing to the decline in professional commitment to nursing were determined as follows: professional and organizational challenges, human relations, personal wellbeing and coping, work-life balance and success, organizational culture, the nature of the nursing profession and beliefs, human emotions, values, and ethics. Also, the secondary question of the research was responded to by identifying four main themes: (1) empowering nurses, (2) nursing leadership and support, (3) safety concerns and interactions with patients, and (4) welfare facilities.
The findings of this study highlight the necessity of implementing nurse empowerment programs and providing financial and moral support from the organization and nursing leaders to enhance professional commitment to nursing.
本研究探讨导致护士职业承诺下降的因素，并提出可行的解决方案，以缓解这一现象给护理工作带来的挑战。
本研究采用范围综述方法进行。为此，两名研究人员通过独立检索Scopus、Medline（通过PubMed）、Proquest、SID、Magiran和Web of Science数据库获取相关研究。从原始研究中提取的数据被整理成表格，包括作者姓名、出版年份、研究人群、研究目的、研究方法和主要发现。
基于主要研究问题，确定了导致护士职业承诺下降的七个主要主题，如下所示：专业和组织挑战、人际关系、个人幸福与应对、工作与生活平衡及成就、组织文化、护理职业的性质与信念、人类情感、价值观和伦理。此外，通过确定四个主要主题回答了研究的次要问题：（1）赋予护士权力；（2）护理领导与支持；（3）安全问题及与患者的互动；（4）福利设施。
本研究结果强调了实施护士赋权计划以及组织和护理领导者提供经济和精神支持以增强护士职业承诺的必要性。
