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医疗保健提供者的幸福感指标与其离职意向相关:一项来自加拿大萨斯喀彻温省的横断面研究。

Health Care Providers' Well-being Indicators are Associated With Their Intention to Leave Their Positions: A Cross-Sectional Study From Saskatchewan, Canada.

作者信息

Sheekha Tasbeen Akhtar, Rohatinsky Noelle, Alhassan Jacob Albin Korem, Kendel Dennis, Levandoski Carmen, Dmytrowich Jeff, Lafontaine Tenille, Cardinal Matthew, Peña-Sánchez Juan Nicolás

机构信息

University of Saskatchewan, Saskatoon, SK, Canada.

Health Care Professional Partner, Saskatoon, SK, Canada.

出版信息

Inquiry. 2024 Jan-Dec;61:469580241306548. doi: 10.1177/00469580241306548.

Abstract

This study aimed to measure the intention to leave and well-being indicators (ie, job satisfaction, burnout, moral distress, risk of depression, and resilience) of health care providers (HCPs) in Saskatchewan, Canada and to explore the association between their intention to leave and well-being indicators and other demographic factors, including gender. A cross-sectional study was conducted among registered nurses (RNs), physicians, and respiratory therapists (RTs) in Saskatchewan between December 2021 and April 2022. An online survey inquired about intentions to leave current positions, well-being indicators, and demographics of HCPs. Logistic regression models explored associations between intention to leave current positions and HCPs' well-being indicators. Adjusted odd ratios (AORs) and 95% confidence intervals (95% CI) are reported. In total, 1497 HCPs participated; 38.6% considered leaving their positions. Controlling by gender, age group, children at home, redeployment, burnout, and resilience levels, the odds of considering leaving their positions decreased by 0.55 (95% CI = 0.43-0.70) per unit of increase in job satisfaction. HCPs experiencing high moral distress were more likely to consider leaving their positions (AOR = 3.97, 95% CI = 2.93-5.39). RNs were more likely to consider leaving their positions than physicians (AOR = 1.68, 95% CI = 1.13-2.50). Age interacted with gender, and burnout interacted with children at home. The job satisfaction, distress levels, and RN designation predicted HCPs' intention to leave. We must recognize the dissimilar effect of age on the intention to leave between women and men and the effect of burnout between those with and without children. Strategies to increase retention of HCPs should consider well-being indicators and focus on reducing morally distressing environments and redeployment.

摘要

本研究旨在衡量加拿大萨斯喀彻温省医疗服务提供者(HCPs)的离职意向和幸福感指标(即工作满意度、职业倦怠、道德困扰、抑郁风险和心理韧性),并探讨他们的离职意向与幸福感指标以及包括性别在内的其他人口统计学因素之间的关联。2021年12月至2022年4月期间,在萨斯喀彻温省对注册护士(RNs)、医生和呼吸治疗师(RTs)进行了一项横断面研究。一项在线调查询问了HCPs的离职意向、幸福感指标和人口统计学信息。逻辑回归模型探讨了当前职位离职意向与HCPs幸福感指标之间的关联。报告了调整后的比值比(AORs)和95%置信区间(95%CI)。共有1497名HCPs参与;38.6%的人考虑离职。在控制性别、年龄组、家中子女情况、重新部署、职业倦怠和心理韧性水平后,工作满意度每增加一个单位,考虑离职的几率降低0.55(95%CI = 0.43 - 0.70)。经历高度道德困扰的HCPs更有可能考虑离职(AOR = 3.97,95%CI = 2.93 - 5.39)。RNs比医生更有可能考虑离职(AOR = 1.68,95%CI = 1.13 - 2.50)。年龄与性别相互作用,职业倦怠与家中子女情况相互作用。工作满意度、困扰程度和RN职称可预测HCPs的离职意向。我们必须认识到年龄对男性和女性离职意向的不同影响,以及有子女和无子女者职业倦怠的影响。提高HCPs留用率的策略应考虑幸福感指标,并侧重于减少道德困扰环境和重新部署。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c432/11648054/bdbe96307817/10.1177_00469580241306548-fig1.jpg

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