Karlsson Elin, Karlsson Nadine, Fernemark Hanna, Seing Ida, Skagerström Janna, Brulin Emma, Nilsen Per
Department of Health, Medicine and Caring Sciences Division of Health and Society Linköping University, Linkoping SE-581 83, Sweden.
Primary Healthcare Centre, Lambohov, Linkoping, Sweden.
J Nurs Manag. 2024 Sep 30;2024:2786600. doi: 10.1155/2024/2786600. eCollection 2024.
Nursing staff turnover is an increasing problem for healthcare globally. In Sweden, the shortage of nurses in primary healthcare has increased significantly in recent years. This development is alarming because primary healthcare, both in Sweden and internationally, is responsible for a large part of healthcare. The aim of this study was to explore working conditions (change fatigue, leadership climate, and social support from colleagues) and characteristics of primary care nurses who are discontent with their current job, i.e., those with high turnover intentions and poor job satisfaction in Sweden. This was a cross-sectional survey of 466 registered nurses working in Swedish primary healthcare. Data were analyzed using descriptive statistics and logistic regression. The results demonstrate that 21.1% of the responding nurses are discontent with their current job and have considered quitting. Being discontent had significant associations with poor leadership climate ( < 0.001), lack of social support from colleagues ( < 0.001), change fatigue ( < 0.001), poor health ( < 0.001), and working more than 40 h per week (=0.02). The results have implications for how healthcare organizations structure the work of nurses in primary healthcare and how they can attract and retain future staff to these workplaces.
护理人员流失是全球医疗保健领域日益严重的问题。在瑞典，近年来初级医疗保健领域的护士短缺问题显著加剧。这一发展令人担忧，因为无论是在瑞典还是在国际上，初级医疗保健都承担着很大一部分医疗保健责任。本研究的目的是探讨工作条件（变革疲劳、领导氛围以及同事的社会支持）以及瑞典对当前工作不满的初级护理人员的特征，即那些离职意愿高且工作满意度低的人员。这是一项对466名在瑞典初级医疗保健机构工作的注册护士进行的横断面调查。数据采用描述性统计和逻辑回归进行分析。结果表明，21.1%的受访护士对当前工作不满并考虑辞职。工作不满与不良领导氛围（<0.001）、缺乏同事的社会支持（<0.001）、变革疲劳（<0.001）、健康状况不佳（<0.001）以及每周工作超过40小时（=0.02）存在显著关联。这些结果对于医疗保健组织如何构建初级医疗保健中护士的工作，以及如何吸引和留住未来员工到这些工作场所具有启示意义。
