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当领导力将护士逼走:关于高离职率原因的实证定性研究

When Leadership Drives Nurses Away: Empirical Research Qualitative on High Turnover Rates Reasons.

作者信息

Al-Rjoub Saleem

机构信息

Faculty of Nursing, Department of the Community and Mental Health Nursing, The Hashemite University, Zarqa, Jordan.

出版信息

Nurs Open. 2025 Jul;12(7):e70271. doi: 10.1002/nop2.70271.

DOI:10.1002/nop2.70271
PMID:40625280
Abstract

AIM

This study aimed to investigate the reasons that affect nurses' decisions to leave their setting. Nurse turnover impacts organisational costs, organisational stability, and quality of care. The role of nurse leaders' practices in nurse turnover remains underexplored.

DESIGN

Descriptive phenomenological design was used in the current study.

METHOD

Giorgi's phenomenological method was used to explore the staff nurses' lived experiences and perceptions of turnover. The data was collected from semi-structured interviews with nurses who had left their current positions, moved to another organisation, changed professions, or retired.

RESULTS

Five themes emerged from the analysis: (1) poor communication, (2) a lack of leader support, (3) workloads and staffing issues, (4) a lack of professional development opportunities, and (5) inconsistent policies and leadership.

CONCLUSION

Nurse leaders and administration play a critical role in driving nurses to stay or to leave the healthcare organisation by providing different and important practices and behaviours. Reducing the nursing turnover rate can create a more stable environment and enhance nurse satisfaction, which leads to better patient care.

IMPLICATIONS FOR NURSING ADMINISTRATION

Nursing administration must create supportive workplace environments by enhancing leadership practices to reduce the nursing turnover rates, especially among new graduate nurses.

IMPACT

The current study addresses the nurse turnover issue, with a particular focus on the role of nurse leaders' practices in nurse turnover. High nursing turnover rates impact organisational costs, organisational stability, and quality of care. This study will have a significant impact on nursing leadership, healthcare administration and policymakers.

PATIENT OR PUBLIC CONTRIBUTION

No Patient or Public Contribution.

摘要

目的

本研究旨在调查影响护士离职决定的原因。护士流失会影响组织成本、组织稳定性和护理质量。护士长的管理行为在护士流失中所起的作用仍未得到充分探讨。

设计

本研究采用描述性现象学设计。

方法

采用 Giorgi 的现象学方法来探究注册护士对离职的实际体验和看法。数据收集自对已离职、转至另一机构、更换职业或退休护士的半结构化访谈。

结果

分析得出五个主题:(1)沟通不畅;(2)缺乏领导支持;(3)工作量和人员配备问题;(4)缺乏专业发展机会;(5)政策与领导不一致。

结论

护士长和管理层通过提供不同且重要的管理行为,在促使护士留在或离开医疗机构方面起着关键作用。降低护士流失率可营造更稳定的环境,提高护士满意度,进而提升患者护理质量。

对护理管理的启示

护理管理必须通过加强管理行为来营造支持性的工作环境,以降低护士流失率,尤其是新毕业护士的流失率。

影响

本研究探讨了护士流失问题,特别关注护士长的管理行为在护士流失中所起的作用。高护士流失率会影响组织成本、组织稳定性和护理质量。本研究将对护理领导、医疗管理和政策制定者产生重大影响。

患者或公众贡献

无患者或公众参与。

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本文引用的文献

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Int J Nurs Stud Adv. 2024 Jun 5;7:100214. doi: 10.1016/j.ijnsa.2024.100214. eCollection 2024 Dec.
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Workload, nurse turnover, and patient mortality: Test of a hospital-level moderated mediation model.工作量、护士离职率与患者死亡率:医院层面调节中介模型的检验。
Health Care Manage Rev. 2024;49(1):23-34. doi: 10.1097/HMR.0000000000000390.
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Turnover intention and its associated factors among nurses: a multi-center cross-sectional study.
护士离职意愿及其相关因素:一项多中心横断面研究。
Front Public Health. 2023 Jun 15;11:1141441. doi: 10.3389/fpubh.2023.1141441. eCollection 2023.
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Relationships between nursing leadership and organizational, staff and patient outcomes: A systematic review of reviews.护理领导力与组织、员工和患者结局之间的关系:系统评价综述。
Nurs Open. 2023 Sep;10(9):5920-5936. doi: 10.1002/nop2.1876. Epub 2023 Jun 12.
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High-impact communication in nursing leadership: An exploratory study.护理领导力中的高影响力沟通:一项探索性研究。
Nurs Manage. 2023 May 1;54(5):14-25. doi: 10.1097/nmg.0000000000000001.
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The newly-licensed registered nurse workforce: Looking back to move forward.新获得执照的注册护士队伍:回顾过去,展望未来。
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Impact of the COVID-19 pandemic on staff turnover at long-term care facilities: a qualitative study.COVID-19 大流行对长期护理机构员工离职的影响:一项定性研究。
BMJ Open. 2022 Dec 15;12(12):e065123. doi: 10.1136/bmjopen-2022-065123.
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[Effects of Leadership Styles of Nursing Managers on Turnover Intention of Hospital Nurses: A Systematic Review and Meta-Analysis].[护理管理者领导风格对医院护士离职意愿的影响:系统评价与Meta分析]
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