摘要
目的调查ICU护士的护理工作环境现状和离职意愿，分析护理工作环境对护士离职意愿的影响。方法采用护理工作环境量表（PES）和离职意愿量表对某大型三甲医院8个1CU的388名护士进行调查，采用相关分析和多因素回归分析护理工作环境对离职意愿的作用。结果ICU护士感知的护理工作环境总得分为（97．38±13．89）分，其中“高质量护理服务的基础”维度得分最高，“充足的人力和物力”维度得分最低，年龄层次、健康状况、工作年限和ICU工作年限、职称、夜班个数、社会支持情况影响着ICU护士对护理工作环境的感知。ICU护士离职意愿得分为（14．67±3．46）分，71．4％（277／388）的护士有较高的离职意愿。护理工作环境与离职意愿成负相关（r=-0.319，P〈0．01），护理工作环境是离职意愿的影响因素，可解释10．2％的变异。结论护理管理者应进一步改善ICU护士的护理工作环境，特别是人力和物力资源的配置和调整，降低护士离职率。
Objective To investigate the status quo of ICU nurses＇ working environment and its impact on their turnover intention. Methods A total of 388 nurses from 8 different intensive care units in a class m grade A in Siehuan province were surveyed by the general information questionnaire, the practice environment scale of the nursing work index （PES-NWI） and the turnover intention sScale in September 2016. The correlation analysis and multivariate regression analysis were used to explore the effect of nursing work environment on turnover intention. Results The average PES-NWI score was （97.38 ± 13.89）. The domain of ＂nursing foundations for quality of care＂ had the highest score, whereas the score of the ＂staffing and resource adequacy＂ was the lowest. Different age, health condition, working years, ICU working years, working title, the numbers of night shift, and social support might affect the ICU nurses＇ perception of working environment. The average score of turnover intention among the participants was （14.67 ± 3.46）. There was up to 71.4%（277/388）of nurses reported a high intention of turnover. There was a negative correlation between the nurses＇ perception of working environment and their turnover intention （r=-0.319, P 〈 0.01）. Nursing work environment is one of the influencing factors of turnover intention, which can explain 10.2% of the variance. Conclusions Corresponding management strategies such as the modification of human and material resources can be adopted by nursing decision-makers to improve the nursing working environment, thus to minimize the likelihood of nurse turnover.
出处
《中华现代护理杂志》
2017年第15期2010-2014,共5页
Chinese Journal of Modern Nursing
关键词
护士
ICU
工作环境
离职意愿
Nurses
Intensive care unit
Working environment
Turnover intention
