摘要
Objective： The purpose of this paper was to determine the effects of colleague solidarity and affective commit- ment on intent to stay among nurses, and to provide the basis for developing more effective retention strategies. Methods： A cross-sectional survey was carried out and a sample of 346 registered nurses was recruited in convenience sampling method from three tertiary hospitals in Tianjin, China. A self-administrative questionnaire was used in order to collect data. All analyses were performed using SPSS 17.0 software. Results： The mean scores for colleague soli- darity, a_ffective commitment and intent to stay of nurses were 3.61±0.50, 3.26±0.55, and 3.54±0.67, respectively. The nurses＇ colleague solidarity and each dimension, affective commitment and intent to stay showed a positive correlation （r=0.141-0.709, P〈0.01）. Multiple linear regression analysis showed that emotional solidarity, academic solidarity and a_ffective commitment entered intent to stay regression equation （β=0.170-0.437, P〈0.001） and explained 45.3% of the total variation in nurses＇ intent to stay, and emotional solidarity became the strongest predictor （β=0.437, P〈0.001）. Hierarchical regression analysis revealed that affective commitment played a partial moderating role on the relation- ship between colleague solidarity and intent to stay （β=0.174-0.659, P〈0.001）. Conclusion： Hospital administrators and managers should develop effective strategies to enhance colleague solidarity and affective commitment among nurses, which will ultimately increase nurses＇ intent to stay.
目的：探讨同事间团结度、感情承诺对护士留职意愿的影响，为制定护士保留策略提供依据。方法：本研究为横断面调查研究。采用方便抽样法，选取346名天津市3所三级甲等医院在职护士作为研究对象，并使用自陈式问卷进行调查。采用SPSS17．0软件进行数据分析。结果：护士同事问团结度得分为（3．61±0．50），感情承诺得分为（3．26±0．55），留职意愿得分为（3．54±0．67）。护士同事问团结度及各维度、感情承诺、留职意愿问均呈正相关（r=0．141～0．709，均P〈0．01）；多元线性回归分析结果显示情感团结、感情承诺和学术团结进入回归方程（β=0．170～0．437，P〈O．001），共解释留职意愿总变异的45．3％，其中情感团结为主要预测变量（β=0．437，P〈0．001）。分层回归分析结果显示感情承诺在护士问团结度和留职意愿问起部分中介作用（β=0．174～0．659，P〈0．001）。结论：医院和护理管理者应采取有效措施提高护士同事问团结度和感情承诺水平，促进护士留职意愿的增加。
