工作环境对ICU护士离职意愿的影响研究

[摘要] Abstract：Objective To explore the current status of ICU nurses' turnover intention, and to explore the influencing factors of turnover intention. Methods  The convenient sampling method was used to extract 255 nurses from seven three-level general hospitals’ ICU ward. The questionnaire survey was conducted including general information questionnaire, turnover intention scale and nursing work environment scale. Results  A total of 270 questionnaires were collected and 255 valid questionnaires were collected. The results showed that the total nursing environment of ICU nurses was(88.81 ± 7.88), and the total score was(2.82 ± 0.28). The average score of each dimension in a descending order was health care cooperation, the basis of high-quality care services, nursing manager's ability and leadership, adequate human and material resources, nurses participate in hospital affairs. Univariate analysis showed that age, education, title, job, ICU working life, weekend overtime, monthly income and job satisfaction had influence on turnover intention(P<0.05). There was a negative correlation between overall score of nursing working environment scale and turnover intention(P<0.05orP<0.01). The Multiple linear regression show that age, weekend overtime for 1~3 times, nurses participate in hospital affairs, adequate human and material resources, medical care for the ICU nurses turnover intention of the predictors, which can explain 40.5% variation of the ICU nurses’ willing to leave. Conclusion  Age, weekend overtime 1-3 times, nurses participate in hospital affairs, adequate human and material resources, health care cooperation has a predictive effect on the intention to leave, suggesting that managers should pay attention to the secondary factors, to take measures to reduce ICU nurses'turnover intention.

[学科分类] 护理学

[关键词] ICU;护理工作环境;离职意愿;预测变量