新入职硕士学历护士离职意愿的纵向调查及其影响路径分析
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男,硕士,主管护师

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Turnover intention of newly graduated master degree nurses:a longitudinal study and multifactorial path analysis
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    目的 了解新入职硕士学历护士入职不同时间离职意愿的现状及其多因素影响路径。方法 采用便利抽样法,以我国52所医院新入职的500名硕士学历护士为研究对象,分别于入职3个月、6个月、12个月采用一般资料调查表、护士职场适应度量表、护士工作满意度量表、护士组织支持感量表、护士职业获益感量表、离职意愿量表进行3轮调查。结果 464名新入职硕士学历护士完成3轮调查。入职3个月、6个月、12个月硕士学历护士的离职意愿得分分别为(15.10±3.05)、(18.89±3.05)、(16.98±3.08)分。回归分析结果显示,入职不同时间的职场适应度、工作满意度、职业获益感、组织支持感对离职意愿有显著影响(均P<0.05)。组织支持可直接影响离职意愿,职场适应度、职业获益感、护士工作满意度在组织支持与离职意愿间的中介作用占总效应的92.47%。结论 新入职硕士学历护士的离职意愿总体处于较高水平,并随时间变化呈先升后降的动态变化趋势,入职6个月最高;组织支持感、职场适应度、职业获益感、工作满意度对新入职硕士学历护士离职意愿存在直接或间接效应。

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    Objective To describe turnover intention of newly graduated master degree nurses at different time points and to test a multifactorial path model.Methods A convenience sample of 500 newly graduated master degree nurses were selected from 52 hospitals in China.They were asked to complete a battery of questionnaires, including a general data questionnaire, the Nurses′ Workplace Adaptability Scale, the Nurses′ Job Satisfaction Scale, the Survey of Nurse Perceived Organizational Support, the Questionnaire of Nurses′ Perceived Professional Benefits, and the Turnover Intention Scale when they entered nursing workforce at 3, 6,and 12 months.Results A total of 464 nurses completed three rounds of survey.The turnover intention scored (15.10±3.05),(18.89±3.05), and (16.98±3.08) when they entered nursing workforce at 3, 6, and 12 months, respectively.Regression analysis showed that workplace adaptability, job satisfaction, perceived professional benefits, and perceived organizational support at different time points had significant impacts on turnover intention (all P<0.05).Organizational support not only had direct effect on turnover intention, but also had indirect effect mediated by work adaptability, perceived professional benefits, and job satisfaction, with the mediating effect accounting for 92.47% of the total effect.Conclusion Turnover intention of newly graduated master degree nurses is generally at a high level, and shows a trend of first rising and then falling, with a peak at 6 months after employment.Organizational support, workplace adaptability, perceived professional benefits, and job satisfaction have direct or indirect effects on turnover intention of newly graduated master degree nurses.

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杨政宇,肖丽娜,刘佳,杨淑芬,韩珊.新入职硕士学历护士离职意愿的纵向调查及其影响路径分析[J].护理学杂志,2024,39(21):62-67

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  • 收稿日期:2024-05-26
  • 最后修改日期:2024-08-15
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  • 在线发布日期: 2024-11-27