护理工作环境、组织承诺与护士留职意愿相关性研究  

Investigation of relationships among nurse work environment, organizational commitment and intent to stay

作　　者：王慧[1] 叶志弘[2] 潘红英[3] Wang Hui;Ye Zhihong;Pan Hongying(Department of Urology,Sir Run Run Shaw Hospital,Zhejiang University,School of Medicine,Hangzhou 310006,China;President Office,Sir Run Run Shaw Hospital,Zhejiang University,School of Medicine,Hangzhou 310006,China;Nursing Department,Sir Run Run Shaw Hospital,Zhejiang University,School of Medicine,Hangzhou 310006,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院泌尿外科,杭州310016 [2]浙江大学医学院附属邵逸夫医院院长室,杭州310016 [3]浙江大学医学院附属邵逸夫医院护理部,杭州310016

出　　处：《中华医院管理杂志》2019年第5期420-425,共6页Chinese Journal of Hospital Administration

基　　金：国家自然科学基金(71373232).

摘　　要：目的探讨护理工作环境、组织承诺与留职意愿的关系,为护理管理者提供参考依据*方法采用护理工作环境量表、组织承诺量表及护士留职意愿调查表,对浙江省7所医院1168名注册护士进行问卷调查。以护士留职意愿总分为因变量,以人口统计学因素及护理工作环境量表5个维度和组织承诺5个维度作为自变量进行多元线性回归分析.结果护理工作环境、组织承诺及护士留职意愿得分依次为(2.78±0.39)分、(2.42±0.43)分、(3.30±0.67)分,两两之间分别呈显著正相关。职务、感情承诺、岗位任职、充足的人力和物力、规范承诺、管理者的能力和领导方式、性别、班次、住房情况(租房)、用工性质、学历等是影响护士留职意愿的主要相关因素,可共同解释护士留职意愿40.3%的变异:结论护理工作环境、护士留职意愿处于中等水平,组织承诺处于中等偏下水平。管理者可参考影响护士留职意愿的因子,制定针对性的留职策略,提升护士留职意愿水平。Objective To investigate the status of the nurse work environment,organizational comm it me nt and inte nt to stay,and explore the relationships among them,ultimately provide some references for the managers.Methods 1 168 registered nurses were recruited from seven hospitals in Zhejiang province.They were investigated with Nursing Work Environment Scale,Organizational Commitment Scale and Intent to Stay Scale.Multiple regression analysis utilized the intent to stay of nurses as the dependent variable,and the demographic data,the dimensions of work environment and dimensions of organizational commitment as the independent variables.Results The mean scores of work environment,organizationiil commitment and intent to stay were 2.78 ± 0.39,2.42 ± 0.43,3.30 ± 0.67,respectively.Among nurse work environment,organizational commitment and intent to stay,there was a significant positive correlation between any two of them.Duty,affective commitment,position of work,sufficient manpower and resources,normative commitment,leadership and ability of manager,gender,shift,housing condition ( rent house),employment nature and education are the main factors for the intent to stay,which can explain 40.3% of the variations of nurse retention.Conclusions The results of the study showed that the nurse work environment and intent to work of the 1 168 registered nurses were at a medium level,and the organization^ commitment was at a lower-middle level.Managers can refer to the factors affecting the intent of nurses to stay,develop retention strategies,and in crease their intent to stay.

关 键 词：护理工作 环境 组织承诺 留职意愿 卫生人力 

分 类 号：R47[医药卫生—护理学]