上海地区男护士离职意愿现状及相关因素分析  

Turnover intention of male nurses in Shanghai and its related factors

作　　者：张蔚青 顾秋莹[1] 赵亚诺 房晨斐 陈裕春 何龑 Zhang Weiqing;Gu Qiuying;Zhao Yanuo;Fang Chenfei;Chen Yuchun;He Yan(Department of Critical Care Medicine,Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200025,China;Operating Room,EYE and ENT Hospital of Fudan University,Shanghai 200031,China;Emergency Department,Huadong Hospital Affiliated to Fudan University,Shanghai 200040,China;Neurology Intensive Care Unit,Huashan Hospital Affiliated to Fudan University,Shanghai 200040,China;Department of Respiratory,Shanghai Pulmonary Hospital,Shanghai 200433,China)

机构地区：[1]上海交通大学医学院附属瑞金医院重症医学科,上海200025 [2]复旦大学附属眼耳鼻喉医院手术室,上海200031 [3]复旦大学附属华东医院急诊科,上海200040 [4]复旦大学附属华山医院NICU,上海200040 [5]上海市肺科医院呼吸内科,200433

出　　处：《中华现代护理杂志》2020年第11期1471-1476,共6页Chinese Journal of Modern Nursing

基　　金：上海卫生健康委员会青年基金科研课题(20164Y0265)。

摘　　要：目的探讨上海地区男护士离职意愿现状及其影响因素。方法于2017年3—8月采用滚雪球抽样的方法,通过互联网问卷发放平台对上海地区各等级医院的349名男护士进行问卷调查,问卷由一般人口学特征、离职意愿量表、职业倦怠量表和组织承诺量表组成。结果上海地区349名男护士离职意愿得分为(15.43±3.48)分,离职意愿处于较高水平以上者有274名,占78.49%。不同职称和不同夜班数男护士的离职意愿得分比较差异均有统计学意义(P<0.05)。多重线性回归分析结果,情感倦怠、情感承诺、理想承诺和经济承诺是男护士离职意愿的重要影响因素,其中情感倦怠是最强预测因子,而情感承诺是最强保护因子。结论男护士的离职意愿较高,除了职称和夜班数以外,职业倦怠和组织承诺是男护士离职意愿的重要影响因素。护理管理者应重视男护士对医院、对职业情感的培养,以期降低男护士离职意愿,稳定男护士护理团队。Objective To explore the current situation of turnover intention of male nurses in Shanghai and its influencing factors.Methods From March 2017 and August 2017,this study selected 349 male nurses at all levels of hospitals in Shanghai by snowball sampling to carry out questionnaire survey through internet questionnaire distribution platform.The questionnaire consisted of the General Demographic Characteristics,Turnover Intention Scale(TIS),Maslach Burnout Inventory General Survey(MBI-GS)and the Organization Commitment Scale.Results Among 349 male nurses in Shanghai,the score of turnover intention was(15.43±3.48),274 of them were with a high level of turnover intention accounting for 78.49%.There were statistical differences in the scores of turnover intention among male nurses with different positional titles and night shifts(P<0.05).Multiple linear regression analysis showed that the important influencing factors of turnover intention of male nurses included the emotional burnout,emotional commitment,ideal commitment and economic commitment,in which the emotional burnout was the strongest predictor and the emotional commitment was the strongest protective factor.Conclusions The turnover intention of male nurses is in the high level.The important influencing factors of turnover intention of male nurses include the job burnout and organizational commitment except for positional titles and night shifts.Nursing managers should pay attention to the cultivation of emotions for hospital and profession among male nurses so as to reduce male nurses'turnover intention and stabilize the male nursing team.

关 键 词：护士 男 离职意愿 职业倦怠 组织承诺 

分 类 号：R47[医药卫生—护理学]