美国护士工作投入与工作满意度、护理质量、离职意愿的关联性研究  

The associations among nurse work engagement,job satisfaction,quality of care,and intent to leave:A national survey in the United States

作　　者：Holly Wei Leann Horsley Yan Cao Lisa M.Haddad Katherine C.Hall Roslyn Robinson Margaret Powers Debra Gay Anderson 

机构地区：[1]East Tennessee State University College of Nursing,Johnson City,TN,USA [2]Texas A&M University School of Nursing,College Station,TX,USA [3]University of Louisville,Louisville,KY,USA

出　　处：《International Journal of Nursing Sciences》2023年第4期476-484,I0002,I0003,共11页国际护理科学（英文）

基　　金：supported by the CCI Research Foundation[CCI OGMB220365,2022]and East Tennessee State University College of Nursing.

摘　　要：目的员工的工作投入、工作满意度、护理质量和离职意愿是医疗卫生机构绩效的关键指标。本研究旨在调查美国护士工作投入现状及关联因素,分析护士工作投入、工作满意度、感知护理质量和离职意愿之间的关系。方法采用横断面描述性研究设计。2022年3—9月,通过在线方式对美国注册护士进行调查。采用Utrecht工作投入量表(Utrecht Work Engagement Scale)测量护士工作投入状况,收集护士的一般资料,通过问题询问方式调查他们的工作满意度、感知护理质量和离职意愿。结果共有900名护士参与调查。其中,79.2%报告持有专业认证资格,59.4%在工作满意度方面得分较高或非常高,82.2%报告感知护理质量较高或非常高,但有28.4%的人表示在接下来的一年里可能或非常可能离职。护士的工作投入水平受到护士工作满意度、感知护理质量和离职意愿的影响。工作满意度高、感知护理质量高以及离职意愿更低的护士表现出更高水平的工作投入。线性回归分析显示,年龄较大、白种人并获得博士学位的护士与其同行相比,表现出更高水平的工作投入。结论本研究表明,护士的工作投入与其工作满意度、感知护理质量和离职意愿存在关联。护士的工作投入与工作满意度明显关联,护理管理者需要采取积极措施提高护士的工作满意度和留任率。Objectives:Employee work engagement,job satisfaction,quality of care,and intent to leave are critical indicators for healthcare organizational performance.This study aimed to analyze the current state of nurses’work engagement and its factors to examine the associations among nurses’work engagement,job satisfaction,quality of care,and intent to leave in the United States(US).Methods:This is a quantitative descriptive cross-section design.Data were collected online from the US registered nurses from March to September 2022.Measures comprised the Utrecht Work Engagement Scale,the demographics,and questions regarding job satisfaction,perceived quality of care,and intent to leave.Results:Nine hundred nurses participated in the online survey.Among the participants,79.2%reported holding a specialty certification,59.4%scored high/very high on job satisfaction,82.2%expressed high/very high on the perceived quality of nursing care,and 28.4%conveyed likely/very likely to leave in the following year.Nurses’work engagement was positively associated with nurses’job satisfaction and their perceived quality of care but negatively associated with intent to leave.More certified nurses reported high or very high job satisfaction than non-certified nurses.As for demographics,the linear regression analysis showed that nurses who were older,identified as White,and held doctorate degrees reported higher levels of work engagement in comparison to their counterparts.Conclusions:This study shows that nurses’work engagement is associated with their job satisfaction,perceived quality of care,and intent to leave.Nurses’work engagement in this study is lower than in other studies,especially before the COVID-19 pandemic,which may indicate a possible association with the COVID-19 impact.Because nurses’work engagement is significantly associated with job satisfaction,nurse leaders need to find ways to promote nurses’job satisfaction and retention.

关 键 词：认证 离职意愿 工作满意度 护士 护理质量 工作投入 

分 类 号：R47[医药卫生—护理学]