长沙市二级及以上医院护士职业承诺和工作满意度对留职意愿的影响研究

Influence of nurses ' occupational commitment and job satisfaction on job retention in 2-class and above general hospitals of Changsha

目的调查长沙市二级及以上医院护士留职意愿现状,并分析其影响因素。方法采用护士留职意愿问卷、护士工作满意度量表、职业承诺问卷,对长沙市医疗机构329名护士进行调查。结果护士留职意愿总分为(19.64±4.12)分,护士工作满意度总分为(126.22±18.04)分,护士职业承诺总分为(70.74±13.59)分;分层回归分析结果显示年龄、工作职务、任职方式、情感承诺、规范承诺、经济成本承诺、机会承诺对护士留职意愿有预测作用(P<0.01或P<0.05)。结论所调查长沙市医疗机构医院护士留职意愿呈中等水平,护理管理者应针对可控影响因素,制订稳定护理人才队伍的相应策略。

Objective To investigate the status of nurses＇ job retention in 2 -class and above general hospitals of Changsha and to analyze the influencing factors. Methods Totally 329 nurses in 2 - class and above general hospitals of Changsha were recruited and investigated with Nurses＂ Job Retention Questionnaire, Index of Work Satisfaction （IWS）, and Occupational Commitment Inventory. Results The mean score of nurses＇ job retention was （ 19. 64 ±4. 12 ）, job satisfaction was （ 126. 22± 18.04） ,occupational commitment was （70.74 ± 13.59）. Hierarchical regression analysis showed that the nurses＇ job retention was effected by the age,job title, employment,emotional commitment,normative commitment,economic cost commitment,opportunity commitment （P 〈0.01 or P 〈0.05）. Conclusion The job retention of nurses is at a moderate level. Managers should focus on the controllable factors and establish corresponding strategies to stable nursing team.