中国大陆地区护士离职意愿与组织承诺相关性研究的Meta分析

Meta- analysis on correlation of the departure Intention and organizational commitment of Chinese mainland nurses

目的:探讨中国大陆地区护士离职意愿与组织承诺的相关性。方法:计算机检索e Cochrane Library,Pub Med,EMbase,Ovid,ISI Web of Knowledge,CBM,CNKI,VIP和Wan Fang Data数据库,检索时限均为从建库起至2014年10月31日,查找关于中国大陆地区护士离职意愿与组织承诺相关性的文献。按照纳入与排除标准筛选文献、提取资料并评价纳入研究的质量后,采用CMA 2.0统计软件进行Meta分析。结果:最终纳入6篇文献,共3496名调查对象。Meta分析结果显示,中国大陆地区护士离职意愿与组织承诺呈负相关,合并效应值rw及95%CI为-0.431(-0.491,-0.366),具有统计学意义(P<0.05),即组织承诺越高,护士离职意愿越低。结论:提高护士的组织承诺水平,可以有效地降低临床护士的离职行为。管理者应充分考虑到护士个体特征,有效规避由于工作本身的特征带来的负面影响,营造和谐健康、积极向上的工作环境与文化氛围,同时提高来自护士家庭和社会的支持力度。

Objective：To discuss the correlation of Chinese mainland nurses＇ departure intention and organizational commitment. Methods：Relevant studies were searched using e - Cochrane Library, PubMed, EMbase, Ovid, ISI Web of Knowledge, CBM, CNKI, VIP database and Wan Fang Data, starting from the foundation day of these databases to October 31,2014. Comprehensive Meta - analysis was made by adopting CMA2.0 statistics software after the selection and withdraw of studies used inclusion and exclusion criteria and the evaluation of quality of inclusion research. Results ： A total of 6 studies involving 3496 research subjects were included. The result of analysis shows that China's Mainland nurses＇ departure intention was in negative correlation with the their organ- izational commitment, and the merging effect value rw and 95 % of CI was 0.431 （ - 0.491, - 0. 366）, which was of statistical significance （ P 〈 0.05 ）. Conclusion：Enhancing the overall level of nurses＇organizational commitment can effectively reduce the clinical nurses＇ departure. Managing personnel should fully consider the nurse＇s individual characteristics, and avoid the negative effects due to the characteristics of the work to create a harmonious, healthy, positive work environment and cultural atmosphere and strengthen the supports both from the nurse＇s family and society.