工作不安全感、工作生活质量及组织氛围对护士离职意愿的影响

Effect of job insecurity,quality of work life and organization atmosphere on the turnover intention of nurses

目的:探讨工作不安全感、工作生活质量及组织氛围对护士离职意愿的影响。方法:采用自编一般资料问卷、离职意愿量表、工作不安全感量表、组织氛围量表及工作生活质量量表对495名医院护士调查,进行相关分析并构建结构方程模型。结果:相关分析及递归模型图显示:护士组织氛围、工作生活质量、工作不安全感和离职意愿四者之间呈现显著相关关系(P<0.01);工作不安全感正向预测护士离职意愿;组织氛围及工作生活质量负向预测护士离职意愿;工作生活质量在工作不安全感与离职意愿之间、组织氛围在工作生活质量与离职意愿之间起到部分中介效应;工作不安全感、工作生活质量共解释组织氛围43%的变异量,工作不安全感、组织氛围及工作生活质量三个外因变量可以联合解释内因变量离职意愿19%的变异量。结论:工作不安全感、工作生活质量及组织氛围均是离职意愿的前因变量;医院与护理管理者应重视护士工作不安全感、构建和谐的组织氛围,提高护士工作生活质量以稳定护士队伍。

Objective:To investigate the effects of job insecurity,quality of work life and organization atmosphere on the turnover intention of nurses.Methods:Four hundred and ninety five nurses were investigated using the general information questionnaire,turnover intention scale,job insecurity scale,organizational atmosphere scale and quality of work life scale,and the correlation analysis and structural equation model of which was constructed.Results:The correlation analysis and recursive model showed that the nurse organization atmosphere,quality of working life,job insecurity and turnover intention were significant correlation(P<0.01).Job insecurity positively predicted the turnover intention of nurses,and the organizational atmosphere and quality of life negatively predicted the turnover intention of nurses.The quality of work life played partial mediation effect in between the job insecurity and turnover intention,and the organizational atmosphere played partial mediation effect in between the quality of working life and turnover intention.Job insecurity and quality of life were explained the43%of the variance of organization atmosphere,and the job insecurity,organizational atmosphere and quality of work life could explain the19%of the joint internal variance of turnover intention.Conclusions:Job insecurity,quality of work life and organizational atmosphere are the antecedent variables of turnover intention..Hospital and nursing administrators should pay attention to the job insecurity of nurses,construct the harmonious atmosphere,and improve the quality of work life to stabilize the team of nurses.