医院伦理氛围对护士离职意向的影响及工作嵌入中介作用

Influence of hospital ethical climate on the turnover intention and job embeddedness of nurses

目的探讨医院伦理氛围对护士离职意向的影响及工作嵌入在两者间的中介作用。方法采用便利抽样方法,选择郑州市3所公立综合医院468名临床护士为研究对象,采用《医院伦理氛围量表》《工作嵌入量表》《离职意向量表》调查护士的医院伦理氛围、工作嵌入和离职意向得分。结果护士医院伦理氛围、工作嵌入、离职意向平均得分分别为(3.5±0.4)、(2.8±0.3)和(2.8±0.7)分。离职意向得分分别与医院伦理氛围、工作嵌入得分呈负相关关系(相关系数分别为-0.67、-0.60,P值均<0.01)。多重线性回归分析结果显示,排除工龄、文化程度、职称和人事关系等混杂影响后,医院伦理氛围和工作嵌入得分越高的护士离职意向的得分越低(P值均<0.01)。结构方程分析结果显示,工作嵌入在医院伦理氛围和护士离职意向间起部分中介作用,中介效应占总效应的23.3%。结论医院伦理氛围负向影响护士离职意向,工作嵌入在两者间具有中介作用。

Objective To explore the influence of hospital ethical climate on the turnover intention and the mediating role of job embeddedness of nurses. Methods Totally 468 clinical nurses from there public general hospitals in Zhengzhou City were selected as the research subjects using convenience sampling method. The Hospital Ethical Climate Survey, Job Embeddedness Scale and Turnover Intention Questionnaire were used to investigate the scores of hospital ethical climate, job embeddedness and resignation intention respectively. Results The mean scores of hospital ethical climate, job embeddedness and turnover intention were(3.5±0.4),(2.8±0.3) and(2.8±0.7) respectively. The turnover intention of nurses was negatively associated with hospital ethical climate and job embeddedness [correlation coefficient(r)=-0.67,-0.60, all P<0.01]. The results of multiple linear regression analysis showed that the higher the scores of hospital ethical climate and job embeddedness, the lower the score of turnover intention of nurses(all P<0.01), after adjusting confounding factors such as length of service, educational level, professional title and personnel employment. The structural equation analysis results showed that job embeddedness played a part of the mediating role between the hospital ethical climate and the turnover intention of nurses and the mediating efficacy accounted for 23.3% of the total efficacy. Conclusion The hospital ethical climate has a significant negative effect on the turnover intention, and job embeddedness has an intermediary effect between them.