Examining perception of job satisfaction and intention to leave among ICU nurses in China

Objectives:Previous studies in China's Mainland found ICU nurses to be less satisfied with their jobs and more inclined to leave them than are nurses in other hospital units.We aimed to determine ICU nurses'perspectives on the factors that influence job satisfaction and whether or not to continue working in the ICU.Methods:Nine ICU nurses were asked five open-ended questions to elicit the nurses'perspectives on job satisfaction and intentions to leave.Data were analyzed according to the process described by Knafl and Webster(1988).Core concepts were identified using the constant comparative method.Results:Two themes emerged as major influences on job dissatisfaction:1)stress experienced from excessive workload demands and the ICU work environment,and 2)a lack of respect and recognition for the nurses'work.Two themes emerged as major influences on job satisfaction:1)recognition of work,and 2)professional opportunities and relationships with coworkers.The effects of job satisfaction or dissatisfaction on the nurses'intentions to leave their jobs varied,although three categories were identified.Conclusions:For ICU nurses in China,sources of job dissatisfaction are potentially remedied with simple interventions.Adequate staffing is necessary but not sufficient for a positive work environment.Administrators should address the factors that directly affect their nurses'levels of job satisfaction,as it will ultimately result in less staff turnover and greater patient care.

Relationship between effort-reward imbalance, job satisfaction, and intention to leave the profession among the medical staff of Qom University of Medical Sciences

Objective: The effort–reward imbalance(ERI) model claims that work that has the characteristics of high effort and low reward has a mutual defect between input and output and this imbalance may result in sustained and long-lasting results. This study aimed to investigate the relationship between the intention to leave the profession(ILP) and ERI and job satisfaction among the medical staff in Qom Province.Methods: A descriptive-correlative study was conducted on 202 medical staff in Qom Province based on random sampling in 2018. Demographics checklist, standard ILP, job satisfaction, and Siegrist’s ERI questionnaires were used for data collection. The chisquared test, independent t-test, and one-way Analyses of Variance(ANOVA) were used to analyze data.Results: The mean age of employees was 32.04 ± 7.9 years, and 165(87.1%) of the employees were women. The results showed that the medical staff was willing to leave their profession at a moderate level(40.7 ± 10.3). There was no significant relationship between demographics and ILP. Nevertheless, a significant and inverse relationship was observed between ERI(r:0.318, P < 0.01) and ILP(r: 0.197, P < 0.01). Leave the profession(LP) had a negative correlation with the dimensions of job descriptive index(JDI) such as job, manager, coworker and wage score(P < 0.01, r:-0.147, r:-0.262, r:-0.292, r:-0.271, r:-0.396).Conclusions: According to the results, managers need to make sure that their working staff is rewarded as they deserve. According to the results, managers need to ensure that the reward factor is observed for the staff, while an ERI imbalance may contribute to ILP of the staff. On the other hand, it leads to job satisfaction.

Predictors of critical care nurses’ intention to leave the unit, the hospital, and the nursing profession

Nursing turnover and shortage are acknowledged as worldwide issues: understanding the factors that foster nurses’ intention to leave (ITL) is essential in retaining them. The present study aims at providing insight into the factors influencing critical care and intensive care nurses’ ITL the unit, the hospital, and the nursing profession. The study was conducted in two hospitals, by a questionnaire administered to all nurses employed in critical and intensive care units. 512 questionnaires (89.4%) were returned. Results revealed that a low job satisfaction (JS) for interaction with physicians and nurses, seniority ≥20 years, and working in Emergency are related to higher ITL the unit. Low JS for work organization policies, seniority ≥11 years, working in a private hospital, and higher educational level are related to higher levels of ITL the hospital. Low JS for professional status, for pay, and for work organization policies, age ≥40 years, part-time schedule are related to higher ITL the nursing profession. The research permitted detection of various predictors of different kinds of ITL, enhancing the importance of regular monitoring of ITL. In order to limit ITL, it would be important to work on the relationship with physicians and colleagues, work demands, organizational policies, and acknowledgement of competence.

Intention to Leave and Associated Factors among Health Professionals in Jimma Zone Public Health Centers, Southwest Ethiopia

Background: Inadequate human resources are a major constraint to improving global health. The health sector is characterized by a high turnover coupled with internal as well as external brain drain but there is little information on intention to leave among health professionals in public health centers of Jimma Zone, Oromia Regional State. The aim of this study is to assess intention to leave and associated factors among health professionals in public health centers of Jimma Zone, southwest Ethiopia. Methods: A cross-sectional quantitative and qualitative study was conducted on seven randomly selected woredas (districts) which have 53 public health centers. All health professionals in sampled district public health centers were included (n = 505). Factor analysis was employed for all Likert scale instruments to extract factor(s) representing each of the scales using SPSS version 16.0. The qualitative data was analyzed by thematic analysis methods. Ethical approval was obtained from Jimma University. Results: Four hundred fifty five (90.1%) health professionals participated in the study;out of this, 290 (63.7%) had intention to leave. Among variables, job satisfaction (Beta = -0.298, (95% CI, -0.568 to -0.029), working environment (Beta = -0.612, (95% CI, -0.955 to -0.270), and organizational management (Beta = -0.552, (95% CI, 0.289 to 0.815) had statistically significant association with intention to leave among health professionals in public health centers of Jimma Zone. Conclusions: The overall intention to leave among health professionals was high. Level of job satisfaction, working environment, work pressure, and organizational management had statistically significant association with intention to leave. Thus, responsible bodies should aggressively work on the concerns identified, like, improvements in salary, promotion in terms of training/educational opportunity, improving working environment, and transfer of health professionals, and improvement of the leadership skills of managers.

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

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。

10省市护士工作满意度状况及其影响因素的调查研究

目的了解我国10省市医疗机构护士的工作满意度状况,以便为改进护士工作状况、营造良好的从业环境提供建议。方法采用问卷调查的方法,收集10省市的1319名护士的工作满意度状况问卷,并对其影响因素进行分析。结果①26.2%的护士对当前的工作感到满意。②三级医院的护士工作满意度最低;月薪在3000元以上的护士工作满意度最高;高级职称的护士工作满意度最高;中专及大专学历者工作满意度最高。③导致护士工作满意度不高的主要因素有：薪酬水平较低,工作负荷和压力较大,心理健康状况不佳,才能发挥受限等。结论提高护士工作满意度应该考虑以上因素和注意不同群体的差异。

军队医院聘用制护士工作满意度调查及对策

目的:评估分析军队医院聘用制护士工作满意度与离职意愿的现状,并提出相应对策和解决方案。方法:对200名聘用护士采用自行设计问卷,对其工作满意度进行调查及孕期离职原因进行调查分析。结果:200名聘用护士中,176名(88.0%)认为工作强度太大、压力过大;169名(84.5%)对福利待遇不满意;157名(78.5%)对孕期护理班次安排及护理强度不满意:129名(64.5%)认为怀孕后,如条件允许有离职意向。结论:聘用制护士总体工作满意度较低,相当一部分聘用制护士存在较高的离职意愿。要重视聘用护士的各种需求,特别是在孕期应给予更周到的呵护,提高护理队伍的稳定性。

新生代农民工工作嵌入测量量表构建——社区嵌入的调节作用

新生代农民工工作嵌入包括6个维度,分别是:组织匹配、组织关系网络、组织损失、社区关系网络、社区生活环境、社区损失。二阶因素分析表明工作嵌入由组织嵌入和社区嵌入两个层面构成。经过检验,量表具有良好的信度和效度。进一步研究表明,组织嵌入和社区嵌入均对回乡工作意愿具有显著的负向影响。社区嵌入在组织嵌入和回乡工作意愿之间具有显著的正向调节作用。

工作嵌入与员工流动倾向:工作价值观为调节变量

员工流动不仅在微观层面影响企业员工的雇佣状态,而且在宏观层面影响社会的劳动力需求/供给系统。因此,深入探索员工流动的形成机理有很强的理论和实践意义。鉴于以往研究对员工流动的解释囿于工作本身和主观态度两方面,本文在社会网络层面对员工流动的形成进行了新的解释,探讨了工作嵌入对员工流动倾向的影响,并探索了工作价值观对该作用过程的影响。采用问卷法,对402名员工样本的研究结果表明:工作内嵌入中的工作内匹配和工作内损失对员工流动倾向产生显著负向影响,工作内联系对流动倾向并不具有显著影响;工作外嵌入中的工作外联系、工作外匹配和工作外损失均对员工流动倾向产生显著负向影响;工作价值观显著调节上述影响机制的某些方面,特别是情感性工作价值观对工作内联系与流动倾向间关系的调节作用具有两面性。

饭店业工作要求对员工工作态度的影响研究——JD-R模型在中国饭店业情境下的验证

如何缓解饭店业员工工作压力、提高员工工作满意度和降低其离职意向,已成为业界与学界共同关注的焦点。本文运用6家饭店271份调查问卷结果,采用PASW18.0多元调节回归分析对工作要求-资源模型(JD-R)进行了验证,结果表明:工作要求和工作资源都分别对工作态度具有主效应;工作控制没有在工作要求即员工工作态度间起调节作用;一般自我效能仅在超负荷工作量-工作满意度、人际冲突-离职意向间起调节作用。此研究结论对饭店业人力资源管理实践具有一定启示意义。

饭店知识型员工的心理契约违背对其离职意图影响的实证研究

以广义心理契约为研究视角,整合组织承诺、工作满意等变量,构建了饭店知识型员工离职意图的理论模型,并以四川省星级饭店的管理层员工为调查对象(N=257),利用结构方程模型(SEM)厘清了心理契约违背、组织承诺、工作满意以及知识型员工离职意图之间的相关关系。实证结果显示:饭店知识型员工存在心理契约违背现象,由此而产生的违背感不仅直接影响其离职意图,而且还通过组织承诺以及工作满意与组织承诺的相关关系间接建构离职意图。

职业承诺对知识员工心理契约、工作满意度及离职倾向关系的研究

从知识员工个体感知角度出发,探讨知识员工心理契约与工作满意度和离职倾向的关系及职业承诺的调节作用。通过对成都和苏州地区16家高科技企业的368名知识员工的实证研究得出:知识员工的心理契约包括交易型心理契约、关系型心理契约和发展型心理契约三个维度,并且知识员工感知到的发展型心理契约履约程度和工作满意度存在显著相关关系,知识员工的工作满意度又与离职倾向显著负相关,职业承诺在知识员工感知到的发展型心理契约与工作满意度关系中起调节作用。

员工留职意愿研究——职业及工作满意度视角

本文通过实证研究探讨员工留职意愿的影响因素,具体分析了职业满意度、工作满意度及留职意愿之间的关系。研究采用问卷调查方式获得数据并进行分析,结果表明:员工的职业满意度和工作满意度是不同的两个变量,二者之间存在显著的正相关关系。职业满意度及工作满意度均和留职意愿存在显著的正相关关系,工作满意度对留职意愿具有正向预测作用。

组织公正对餐饮业员工工作态度和行为的影响研究

文章以组织行为学为理论基础,运用结构方程模型研究了组织公正对餐饮业员工工作态度和行为的影响。研究结果显示:(1)分配公正和程序公正都对工作满意和组织承诺有显著的正向影响,但程序公正的影响较大;(2)程序公正对分配公正有显著的正向影响;(3)工作满意和组织承诺正向相关,并且都对员工的离职意向和顾客导向有显著的影响;(4)就影响方向来说,工作满意和组织承诺负向影响员工的离职意向,正向影响员工的顾客导向。文章最后提出了管理建议、研究的不足之处和进一步研究的方向。

麻醉科护士工作满意度与离职倾向的相关性研究

目的研究麻醉科护士工作满意度与离职倾向的相关性。方法 2014年6月至12月随机抽取陕西省15所三级甲等医院,采用工作满意度与离职倾向调查量表,对其麻醉科所有护士进行问卷调查,共发放问卷250份,回收有效问卷220份。采用Pearson相关分析法对工作满意度与离职倾向进行相关性分析,采用多元线性逐步回归分析法分析工作满意度各维度对离职倾向的影响程度。结果麻醉科护士总体工作满意度及其各维度均处于中等偏低水平,其中工资与加薪满意度相对最低,被认可和表扬满意度相对最高。Pearson相关分析表明,麻醉科护士总体工作满意度及其各维度均与离职倾向呈负相关(P<0.001)。多元线性逐步回归分析表明,工资与加薪对离职倾向的影响程度最大。结论麻醉科护士工作满意度与离职倾向具有负相关关系,提高其工作满意度能降低离职倾向。

护士工作场所不文明行为、工作满意度及其对离职意愿的影响

目的评估护士工作场所不文明行为、工作满意度及其对离职意愿状况,探讨护士工作满意度在工作场所不文明行为和离职意愿间的中介作用。方法采用问卷调查法对255名工作年限>3年的护士进行测评,内容包括工作场所不文明行为、工作满意度及其离职意愿。结果护士工作场所不文明行为得分为(30.56±7.31)分,工作满意度得分为(14.76±3.80)分,离职意愿得分为(10.07±2.51)分。护士工作场所不文明行为与工作满意度呈负相关(r=-0.641,P<0.01);离职意愿与工作场所不文明行为呈正相关(r=0.884,P<0.01),与工作满意度呈负相关(r=-0.681,P<0.01)。工作满意度在工作场所不文明行为和离职意愿间起着部分中介作用。结论工作年限>3年的护士经历一定频率的工作场所不文明行为,并且对离职意愿起着正向的预测作用,同时可通过工作满意度间接影响离职意愿。

组织认同与离职倾向关系研究——基于工作嵌入的中介效应分析

如何改善员工—组织的关系,降低员工的离职率已成为当今组织管理者关注的焦点。以安徽省5家公路行业公司共239名企业员工为研究对象,运用层级回归等方法考查了组织认同与离职倾向之间的关系,并探讨变量工作嵌入在其中的中介作用。研究结果表明:变量组织认同对离职倾向有显著正向影响作用,并且工作嵌入在其中起到完全中介作用。

职业高原与员工工作效果的关系研究

通过对428名在职专业技术人员的职业高原、工作投入、工作绩效、工作满意度、离职意向进行调查,分析结果显示:员工的工作投入、工作满意度与职业高原呈显著负相关,离职意向与职业高原呈显著正相关,工作绩效与职业高原的相关不显著。对应分析的结果显示:出现严重职业高原现象的员工容易出现较高的离职意向、较低的工作投入和工作满意度,而无高原现象的员工一般具有高投入、高绩效、高满意度和低离职意向。回归分析的结果表明:员工职业高原的四个维度对工作投入、工作绩效、工作满意度、离职意向均有不同程度的预测作用。

北京市基层计划生育专干离职意愿及原因分析

目的:了解北京市基层(村委会/居委会)计划生育专干离职意愿及其影响因素。方法:2017年9月—10月对北京市所辖区县街道(乡镇)采用分层整群抽样方法抽取100个街道/乡镇进行问卷调查,采用卡方检验和二元logistic回归模型分析数据。结果:发出问卷2050份,回收1998份,有效问卷1965份(98.3%)。15.8%的基层专干近期有离职意愿。二元logistic回归分析显示,曾接受专业教育种类少、担心基层领导换届、曾接受相关专业培训种类数少、认为基层计划生育工作存在困难多、不愿参与老年人社区慢病管理工作、增加健康职责后希望接受相关培训种类数少,以及对计划生育工作收入不满意等是离职的影响因素。结论:稳定和促进基层计划生育专干队伍的可能措施包括提供培训机会;根据工作量调整收入;建立支持系统,探索可行制度。

盛京将军增祺既未离职亦未复任考

《清史稿》载增祺于光绪二十五年三月壬申任盛京将军,至光绪三十一年四月丙午忧免,方才去任。以后相继问世的四种有关著述却将增祺分为两任,其依据为《清实录》光绪二十六年八月戊子条之记载。然而,据《清实录》该条以后的一系列记载证明,命增祺与江宁将军互调的谕旨并未生效,增祺亦未离职,并始终以盛京将军名义办事上疏,直至光绪三十一年四月丙午忧免,期间并无增祺离职及复任之事。《清史稿》记载正确。