医务人员离职意愿影响因素的质性研究
Qualitative Study of the Factors Influencing Medical Staff Turnover Intentions
DOI: 10.12677/NS.2023.126149, PDF,   
作者: 张丹彤:暨南大学护理学院,广东 广州;许怡璇:汕头大学医学院,广东 汕头;黄惠根:南方医科大学附属广东省人民医院(广东省医学科学院),广东 广州
关键词: 医务人员离职意愿影响因素质性研究 Medical Staff Turnover Intention Influencing Factors Qualitative Research
摘要: 目的:深入探讨在职医务人员离职意愿的影响因素,为临床管理者制定干预策略提供科学的依据。方法:采用立意取样法抽取广东省某三甲医院20名临床一线医务人员作为研究对象,运用质性研究中的现象学研究方法对受访者进行半结构式访谈,利用类属分析法将获得的资料进行整理、总结与分析主题。结果:通过整理分析,提取出个人身心感受层面影响、工作场域内影响及家庭支撑强度影响。结论:为巩固医疗卫生人才团队的稳定性,医院管理者应当重视医务人员离职意愿,制定相应的干预策略降低离职意愿。
Abstract: Objective: To deeply explore the influencing factors of on-the-job medical staff's intention to leave, and to provide scientific basis for clinical managers to formulate intervention strategies. Methods: A total of 20 front-line clinical medical staff in a tertiary hospital in Guangdong Province was selected as research objects by the method of intentional sampling. The phenomenological research method in qualitative research was used to conduct semi-structured interviews with the interviewees, and the obtained data were sorted out, summarized and analyzed by the method of category analysis. Results: Through sorting and analysis, we extracted the influence of personal physical and mental feeling, the influence of work field and the influence of family support strength. Conclusion: In order to consolidate the stability of the medical and health talent team, hospital managers should attach importance to the medical staff's turnover intention and formulate corresponding intervention strategies to reduce the turnover intention.
文章引用:张丹彤, 许怡璇, 黄惠根. 医务人员离职意愿影响因素的质性研究[J]. 护理学, 2023, 12(6): 1071-1077. https://doi.org/10.12677/NS.2023.126149

参考文献

[1] (2019) Health Workforce Burn-Out. Bulletin of the World Health Organization, 97, 585-586. [Google Scholar] [CrossRef
[2] Hann, M., Reeves, D. and Sibbald, B. (2011) Relationships between Job Satisfaction, Intentions to Leave Family Practice and Actually Leaving among Family Physicians in England. Euro-pean Journal of Public Health, 21, 499-503. [Google Scholar] [CrossRef] [PubMed]
[3] Mobley, W.H., et al. (1979) Review and Conceptual Analysis of the Employee Turnover Process. Psychological Bulletin, 86, 493-522. [Google Scholar] [CrossRef
[4] 秦洁, 张新, 唐粼. 国外离职行为研究综述[J]. 经济研究导刊, 2012(8): 139-140.
[5] 王林, 曾晓立, 林立. 职业紧张及其对策[J]. 中国行为医学科学, 2001(2): 82-83.
[6] Jeung, D.Y., Kim, C. and Chang, S.J. (2018) Emotional Labor and Burnout: A Review of the Literature. Yonsei Medical Journal, 59, 187-193. [Google Scholar] [CrossRef] [PubMed]
[7] Yildiz, A.T. and Dinc, L. (2023) Emotional Labor among Turkish Nurses: A Cross-Sectional Study. Nursing Inquiry, 30, e12544. [Google Scholar] [CrossRef] [PubMed]
[8] 刘荣梅, 于铭洋, 白羽茜, 等. 河南省基层医疗机构医务人员离职意愿影响因素分析[J]. 中国实用乡村医生杂志, 2022, 29(10): 21-26.
[9] 张丽, 陆春慧. 北京市某三级医院2016-2021年护士离职原因分析及对策[J]. 中国现代医药杂志, 2022, 24(11): 83-86.
[10] Chen, J.P., et al. (2023) Factors Influencing Turnover Intention among Male Nurses in China: A Large-Scale Descriptive Correlational Study. International Nursing Review.
[11] 宁艳阳. 重庆大学附属三峡医院 方伟: 临床药师价值越来越被认可[J]. 中国卫生, 2022(2): 102-103.
[12] 本刊记者. 中共中央 国务院印发《“健康中国2030”规划纲要》大健康产业大有可为 健康中国势在必行[J]. 中国品牌与防伪, 2023(S1): 4-6.
[13] 胡艳杰, 李玲利, 田亚丽, 等. 护理学一流学科建设引领一流人才培养[J]. 四川大学学报(医学版), 2023, 54(1): 102-107.
[14] 李子璇, 段筱妍. 陕西省5所三级甲等医院临床夜班护士睡眠剥夺在情绪疲惫、离职意图之间的中介作用[J]. 职业与健康, 2023,39(01): 43-48.
[15] 史瑞芬, 刘银燕, 张振路. 广东省三级医院护士离职情况调查[J]. 中国护理管理, 2016, 16(11): 1503-1506.
[16] 王慧卿, 汪大伟, 饶宇微. 医务工作者工作生活平衡对离职倾向的影响[J]. 中国医院管理, 2021, 41(2): 59-61.
[17] 张薛晴, 翁艳翎, 宋玉磊, 等. 我国护理人力资源结构配置研究进展[J]. 中国医院管理, 2020, 40(8): 88-90.
[18] 刘晓荣, 张鹭鹭, 王志红, 等. 临床护理人力资源配置研究[J]. 解放军护理杂志, 2003(11): 1-3.
[19] 吴疆, 熊宇红. 资源护士调配中的决策分析与临床应用[J]. 中国临床护理, 2020, 12(4): 362-365.
[20] 张姬, 冯霞, 董鹤, 等. 后疫情时代护理人力资源配置与管理策略思考[J]. 中国临床护理, 2023, 15(4): 257-260.
[21] Chen, Y.M. and Fang, J.B. (2016) Correlation between Nursing Work Environ-ment and Nurse Burnout, Job Satisfaction, and Turnover Intention in the Western Region of Mainland China. The Jour-nal of Nursing, 63, 87-98.
[22] Ding, J. and Wu, Y. (2023) The Mediating Effect of Job Satisfaction and Emotional Ex-haustion on the Relationship between Psychological Empowerment and Turnover Intention among Chinese Nurses dur-ing the COVID-19 Pandemic: A Cross-Sectional Study. BMC Nursing, 22, Article No. 221. [Google Scholar] [CrossRef] [PubMed]
[23] Coomber, B. and Barriball, K.L. (2007) Impact of Job Satisfac-tion Components on Intent to Leave and Turnover for Hospital-Based Nurses: A Review of the Research Literature. In-ternational Journal of Nursing Studies, 44, 297-314. [Google Scholar] [CrossRef] [PubMed]
[24] 李景林, 崔雯菁, 崔云甫. 多维视角下对医患矛盾中非技术因素的梳理与分析[J]. 卫生软科学, 2023, 37(3): 74-77.
[25] 杜玉, 张玉侠, 陈潇. 基于主流媒体的护士媒介形象建构[J]. 护理学杂志, 2023, 38(8): 62-66.
[26] 胡琳娟, 吴际军, 熊小利, 等. 四川省12所三级甲等医院护士薪酬公平感、薪酬满意度与职业认同对离职意愿的影响[J]. 职业与健康, 2023, 39(12): 1633-1637.
[27] 王琳, 刘淑红, 陈丽, 等. 公立医院护理绩效薪酬分配方案的构建与实践[J]. 中国护理管理, 2022, 22(8): 1247-1252.