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提升新進護理人員留任率之改善方案

A Program to Improve the Retention Rates of New Nursing Staff in a Hospital

摘要


本專案旨在提升新進護理人員試用期後之留任率,單位自2010~2012年新進護理人員到職三個月內的離職率達66.7%,高於文獻統計值,故進行改善專案。現況分析歸納新進護理人員留任率低的因素有專科性課程未於到職後儘早安排、照護專科複雜性高、人員感到工作壓力大無法適應。專案小組於2013年6月1日至11月20日進行改善措施,包括安排專科性教育訓練課程加強人員的專業照護知能、提供專科照護規範查詢及諮詢師資、進行問卷調查及關懷座談會以瞭解新進護理人員的經驗及感受,並提供壓力調適方案。改善專案後,新進護理人員留任率由33.3%提升至90%,單位護理人力充足,穩定照護護病比。本專案可提供提升新進護理人員留任率及教育訓練規劃之參考。

並列摘要


The project aims to enhance the retention rate of new nursing staff after probationary period in the observed cardiology ward. The 3-month resignation rate of new nursing staff in the period of 2010~2012 in the cardiology ward was reported as high as 66.7%. With an in-depth analysis, reasons leading to low retention rate of new nurses are summarized as follows: specialist training courses not being arranged as soon as possible after reported for duty, high-complexity of specialist care, new nurses perception of working pressure, and work adaption difficulties. The improvement measures include enhancing professional knowledge by layout education courses of specialist care, providing specialist care standards and consulting teachers, conducting a questionnaire survey and conferences in order to understand new nursing staff experiences and feelings, and providing stress management programs. The project was carried out from June 1st to November 20th in 2013. The rate of new nursing staff retention increased from 33.3% to 90%. Furthermore, the nursing workforce of unit increased and nurse-patient ratio stabilized. According to this project we could continue to provide training program for new nurses and thus enhance retention rate.

並列關鍵字

nurses newly graduated nurses job retention project

參考文獻


Duchscher, J. B. (2009). Transition shock: The initial stage of role adaptation for newly graduated registered nurses. The Journal of Advanced Nursing, 65(5), 1103-1113. doi: 10.1111/j.1365-2648.2008.04898.x
Horton, C. D., Depaoli, S., Hertach, M., & Bower, M. (2012). Enhancing the effectiveness of nurse preceptors. Journal for Nurses in Staff Development, 28(4), E1-E7. doi: 10.1097/NND.0b013e31825dfb90
Komaratat, S., & Oumtanee, A. (2009). Using a mentorship model to Prepare newly graduated nurses for competency. The Journal of ntinuing Education in Nursing, 40(10), 475-480. doi: 10.3928/00220124-20090923-02.
Salera-Vieira, J. (2009). The collegial clinical model for orientation of new graduate nurse: A strategy to improve the transition from student nurse to professional nurses. Journal for Nurses in Staff Development, 25(4), 174-181. doi: 10.1097/NND.0b013e3181ae143a
Tanaka, S., Maruyama, Y., Ooshima, S., & Ito, H. (2011). Working condition of nurses in Japan: Awareness of work–life balance among nursing personnel at a university hospital. Journal of Clinical Nursing, 20(1-2), 12-22. doi: 10.1111/j.1365-2702.2010.03354.x.

被引用紀錄


林素雯、李銘櫻、江金英、林秋子(2020)。可信賴專業活動(EPAs)及建構兒科護理專業能力評估工具長庚護理31(4),488-502。https://doi.org/10.6386/CGN.202012_31(4).0004
張麗君、謝惠琪、黃麗卿(2019)。降低某醫學中心新進護理人員3個月離職率志為護理-慈濟護理雜誌18(6),109-121。https://www.airitilibrary.com/Article/Detail?DocID=16831624-201912-202002100007-202002100007-109-121

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