台灣臨床護理人員離職與轉業意念之相關因素探討

Factors associated with intention to leave the organization or to leave the profession among clinical nurses in Taiwan

王金蓮(Jin-Lian Wang) ； 邱淑媞(Shu-Ti Chiou) ； 簡莉盈(Li-Yin Chien) ； 黃心苑(Nicole-Huang)

《醫務管理期刊》 18卷2期 (2017/06) Pp. 105-123

https://doi.org/10.6174/JHM2017.18(2).105

摘要

目的：探討台灣臨床護理人員想離開現職醫院及離開護理專業領域意念與相關因素。方法：本研究為橫斷性研究設計，自國民健康署於2011 年針對100 家醫院之員工進行問卷調查資料中擷取23936 位18 至65 歲從事臨床工作之全職臨床護理人員之資料進行分析，並以SAS 9.3 進行資料統計分析。結果：臨床護理人員想離開現職醫院及護理專業意念分別是62.42% 和64.3%，預測迴歸模式解釋力分別為36% 和27%，影響離職與轉意念共同變項：年齡、研究所、健康狀況不好、每週工時、急診／加護和病房單位、對未來發展無正面期待、工作無成就感、待遇不合理、工作不滿意及私立醫院。結論：臨床護理人員想離職及轉業意念有超過六成，護理人員的異動因素是很多元，期能營造更友善的職場，兼顧以經濟及非經濟誘因，提升工作滿意度，塑造護理職場的吸引力，改善護理職場留住護理人員。

關鍵字

護理人員 ； 護理人力短缺 ； 異動意念 ； 離職意念

並列摘要

Objective: The purpose of the current study was to identify the reasons hospital nurses in Taiwan intend to leave the turnover intentions to leave nursing professional and their current organization and determine the factors associated with an intent to leave. Methods: This study used a cross-sectional design. The data were collected via a structured questionnaire involving the physical and mental health and safety needs in health -care, as developed by the Bureau of Health Promotion. The 23,936 study participants were clinical nurses, 18-65 years of age, who were working full-time at 100 hospitals across Taiwan in 2011. SAS 9.3 was used to perform data analysis. Results: Of the study nurses, 62.45% and 64.33% planned to leave their hospitals current hospitals and the nursing profession, respectively. The explanation variance were 36% and 27%, respectively. Common variables between turnover intention and leaving the nursing profession were age, high level of education, poor health status, worked hours per week, the workplace (general ward, ICU/ER), a lack of positive expectation from the hospital, no sense of achievement, pay dissatisfaction, job dissatisfaction, and private hospitals opportunity. Conclusions: Greater than 60% of clinical nurses intend to leave not only their current hospital, but the nursing profession as well. There are multiple ways to improve the workplace for nurses and decrease nurse turnover, such as building a friendly working environment, taking care of economic and non- economic inducements, increasing job satisfaction, and creating a positive working environment.

並列關鍵字

nurse staff ； nursing shortage ； turnover intention ； intention to leave

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