英文摘要 |
Purposes The quality of nursing care is an important issue for medical administrators and often reflects the job satisfaction of nursing personnel. Job satisfaction is closely associated with quality of life. Many studies have shown that quality of work life is negatively correlated with turnover intention. The purpose of this study is to investigate the correlation between factors associated with the quality of work life and the turnover intention of nursing personnel. Methods A cross-sectional questionnaire survey was used. The participants were 320 nursing personnel from two regional teaching hospitals in central Taiwan; in the end, 292 valid questionnaires were obtained (the recovery rate being 91.25%). The research tool was a structured questionnaire that collected data on the quality of their work life, turnover intention, and whether the individual was on a fixed shift. Results Different service units had statistically significant differences in quality of work life. Those with fixed graveyard and day shifts have a higher quality of work life than those without regular shifts, and those with turnover intention have significantly lower quality of work life. Predictive factors affecting the quality of nursing personnel’s work life include turnover intention, fixed day shift, being married, fixed graveyard shift, being a nursing unit supervisor, and being on the N1 clinical ladder. The quality of work life of nursing personnel is predictive of turnover intention and is negatively correlated with both the“work arrangement and workload”and the“work-life balance”dimensions. Conclusions It is recommended that hospitals establish a relevant system to assess the unit’s quantity of work and workload in a timely manner, and have a rational activation mechanism for units that lack manpower or require emergency support. The cycle of fixed shifts for nursing personnel should be extended. In the future, the needs in these two dimensions of nursing personnel-“work arrangement and workload”and“nursing manpower and patient care”-should be investigated further or the directions of policies that support nursing personnel should be improved in order to improve their quality of work life . |