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Fasbender, Ulrike; Heijden, Beatrice I. J. M.; Grimshaw, Sophie
Journal of advanced nursing, February 2019, 2019-Feb, 2019-02-00, 20190201, Letnik: 75, Številka: 2Journal Article
Aim Using an interactionist perspective to test on‐the‐job embeddedness and off‐the‐job embeddedness as possible moderators for the predictive effects of job satisfaction and job stress on nurses’ turnover intentions. Background As turnover worsens nurse shortages across the globe, researchers needs to find ways to work out and reduce nurses’ turnover intentions. By exploring contributory factors, namely on‐the‐job and off‐the‐job embeddedness as two distinctive forms that both act as moderators, we add to the literature on effective nurse retention and highlight that incorporating off‐the‐job factors can provide a more realistic understanding of why people consider leaving their organization. Design Survey of 361 nurses of the United Kingdom's (UK's) National Health Service, in 2016. Method We conducted hierarchical multiple regression and simple slope analyses. Results Job satisfaction was negatively associated with turnover intentions, and this negative relationship was stronger when off‐the‐job embeddedness was high (vs. low). Job stress was positively related to turnover intentions, yet high (vs. low) off‐the‐job embeddedness buffered this relationship. In contrast, when on‐the‐job embeddedness was high (vs. low), the relationship between job stress and turnover intentions were even stronger. Conclusion Results showed that using an interactionist perspective is useful in predicting nurse turnover. Nursing management should be made aware of the importance of being embedded off‐the‐job to prevent nurse turnover. This paper issues guidelines to form a more comprehensive staff retention programme for the healthcare sector. 目的 采用互动论者观点来测试工作内嵌入和工作外嵌入而作为工作满意度和工作压力对护士离职意愿预测效果的可能调节因素。 背景 随着全球护士离职加剧了护士短缺,研究人员需要找到方法来解决和减少护士的离职意愿。通过探索促成因素,即,作为调节因素的两种不同形式的工作内嵌入和工作外嵌入,我们补充了关于有效护士保留率的文献,并强调,纳入工作外因素能够更现实地理解人们为什么会想要离职。 设计 在2016年,对英国(UK)国家医疗服务体系下的361名护士进行了调查。 方法 我们进行了阶层多元回归分析法和简单斜率分析法。 结果 工作满意度与离职意向呈负相关,当工作外嵌入较高(相对较低)时,这种负相关关系更强。工作压力与离职意向呈正相关,但高(与低)的工作外嵌入缓冲了这种关系。相比之下,当工作外嵌入较高(相对较低)时,工作压力和离职意愿之间的关系更强。 结论 结果表明,采用互动论者观点来预测护士离职是有用的。护理管理人员应该意识到工作外嵌入对防止护士离职的重要性。这篇论文发布了为医疗保健行业制定更全面的员工保留计划的指导方针。
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