{"title":"The impact of precarious employment on the commitment of registered nurses.","authors":"Marja Hult, Marjo Ring","doi":"10.1111/inr.12945","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>To investigate the association between precarious employment and commitment among registered nurses.</p><p><strong>Background: </strong>The nursing profession faces numerous challenges, and precarious employment (PE) has emerged as a significant issue affecting nurses' well-being and professional status.</p><p><strong>Methods: </strong>In spring 2023, we conducted a cross-sectional survey involving members of a healthcare workers' trade union in Finland. The study encompassed data from 2,370 registered nurses representing various healthcare sectors nationwide. Regression analysis was used to explore the relationship between PE and nurses' commitment. STROBE guidelines were used to report the study.</p><p><strong>Results: </strong>The modified PE scale demonstrated a good fit. Among the various dimensions of PE, nurses perceived the highest level of precariousness in terms of inadequate training opportunities, followed by unpredictable and nonstandard working hours, low wages, and disempowerment. Vulnerability arising from authoritarian management exhibited the most significant and negative association with nurses' commitment (B = -0.233).</p><p><strong>Discussion: </strong>The findings of this study underscore that PE is a pressing concern within the nursing profession, and it has a detrimental impact on nurses' commitment. While precariousness in nursing is associated with issues related to empowerment and fair leadership, it appears that conventional challenges related to working hours, typical of the nursing profession, do not significantly affect nurses' commitment.</p><p><strong>Implications for nursing and nursing policy: </strong>To enhance nurses' commitment, healthcare institutions and managers must actively promote leadership practices that empower and support employees. Also, employees' legal work-related rights have to be respected in organizations. Addressing these aspects can contribute to a more resilient and dedicated nursing workforce.</p>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":null,"pages":null},"PeriodicalIF":3.8000,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Nursing Review","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/inr.12945","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Aim: To investigate the association between precarious employment and commitment among registered nurses.
Background: The nursing profession faces numerous challenges, and precarious employment (PE) has emerged as a significant issue affecting nurses' well-being and professional status.
Methods: In spring 2023, we conducted a cross-sectional survey involving members of a healthcare workers' trade union in Finland. The study encompassed data from 2,370 registered nurses representing various healthcare sectors nationwide. Regression analysis was used to explore the relationship between PE and nurses' commitment. STROBE guidelines were used to report the study.
Results: The modified PE scale demonstrated a good fit. Among the various dimensions of PE, nurses perceived the highest level of precariousness in terms of inadequate training opportunities, followed by unpredictable and nonstandard working hours, low wages, and disempowerment. Vulnerability arising from authoritarian management exhibited the most significant and negative association with nurses' commitment (B = -0.233).
Discussion: The findings of this study underscore that PE is a pressing concern within the nursing profession, and it has a detrimental impact on nurses' commitment. While precariousness in nursing is associated with issues related to empowerment and fair leadership, it appears that conventional challenges related to working hours, typical of the nursing profession, do not significantly affect nurses' commitment.
Implications for nursing and nursing policy: To enhance nurses' commitment, healthcare institutions and managers must actively promote leadership practices that empower and support employees. Also, employees' legal work-related rights have to be respected in organizations. Addressing these aspects can contribute to a more resilient and dedicated nursing workforce.
目的：调查不稳定就业与注册护士承诺之间的关系：背景：护理行业面临诸多挑战，不稳定就业（PE）已成为影响护士福祉和职业地位的重要问题：2023 年春，我们对芬兰一家医疗保健工作者工会的会员进行了一项横断面调查。研究涵盖了来自全国各医疗行业的 2370 名注册护士的数据。研究采用回归分析法来探讨 PE 与护士承诺之间的关系。研究报告采用了 STROBE 准则：修订后的 PE 量表显示出良好的拟合度。在 PE 的各个维度中，护士对培训机会不足的不稳定性感知最高，其次是不可预测和非标准的工作时间、低工资和失权。专制管理导致的脆弱性与护士的承诺呈现出最显著的负相关（B = -0.233）：本研究的结果表明，PE 是护理行业中亟待解决的问题，它对护士的承诺有不利影响。虽然护理工作的不稳定性与赋权和公平领导相关，但与工作时间相关的传统挑战（护理行业的典型挑战）似乎并未对护士的承诺产生重大影响：为了提高护士的工作投入度，医疗机构和管理者必须积极促进领导实践，赋予员工权力并为其提供支持。同时，员工与工作相关的合法权利也必须在组织中得到尊重。解决这些方面的问题有助于培养一支更有韧性、更敬业的护士队伍。
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International Nursing Review is a key resource for nurses world-wide. Articles are encouraged that reflect the ICN"s five key values: flexibility, inclusiveness, partnership, achievement and visionary leadership. Authors are encouraged to identify the relevance of local issues for the global community and to describe their work and to document their experience.
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