Generational Differences in Moral Injury, Resilience, and Well-Being Among Nurses: Predictors of Intention to Leave Position and Profession.

IF 2 4区 医学 Q2 NURSING Western Journal of Nursing Research Pub Date : 2024-11-01 Epub Date: 2024-10-14 DOI:10.1177/01939459241287458
Minjin Kim, Jin Jun, Joshua Lambert, Henry Duah, Sharon J Tucker, Dónal P O'Mathúna, Grant Pignatiello, Joyce J Fitzpatrick
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Abstract

Background: The COVID-19 pandemic highlighted the negative impact of moral injury on nurses' well-being. However, there is a lack of research about generational differences among nurses, particularly on newer nurses who have been identified as having a higher rate of intention to leave.

Objective: This study examines generational differences among nurses on moral injury, well-being, resilience, and intention to leave their nursing position and profession.

Methods: This is a secondary analysis of cross-sectional data from registered nurses in clinical practice in Ohio between July and August 2021. Data on demographics, moral injury, resilience, and well-being were collected using an online survey. Participants were categorized into 4 generational groups based on their age in 2021: Baby Boomers (57-75 years old), Generation X (42-56 years old), Generation Y (27-41 years old), and Generation Z (12-26 years old). Descriptive and inferential statistics, including logistic regression and analysis of variance, were employed for analysis.

Results: Significant generational differences were found in years of clinical experience, moral injury, resilience, and well-being. Baby Boomers reported higher well-being and resilience and lower moral injury. Notably, the intention to leave the profession was more strongly associated with well-being and moral injury levels than with the years of experience or generational group.

Conclusions: The findings suggest that interventions to improve nurse retention should prioritize enhancing well-being and addressing the root causes of moral injury. Tailored strategies addressing the needs of different generations are necessary for mitigating the adverse effects of current healthcare challenges on nurse attrition.

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护士在道德伤害、复原力和幸福感方面的代际差异:护士中道德伤害、复原力和幸福感的代际差异:离职意向和职业的预测因素。
背景:COVID-19 大流行凸显了道德伤害对护士福祉的负面影响。然而,目前还缺乏对护士代际差异的研究,尤其是对新护士的研究,因为新护士被认为有更高的离职意愿:本研究探讨了护士在道德伤害、幸福感、复原力以及离开护理岗位和职业的意愿方面的代际差异:本研究对 2021 年 7 月至 8 月期间俄亥俄州临床实践中注册护士的横截面数据进行了二次分析。通过在线调查收集了有关人口统计学、道德伤害、复原力和幸福感的数据。根据 2021 年的年龄,参与者被分为 4 个世代组:婴儿潮一代(57-75 岁)、X 代(42-56 岁)、Y 代(27-41 岁)和 Z 代(12-26 岁)。分析采用了描述性和推论性统计方法,包括逻辑回归和方差分析:结果:在临床经验年限、道德伤害、复原力和幸福感方面发现了明显的代际差异。婴儿潮一代的幸福感和复原力较高,道德伤害较低。值得注意的是,离职意向与幸福感和道德伤害水平的关系比与工作年限或代际群体的关系更为密切:研究结果表明,提高护士留任率的干预措施应优先考虑提高幸福感和解决道德伤害的根本原因。要减轻当前医疗挑战对护士自然减员的不利影响,就必须针对不同世代的需求制定有针对性的策略。
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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
48
审稿时长
>12 weeks
期刊介绍: Western Journal of Nursing Research (WJNR) is a widely read and respected peer-reviewed journal published twelve times a year providing an innovative forum for nurse researchers, students, and clinical practitioners to participate in ongoing scholarly dialogue. WJNR publishes research reports, systematic reviews, methodology papers, and invited special papers. This journal is a member of the Committee on Publication Ethics (COPE).
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