医疗保健人员为何离职?对 COVID-19 大流行期间加拿大医疗服务提供者离职意向的聚合混合方法调查。

IF 2.4 Q1 NURSING Nursing Reports Pub Date : 2024-08-21 DOI:10.3390/nursrep14030152
Andrea M D'Alessandro-Lowe, Andrea Brown, Emily Sullo, Mina Pichtikova, Mauda Karram, James Mirabelli, Randi E McCabe, Margaret C McKinnon, Kim Ritchie
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引用次数: 0

摘要

背景:在后 COVID-19 大流行时代,整个医疗保健行业的人员短缺对加拿大医疗保健系统的连续性构成了威胁。我们试图了解与离职意向相关的因素,以及加拿大医疗保健提供者(HCPs)对与组织和专业人员离职相关的离职意向的看法和经验:方法:采用趋同问卷混合方法设计。采用描述性统计和序数逻辑回归分析定量数据,并确定与离职意向相关的因素。采用主题分析法对开放式文本框数据进行定性分析,了解高级保健人员对离职意向的看法和经验:定量分析显示,78.6% 的受访高级保健医生(N = 398)表示至少有 25% 的离职意向与其所在机构有关,67.5% 的受访高级保健医生表示至少有 25% 的离职意向与其所在专业有关。回归模型显示,工作年限、职业倦怠和组织支持对组织的离职可能性有显著影响,而年龄、性别、职业倦怠和组织支持则对离职可能性有影响。从参与者的定性回答中得出的意义模式按照以下四个主题进行组织:(1) 留任的内容,(2) 溺水而无人问津,(3) 道德压力,(4) 权衡成本与收益:许多高级专业人员描述了在 COVID-19 大流行期间权衡离开其组织或职业的成本和收益。尽管具有挑战性的工作条件、道德压力和职业倦怠可能在高级保健医生的离职意向经历中起着重要作用,但仍有足够的空间通过组织支持进行干预。
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Why Are Healthcare Providers Leaving Their Jobs? A Convergent Mixed-Methods Investigation of Turnover Intention among Canadian Healthcare Providers during the COVID-19 Pandemic.

Background: Staffing shortages across the healthcare sector pose a threat to the continuity of the Canadian healthcare system in the post-COVID-19 pandemic era. We sought to understand factors associated with turnover intention as well as Canadian healthcare providers' (HCPs) perspectives and experiences with turnover intention as related to both organizational and professional turnover.

Method: A convergent questionnaire mixed-methods design was employed. Descriptive statistics and ordinal logistic regressions were used to analyze quantitative data and ascertain factors associated with turnover intention. Thematic analysis was used to analyze qualitative open-field textbox data and understand HCPs' perspectives and experiences with turnover intention.

Results: Quantitative analyses revealed that 78.6% of HCPs surveyed (N = 398) reported at least a 25% turnover likelihood regarding their organization, with 67.5% reporting at least a 25% turnover likelihood regarding their profession. Whereas regression models revealed the significant impact of years worked, burnout, and organizational support on turnover likelihood for organizations, age, sex, burnout, and organizational support contributed to the likelihood of leaving a profession. Patterns of meaning drawn from participants' qualitative responses were organized according to the following four themes: (1) Content to stay, (2) Drowning and no one cares, (3) Moral stressors, and (4) Wrestling with the costs and benefits.

Conclusions: Many HCPs described weighing the costs and benefits of leaving their organization or profession during the COVID-19 pandemic. Although challenging working conditions, moral stressors, and burnout may play a significant role in HCPs' experiences of turnover intention, there is ample room to intervene with organizational support.

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来源期刊
Nursing Reports
Nursing Reports NURSING-
CiteScore
2.50
自引率
4.20%
发文量
78
期刊介绍: Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.
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