{"title":"Occupational Diseases, Job Satisfaction, and Turnover Intentions Among Head Nurses in China: A Nationwide Cross-Sectional Study","authors":"Wenyu Zhang, Xianzong Ma, Qian Xiao, Meihua Ji","doi":"10.1155/jonm/9458880","DOIUrl":null,"url":null,"abstract":"<div>\n <p><b>Objective:</b> To systematically investigate the prevalence of occupational diseases among head nurses in China, assess their job satisfaction and turnover intentions, and identify associated factors influencing these issues.</p>\n <p><b>Methods:</b> This nationwide cross-sectional survey was conducted between July 2016 and July 2017, involving 6672 head nurses selected from 1858 hospitals across 30 provinces. A self-administered questionnaire collected data on demographic characteristics, occupational disease status, job satisfaction, and turnover intentions. Statistical analyses, including multivariate binary logistic regression, were performed to identify factors influencing occupational disease and turnover intentions.</p>\n <p><b>Results:</b> The majority of participants were female (98.53%) and over 41 years old (78.22%). The prevalence of occupational diseases was significant, with insomnia reported in 66.80%, musculoskeletal disorders in 47.62%, and gastrointestinal issues in 49.36%. A staggering 59.83% indicated intentions to leave their positions, primarily due to high job demands, poor nurse-patient relationships, and dissatisfaction with income relative to work intensity. Multivariate analysis revealed that factors such as gender, age, educational level, and working experience significantly influenced occupational diseases, and factors such as age, monthly income, occupational diseases, and work intensity significantly influenced turnover intentions.</p>\n <p><b>Conclusions:</b> The findings highlighted a critical need to address the occupational health and working conditions of head nurses in China. Given the high prevalence of occupational diseases and turnover intentions, effective interventions aimed at improving job satisfaction and reducing occupational stress were essential to enhance the stability and quality of nursing care. Further qualitative investigations were recommended to gain deeper insights into these issues.</p>\n </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7000,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/9458880","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nursing Management","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1155/jonm/9458880","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MANAGEMENT","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To systematically investigate the prevalence of occupational diseases among head nurses in China, assess their job satisfaction and turnover intentions, and identify associated factors influencing these issues.
Methods: This nationwide cross-sectional survey was conducted between July 2016 and July 2017, involving 6672 head nurses selected from 1858 hospitals across 30 provinces. A self-administered questionnaire collected data on demographic characteristics, occupational disease status, job satisfaction, and turnover intentions. Statistical analyses, including multivariate binary logistic regression, were performed to identify factors influencing occupational disease and turnover intentions.
Results: The majority of participants were female (98.53%) and over 41 years old (78.22%). The prevalence of occupational diseases was significant, with insomnia reported in 66.80%, musculoskeletal disorders in 47.62%, and gastrointestinal issues in 49.36%. A staggering 59.83% indicated intentions to leave their positions, primarily due to high job demands, poor nurse-patient relationships, and dissatisfaction with income relative to work intensity. Multivariate analysis revealed that factors such as gender, age, educational level, and working experience significantly influenced occupational diseases, and factors such as age, monthly income, occupational diseases, and work intensity significantly influenced turnover intentions.
Conclusions: The findings highlighted a critical need to address the occupational health and working conditions of head nurses in China. Given the high prevalence of occupational diseases and turnover intentions, effective interventions aimed at improving job satisfaction and reducing occupational stress were essential to enhance the stability and quality of nursing care. Further qualitative investigations were recommended to gain deeper insights into these issues.
期刊介绍：
The Journal of Nursing Management is an international forum which informs and advances the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis resulting in a rich source of evidence which underpins and illuminates the practice of management, innovation and leadership in nursing and health care. It publishes current issues and developments in practice in the form of research papers, in-depth commentaries and analyses.
The complex and rapidly changing nature of global health care is constantly generating new challenges and questions. The Journal of Nursing Management welcomes papers from researchers, academics, practitioners, managers, and policy makers from a range of countries and backgrounds which examine these issues and contribute to the body of knowledge in international nursing management and leadership worldwide.
The Journal of Nursing Management aims to:
-Inform practitioners and researchers in nursing management and leadership
-Explore and debate current issues in nursing management and leadership
-Assess the evidence for current practice
-Develop best practice in nursing management and leadership
-Examine the impact of policy developments
-Address issues in governance, quality and safety
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
