Zheng Ren, Yan Sun, Xiangrong Li, Minfu He, Hong Shi, Hanfang Zhao, Yuyu Li, Yajiao Pu, Hongjian Liu, Xiumin Zhang
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引用次数: 0
Abstract
Background: Despite a great deal of existing research on nurses' job stress and intention to stay, it is still unclear how the association between Chinese nurses' job stress and intention to stay is affected by presenteeism and family functioning.
Aims: This study aimed to investigate the correlations of Chinese nurses' job stress, presenteeism, and family functioning with their intention to stay and clarify the mediating effect of presenteeism and the moderating effect of family functioning on the association between their job stress and intention to stay.
Method: A cross-sectional study of 1,008 nurses was performed in a major general hospital in Qiqihar City, Heilongjiang Province, China. The participants were invited to engage in a questionnaire survey regarding job stress, presenteeism, family functioning, and intention to stay. A moderated mediation analysis was conducted through multiple linear regression analysis and the PROCESS macro.
Results: Job stress and presenteeism were negatively correlated with intention to stay, whereas family functioning was positively correlated with intention to stay. The effect of job stress on intention to stay was partially mediated by presenteeism (Effect = -0.147, 95% CI = [-0.305, -0.003]). In addition, family functioning moderated the direct effect of job stress on intention to stay (Index = -0.134, 95% CI = [-0.274, -0.001]).
Conclusions: Presenteeism and family functioning were found to play mediating and moderating roles, respectively, in the relationship between job stress and intention to stay. Relevant interventions or family-friendly programs should be developed to enhance nurses' intention to stay.
背景：目的：本研究旨在探讨中国护士的工作压力、旷工和家庭功能与其留职意愿的相关性，并阐明旷工和家庭功能对其工作压力和留职意愿之间的中介效应：在黑龙江省齐齐哈尔市一家大型综合医院对 1008 名护士进行了横断面研究。受试者受邀参与了有关工作压力、旷工、家庭功能和留职意愿的问卷调查。通过多元线性回归分析和 PROCESS 宏进行了中介分析：结果：工作压力和迟到与留任意愿呈负相关，而家庭功能与留任意愿呈正相关。工作压力对留任意愿的影响在一定程度上受旷工率的影响（影响 = -0.147，95% CI = [-0.305，-0.003]）。此外，家庭功能调节了工作压力对留任意愿的直接影响（指数 = -0.134，95% CI = [-0.274，-0.001]）：结论：研究发现，在工作压力与留职意愿之间的关系中，到职率和家庭功能分别起着中介和调节作用。应制定相关的干预措施或家庭友好计划，以提高护士的留职意愿。
期刊介绍：
The Journal of the American Psychiatric Nurses Association (JAPNA) is a peer-reviewed bi-monthly journal publishing up-to-date information to promote psychiatric nursing, improve mental health care for culturally diverse individuals, families, groups, and communities, as well as shape health care policy for the delivery of mental health services. JAPNA publishes both clinical and research articles relevant to psychiatric nursing. This journal is a member of the Committee on Publication Ethics (COPE).
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