Examining the Predictors of Turnover Behavior in Newly Employed Certified Nurse Aides: A Prospective Cohort Study

IF 3.5 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work Pub Date : 2023-06-01 DOI:10.1016/j.shaw.2023.04.003

Hsiao-Ching Chen , Jiun-Yi Wang , Ya-Chen Lee , Shang-Yu Yang

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引用次数: 0

Abstract

Background

The turnover rate of nurse aides in Taiwan is high. However, the predictors of turnover behavior in the newly employed are still unclear.

Objective

To examine the predictors of turnover behavior in newly employed licensed nurse aides.

Methods

A longitudinal study design was used and subjects were newly employed certified nurse aides from a nurse aid training association in Taiwan. A total of five questionnaire surveys were conducted. The questionnaire was mainly used to collect information on turnover behavior, personal socioeconomic background, workplace psychosocial hazards, worker health hazards, and musculoskeletal disorders.

Results

A total of 300 participants were recruited in the study. Cox regression analysis results showed that short working experience (hazard ratio [HR] = 0.21, p < 0.01), work as non-home nurse aides (HR = 0.58, p = 0.01), low monthly salary (HR = 0.68, p < 0.01), high work mental load (HR = 1.01, p = 0.01), low workplace justice (HR = 0.97, p < 0.01), high workplace violence (HR = 1.60, p < 0.01), high burnout (HR = 1.01, p = 0.04), poor mental health (HR = 1.06, p = 0.04), and high total number of musculoskeletal disorder sites (HR = 1.08, p = 0.01) contribute to a higher risk of turnover.

Conclusion

The results indicated that employment period, work as a home nurse aide, monthly salary, work mental load, workplace justice, workplace violence, work-related burnout, mental health, and total number of musculoskeletal disorder sites are predictors of turnover behavior in newly employed certified nurse aides.

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新入职护士助理离职行为的预测因素:一项前瞻性队列研究

台湾护理助理的离职率较高。然而，新员工离职行为的预测因素尚不清楚。目的探讨新入职护理员离职行为的预测因素。方法采用纵向研究设计，研究对象为台湾某护理辅助培训协会新入职持证助理员。共进行了五项问卷调查。问卷主要收集员工离职行为、个人社会经济背景、工作场所社会心理危害、员工健康危害、肌肉骨骼疾病等信息。结果本研究共招募了300名参与者。Cox回归分析结果显示，短工作经验(风险比[HR] = 0.21, p <0.01)、非居家护理员(HR = 0.58, p = 0.01)、月薪低(HR = 0.68, p <0.01)、高工作心理负荷(HR = 1.01, p = 0.01)、低工作场所公平感(HR = 0.97, p <0.01)，高工作场所暴力(HR = 1.60, p <高倦怠(HR = 1.01, p = 0.04)、心理健康状况差(HR = 1.06, p = 0.04)、肌肉骨骼疾病部位总数高(HR = 1.08, p = 0.01)是导致离职风险较高的因素。结论就业年限、家庭护理员工作经历、月薪、工作心理负荷、工作场所公正、工作场所暴力、工作倦怠、心理健康状况和肌肉骨骼疾病场所总数是新入职护理员离职行为的预测因子。

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来源期刊

Safety and Health at Work Social Sciences-Safety Research

CiteScore

6.40

自引率

5.70%

发文量

1080

审稿时长

38 days

期刊介绍： Safety and Health at Work (SH@W) is an international, peer-reviewed, interdisciplinary journal published quarterly in English beginning in 2010. The journal is aimed at providing grounds for the exchange of ideas and data developed through research experience in the broad field of occupational health and safety. Articles may deal with scientific research to improve workers'' health and safety by eliminating occupational accidents and diseases, pursuing a better working life, and creating a safe and comfortable working environment. The journal focuses primarily on original articles across the whole scope of occupational health and safety, but also welcomes up-to-date review papers and short communications and commentaries on urgent issues and case studies on unique epidemiological survey, methods of accident investigation, and analysis. High priority will be given to articles on occupational epidemiology, medicine, hygiene, toxicology, nursing and health services, work safety, ergonomics, work organization, engineering of safety (mechanical, electrical, chemical, and construction), safety management and policy, and studies related to economic evaluation and its social policy and organizational aspects. Its abbreviated title is Saf Health Work.