护士工作嵌入与离职倾向：系统回顾与元分析

IF 2.9 3区医学 Q1 NURSING

International Journal of Nursing Sciences Pub Date : 2024-11-01 DOI:10.1016/j.ijnss.2024.10.003

Xin Wang , Ming Liu , Angela Y.M. Leung , Xiaoyan Jin , Hongxia Dai , Shaomei Shang

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引用次数: 0

摘要

目的探讨护士工作嵌入性与离职倾向的关系，并探讨工作嵌入性量表、工作年限、教育程度和婚姻状况对这一关系的影响。方法通过检索中国知识资源综合数据库（CNKI）、微普数据库（CQVIP）、中国生物医学数据库（CBM）、万方数据库、PubMed、Web of Science、Embase、CINAHL、APA-PsycNet等数据库，检索截至2024年3月关于护士工作嵌入性与离职意向的文章。研究质量采用卫生保健研究和质量机构（AHRQ）评估标准进行评估。审查方案已在PROSPERO注册[CRD42023483947]。结果本综述纳入47项研究，涉及全球7个国家的15742名护士。工作嵌入性与离职倾向呈中等负相关（r = -0.487）。此外，在职嵌入性（r = -0.527）与离职倾向的负相关程度高于职外嵌入性（r = -0.234）。牺牲与离职意愿负相关最高（r = -0.460），联结负相关最低（r = -0.185）。此外，工作嵌入性及其维度与离职倾向的关系受不同工作嵌入性量表、职业年限、教育程度和婚姻状况的影响(P <；0.05)。结论本研究通过系统回顾和meta分析分析了护士工作嵌入性、维度与离职倾向之间的关系。同时，通过亚组分析和元回归分析探讨了影响这些关系的因素。为护理管理者提高护士留任率提供了重要参考。

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Nurses’ job embeddedness and turnover intention: A systematic review and meta-analysis

Objective

This study aimed to review the relationship between job embeddedness and turnover intentions among nurses and explore the effects of the Job Embeddedness Scale, number of years in the career, education, and marital status on this relationship.

Methods

The review was conducted by searching the China Knowledge Resource Integrated Database (CNKI), Weipu Database (CQVIP), China Biology Medicine (CBM), Wanfang Database, PubMed, Web of Science, Embase, CINAHL, and APA-PsycNet for articles on nurses’ job embeddedness and turnover from intention up to March 2024. The research quality was evaluated using the Agency for Healthcare Research and Quality (AHRQ) assessment criteria. The review protocol has been registered on PROSPERO [CRD42023483947].

Results

The results of this review included 47 studies consisting of 15,742 nurses from seven countries worldwide. A moderate negative correlation was found between job embeddedness and turnover intention (r = -0.487). Furthermore, on-the-job embeddedness (r = -0.527) was more negatively associated with turnover intention than off-the-job embeddedness (r = -0.234). The highest negative correlation was found between sacrifice and turnover intention (r = -0.460), while the lowest was for the link (r = -0.185). Furthermore, the relationship between job embeddedness and its dimensions with turnover intention was affected by different job embeddedness scales, number of years in the career, education, and marital status (P < 0.05).

Conclusion

This systematic review and meta-analysis analyzed the relationships between nurses’ job embeddedness, dimensions, and turnover intention. Meanwhile, subgroup analysis and meta-regression explored the factors influencing these relationships. It is an important reference for nurse managers to promote nurse retention.

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来源期刊

International Journal of Nursing Sciences Nursing-Nursing (all)

CiteScore

6.10

自引率

2.60%

发文量

408

审稿时长

25 days

期刊介绍： This journal aims to promote excellence in nursing and health care through the dissemination of the latest, evidence-based, peer-reviewed clinical information and original research, providing an international platform for exchanging knowledge, research findings and nursing practice experience. This journal covers a wide range of nursing topics such as advanced nursing practice, bio-psychosocial issues related to health, cultural perspectives, lifestyle change as a component of health promotion, chronic disease, including end-of-life care, family care giving. IJNSS publishes four issues per year in Jan/Apr/Jul/Oct. IJNSS intended readership includes practicing nurses in all spheres and at all levels who are committed to advancing practice and professional development on the basis of new knowledge and evidence; managers and senior members of the nursing; nurse educators and nursing students etc. IJNSS seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Contributions are welcomed from other health professions on issues that have a direct impact on nursing practice.