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编制外护士离职原因及再就业意向分析

Analysis of resignation reasons and reemployment intentions for junior contract nurses

摘要目的:探讨编制外护士离职原因及再就业方向,为进一步完善聘用制护士管理制度及制订减少护士流失策略提供依据。方法采用自行设计的离职原因调查表及半结构访谈对某院82名离职护士进行调研。结果82名护士离职主要原因为忙于工作交友难占63.41%,不便照顾家人占58.54%,此外工作压力大超出负荷、职业生涯发展平台有限、医疗环境紧张也是离职重要因素。因“职业生涯发展平台有限”而离职的人员比例中,本科学历护士高于大专学历护士。护士离职后选择去离家近的二、三级医院继续从事临床护理工作占70.73% 。结论进一步探讨人性化管理措施、关注年轻护士个人和家庭问题、有效缓解工作压力、有效引导等措施,可提高编制外年轻护士对医院的忠诚度和认可度,降低护士离职意向。

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abstractsObjective To explore the reasons for junior contract nurse′ s resignation and their reemployment intentions, and to provide a reference for the development of strategies to improve contract nurses′management. Methods A total of 82 nurses who resigned from the hospital were investigated with a self-designed questionnaire about the reasons of leaving, and they were interviewed by semi-structured questionnaire. Results The top two reasons for leaving were hardly to making friends (63. 41% ) and inconvenience of taking care family (58. 54% ). Besides, working stress, limited space for professional development, the intense medical environment were also the reasons for resignation. The nurses with a bachelor degree were more than those with an associated degree among those who resigned for limited space for professional development. After leaving, 70. 73% nurses would continue to do clinical nursing jobs in the second or the third degree hospitals where were near their home. Conclusions Further implementation of the humanity management measures, paying more attention to nurse′ s personal and family problems, reducing nurses′ working pressures and effectively guide can increase the loyalty and recognition of contract nurses, so it may reduce the retention of resignation.

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