The mediating effect of nurses' professional commitment between practice environment and turnover intention
10.3760/cma.j.cn115682-20200826-05065
- VernacularTitle:护士职业承诺在护理工作环境与离职倾向间的中介效应
- Author:
Huixiu HU
1
;
Chao SUN
;
Xin LI
;
Xuelian WANG
Author Information
1. 北京医院护理部 国家老年医学中心 中国医学科学院老年医学研究院 100730
- Keywords:
Nurses;
Professional commitment;
Practice environment;
Turnover intention;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2021;27(20):2718-2723
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the status quo of nurses' professional commitment, practice environment, and turnover intention in the eastern, middle and western parts of China, and to explore the mediating effects of nurses' professional commitment between practice environment and turnover intention.Methods:In this cross-sectional study, a total of 3 142 nurses from 11 ClassⅢ hospitals and 6 ClassⅡ hospitals in the eastern, middle and western parts of China were selected by convenient sampling from March to December 2019. They were investigated with the general information questionnaire, Practice Environment Scale (PES) , Nurses' Professional Commitment Scale, and Nurses' Turnover Intention Questionnaire. Totally 3 142 questionnaires were distributed, and 3 018 valid questionnaires were collected, accounting for an effective recovery rate of 96.1%.Results:The average scores of the PES, Nurses' Professional Commitment Scale, and Nurses' Turnover Intention Questionnaire in the 3 018 nurses were (3.02±0.49) , (3.54±0.67) , and (2.72±0.99) . There was a correlation among nurses' professional commitment, practice environment, and turnover intention ( P<0.01) . The hierarchical regression analysis showed that after controlling for general data, sufficient human and material dimensions in the PES and the emotional commitment, normative commitment, and opportunity commitment dimensions in the Nurses' Professional Commitment Scale were independent influencing factors of nurses' turnover intention. The mediating effect analysis revealed that the mediating effect of nurses' professional commitment between practice environment and turnover intention was 0.267, accounting for 57.3% of the total effect. Conclusions:Nurses' professional commitment shows mediating effects between nurses' practice environment and turnover intentions, suggesting that nursing managers can reduce nurses' turnover intention and stabilize the nursing team by constructing a healthy practice environment or improving nurses' professional commitment.
