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Nursing practice environment, resilience, and intention to leave among critical care nurses.
- Source :
- Nursing in Critical Care; Nov2021, Vol. 26 Issue 6, p432-440, 9p
- Publication Year :
- 2021
-
Abstract
- Background: Retaining experienced critical care nurses (CCNs) remains a challenge for health care organizations. Nursing practice environment and resilience are both seen as modifiable factors in ameliorating the impact on CCNs' intention to leave and have not yet been explored in Malaysia. Aims and objectives: To assess the association between perceived nursing practice environment, resilience, and intention to leave among CCNs and to determine the effect of resilience on intention to leave after controlling for other independent variables. Design This was a cross‐sectional survey. Methods: The universal sampling method was used to recruit nurses from adult and paediatric (including neonatal) critical care units of a large public university hospital in Malaysia. Descriptive analysis and χ2 and hierarchical logistic regression tests were used to analyse the data. Results: A total of 229 CCNs completed the self‐administrated questionnaire. Of the nurses, 76.4% perceived their practice environment as being favourable, 54.1% were moderately resilient, and only 20% were intending to leave. The logistic regression model explained 13.1% of variance in intention to leave and suggested that being single, an unfavourable practice environment, and increasing resilience were significant predictors of nurses' intention to leave. Conclusion: This study found that an unfavourable practice environment is a strong predictor of intention to leave; however, further exploration is needed to explain the higher likelihood of expressing intention to leave among CCNs when their resilience level increases. Relevance to clinical practice: Looking into staff allocation and equality of workload assignments may improve the perception of the work environment and help minimize intention to leave among nurses. [ABSTRACT FROM AUTHOR]
- Subjects :
- CRITICAL care nurses
WORK environment
DISMISSAL of employees
PSYCHOLOGICAL burnout
STATISTICS
INTENSIVE care nursing
NURSES' attitudes
ACADEMIC medical centers
RESEARCH evaluation
CROSS-sectional method
AGE distribution
INDEPENDENT variables
EMPLOYEE recruitment
NURSING practice
PSYCHOLOGY of nurses
SURVEYS
SELF medication
SOCIOECONOMIC factors
T-test (Statistics)
SEX distribution
DESCRIPTIVE statistics
QUESTIONNAIRES
SCALE analysis (Psychology)
INTENTION
LOGISTIC regression analysis
WORKING hours
DATA analysis software
STATISTICAL correlation
DATA analysis
PSYCHOLOGICAL resilience
EMPLOYEE retention
EDUCATIONAL attainment
CAUSAL models
Subjects
Details
- Language :
- English
- ISSN :
- 13621017
- Volume :
- 26
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Nursing in Critical Care
- Publication Type :
- Academic Journal
- Accession number :
- 153579653
- Full Text :
- https://doi.org/10.1111/nicc.12551