Abstract
BackgroundCurrently, hospital nursing care workers (hereafter referred to as HNCWs) have become an important part of the healthcare system in China. They exist in nearly all of the public hospitals and in some private hospitals, making up 20 to 30% of the total nursing staff and providing 30 to 40% of basic nursing care for patients. However, many studies have shown that the turnover rate of HNCWs is very high, with average annual rates of 20 to 45%. We conducted this survey to explore their turnover intentions and related factors and present some suggestions to improve their retention rate.MethodsA total of 514 HNCWs employed at 11 hospitals in Shanghai participated in this study. The inclusion criteria were as follows: (1) being a certified HNCW, (2) having worked as an HNCW for more than 1 year, and (3) volunteering to take part in the survey.ResultsThe overall turnover intention of the HNCWs was 41.3%. Influencing factors include education (βeta = 0.201, P = 0.000), wages (βeta = − 0.920, P = 0.000), management satisfaction, (βeta = − 0.213, P = 0.000), satisfaction with wages (βeta = − 0.612, P = 0.000), satisfaction with working hours (βeta = − 0.270, P = 0.000), satisfaction with their own work (βeta = − 0.066, P = 0.027), work stress (βeta = 0.726, P = 0.000), enjoyment of the job (βeta = − 0.141, P = 0.000) and hours of sleep (βeta = − 0.046, P = 0.037).ConclusionsDecreasing HNCWs’ turnover intentions and the overall turnover rate is important for improving the quality of healthcare. More attention should be paid to this issue in the enactment of health policy.
Highlights
Hospital nursing care workers have become an important part of the healthcare system in China
The questionnaire was designed to explore the Hospital nursing care worker (HNCW)’ turnover intentions and related factors, providing an evidence base for managers to help them understand what motivates individuals to work as HNCWs and what contributes to satisfaction with their jobs and to the likelihood of staying in their jobs
We can see the following results from Table 1: Turnover intention varied by “gender” (× 2 = 9.16, P < 0.01), “length of time working as an HNCW” (× 2 = 36.88, P < 0.001), “profession before working as an HNCW” (× 2 = 16.50, P < 0.01), “wages” (× 2 = 10.17, P < 0.01), “job satisfaction” (F = 35.00, P < 0.001), “self-evaluation” (F = 24.02, P < 0.001), “work stress” (× 2 = 15.48, P < 0.001), “enjoyment of the job” (× 2 = 167.28, P = 0.001), and “hours of sleep per day” (× 2 = 23.11, P < 0.001)
Summary
Hospital nursing care workers (hereafter referred to as HNCWs) have become an important part of the healthcare system in China They exist in most of the public hospitals and in some private hospitals, making up 20 to 30% of the total nursing staff and providing 30 to 40% of basic nursing care for patients. In China, hospital nursing care workers (HNCWs) are those who work in hospitals and provide basic nursing care to patients or disabled elders, including feeding, dressing, bathing, and toileting. Their duties include observing and reporting changes in patients’ physical and psychosocial status under the instruction of doctors and nurses. HNCWs in China provide 24-h care for patients while their income is the lowest in the hospital; on the other hand, HNCWs are exposed to various harmful substances that may potentially threaten their health, so an increasing number of HNCWs want to leave their work
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