| Summary: | 碩士 === 國立臺北護理健康大學 === 健康事業管理研究所 === 102 === Relationship between Nurse Practice Environment, Occupational Burnout, and Intention to Leave of Nursing Staff
Abstract
Purpose. Empirical studies report that the nurse practice environment is one of the key factors affecting the occupational burnout and intention to leave for nursing staff.
However, there is less research available on these topics. The purpose of the study was to investigate the relationships between nurse practice environment, occupational burnout, and intention to leave for nursing staff in a regional hospital in the north of Taiwan.
Method. This study was used a cross-sectional survey. The nurse practice environment and intention to leave causal structure involving pathways between practice environment and intention to leave variables with occupational burnout in a mediating position was developed. Survey data from 231 staff nurses in a regional teaching hospital at New Taipei City (including the Chinese version of revised nursing work Index, the Cheng’s Chinese version of Copenhagen Burnout Inventory, two items of intention to leave hospital and nursing professional) were used to test this model using structural equation modeling techniques. The data were collected from June to July 2013.
Results: Goodness of fit statistics confirmed a model with occupation burnout in mediating positions between nurse practice environment and intention to leave hospital and nursing professional, explaining 54.3% and 59.5% mediation power. Nurse practice environment had significant negative direct and indirect effects on nurse intention to leave hospital and nursing professionals. The direct relationships between occupational burnout and nurse intention to leave hospital and nursing professional were found.
Conclusion. These findings suggest that hospital properties, including nurse participation in hospital affairs, nursing foundations for quality of care, nurse manager ability, leadership, and support of nurses, staffing and resource adequacy, and collegial nurse-physician relations, are related to nurse’s occupational burnout, and to nurse’s intention to leave hospital and nursing professional. An intervention for decreasing nurse’s burnout is needed for recruiting and retention nursing staff.
Key words：nurse practice environment、occupational burnout、intention to leave、Structural Equation Model
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