| Summary: | 碩士 === 國立臺灣師範大學 === 健康促進與衛生教育學系 === 105 === Background: Nursing staff shortage can easily lead to patient safety problems and induce more job stress, freeze the loss of nursing staff, enhance the willingness of retention is a long-term goal.
Objectives: To understand the relation between job stress, coping strategy, psychological well-being and nurses’ retention.
Method: In this study, we conducted a second-hand database analysis on the topic of “Impacts of psychological well-being, stress coping and practice environment of nursing work, safety attitude among nurses of medical center in North Taiwan”, which is collected from 2014/12/1 to 2015/11/30, and included a random sample of 501 clinical nurses from a medical center in Northern Taiwan, the instrument was using (1) Bryan Sexton (2006) Safety Attitude Questionnaire (SAQ)、(2)Carver (1989) Brief COPE、(3)Ryff (1989) Psychological well-being scale (PWB)、(4)Tsay and Lu (1998) intent-to-stay scale. And use Linear regression, ANOVA, SEM path analysis for statistics.
Results: A total of 474 responses (response rate 94.8%) were received, All scales have good reliability (Cronbach's α.83 ~ .94) and good validity. the findings were: (1) “active problem-focused coping” is positively correlated with nurses’ retention (β= .13, p < .01), “passive emotional-focused coping” is negatively correlated with nurse’ retention (β = -.18, p < .001); (2) nurses with higher PWB had significantly higher retention (p <.001); (3) coping strategy has negatively association with retention(β = -.15, p < .01), PWB is positively associate with retention(β = .25, p < .001), PWB has found to be a positively mediator of coping strategy and retention(Sobel test z=4.83, β =.10, p < .001).
Conclusions: Job stress can reduce retention, but through the use of coping strategies, PWB can be improved, thereby enhancing the retention of nursing staff. we suggest to provide stress coping training courses for nursing new staff, and build up a supportive and positively workplace by nursing supervisors.
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