PURPOSE:The purpose of this study was twofold: (a) to assess predictors of the turnover intention, burnout, and perceived quality of care among nurses working in Oman, and (b) to examine the potential moderating role of job satisfaction on the relationship between work environment and nurse turnover intention. DESIGN:A cross-sectional design was used to collect data from a sample of 207 nurses working in a public hospital in Muscat, Oman. METHODS:An electronic survey was used to assess nurses' perceptions of work environment, burnout, job satisfaction, turnover intention, and quality of care. FINDINGS:Participation in hospital affairs, a foundation for quality of care, and staffing adequacy were predictors of burnout among nurses and perceived quality of care. Logistic regression analysis revealed that working in a favorable environment was associated with less turnover intention, but only when job satisfaction was high. CONCLUSIONS:Improving nurse job satisfaction is a mechanism through which future interventions could enhance working conditions and promote better nurse retention. CLINICAL RELEVANCE:Organizational strategies are needed to increase nurse job satisfaction by empowering nurses to take more active roles in hospital affairs as a strategy to reduce turnover intention and enhance the quality of patient care.

译文

目的:本研究的目的是双重的:(a)评估在阿曼工作的护士的离职意向,倦怠和感知的护理质量的预测因子,以及(b)检验工作满意度对这种关系的潜在调节作用工作环境和护士离职意图之间的关系。
设计:采用横断面设计从阿曼马斯喀特一家公立医院工作的207名护士的样本中收集数据。
方法:采用电子调查来评估护士对工作环境,职业倦怠,工作满意度,离职意向和护理质量的看法。
结果:参与医院事务,护理质量的基础和人员配备充足是护士倦怠和感知护理质量的预测指标。 Logistic回归分析显示,在有利的环境中工作与离职意愿降低有关,但只有在工作满意度高的情况下才可以。
结论:提高护士的工作满意度是一种机制,通过该机制,未来的干预措施可以改善工作条件并促进更好的护士留任率。
临床相关性:需要组织战略来增强护士的工作满意度,使护士能够在医院事务中发挥更积极的作用,以此作为减少离职意向和提高患者护理质量的战略。

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