关键词: cross-sectional survey mental health nursing nursing graduates transition-to-practice well-being

Mesh : Humans Psychiatric Nursing Cross-Sectional Studies Intention Health Transition Personnel Turnover Job Satisfaction Nurses Surveys and Questionnaires Nursing Staff, Hospital / psychology

来  源:   DOI:10.1111/inm.13246

Abstract:
There is global recognition that mental health nursing can be stressful and have detrimental effects on nurses\' well-being and retention. With substantial nursing shortages, there is an urgent need to attract and retain nurses to sustain this workforce and provide effective mental healthcare. Mental health transition programs provide vital recruitment pathways and support novice registered nurses, enrolled nurses and experienced registered generalist nurses moving into this field. There is little evidence, however, on the well-being, resilience, and retention of nurses transitioning into mental health. The primary aims for this cross-sectional study were to describe demographic characteristics, perceived stress, well-being, resilience, mental illness stigma attitudes, work satisfaction, and turnover intention of four nurse cohorts entering mental health transition programs: generalist registered nurses, graduate and post-graduate registered nurses, and enrolled nurses; to explore relationships between these variables; and explore differences between these four nurse cohorts. Findings (n = 87) included overall moderate perceived stress, moderate well-being and resilience, high work satisfaction, low stigma, and low turnover intention. Higher turnover intention was associated with lower age and work satisfaction, and higher perceived stress. Generalist RNs had significantly higher stress and stigmatizing attitudes than Enrolled Nurses. Secondary analysis of well-being scores identified 14 nurses with scores indicating depression, with significantly lower resilience and work satisfaction, and significantly higher stress than the rest of the sample. To help prevent attrition, it is vital that mental health services provide tailored well-being initiatives during transition and intervene early to provide support for nurses with mental distress.
摘要:
全球认识到心理健康护理可能会带来压力,并对护士的健康和保留产生不利影响。由于严重的护理短缺,迫切需要吸引和留住护士来维持这种劳动力并提供有效的精神保健。心理健康过渡计划提供重要的招聘途径,并支持新手注册护士,注册护士和经验丰富的注册通才护士进入这一领域。几乎没有证据,然而,关于幸福,弹性,以及护士过渡到心理健康的保留。这项横断面研究的主要目的是描述人口统计学特征,感知压力,幸福,弹性,精神疾病的污名态度,工作满意度,进入心理健康过渡计划的四个护士队列的离职意向:通才注册护士,研究生和研究生注册护士,和登记护士;探索这些变量之间的关系;并探索这四个护士队列之间的差异。研究结果(n=87)包括总体中度感知压力,适度的幸福感和韧性,工作满意度高,低柱头,和低离职意向。较高的离职倾向与较低的年龄和工作满意度相关,和更高的感知压力。通才RN的压力和污名化态度明显高于注册护士。对幸福感得分的二次分析确定了14名护士的得分表明抑郁,弹性和工作满意度明显较低,和显著高于样品的其余部分的应力。为了帮助防止自然减员,至关重要的是,精神卫生服务应在过渡期间提供量身定制的福祉举措,并尽早进行干预,为精神困扰的护士提供支持。
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