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Understanding the mechanism of safety attitude mitigates the turnover intention novice nurses via the person‐centred method: A theory‐driven, deductive cross‐sectional study
Journal of Advanced Nursing ( IF 3.8 ) Pub Date : 2024-05-06 , DOI: 10.1111/jan.16213
Xutong Zheng 1 , Huan Liu 2 , Man Zhang 3 , Zhen Yang 1 , Yong Dong 4 , Zhuzhu Qin 5 , Xiubin Tao 2, 6 , Xiancui Zhang 2, 6 , Aiping Wang 1
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AimExamine profiles of safety attitudes among novices and explore whether profiles moderate the occupational identity–turnover pathway.BackgroundNovice nurses face unique challenges in adopting positive safety attitudes, which influence outcomes like turnover. However, past research found only average levels of safety attitudes among novices, ignoring possible heterogeneity. Exploring whether meaningful subgroups exist based on safety perspectives and factors shaping them can provide insights to improve safety attitudes and retention.DesignThis study was designed as a cross‐sectional investigation.MethodsData were collected through the distribution of questionnaires. Descriptive statistics were first conducted, followed by latent profile analysis. We then carried out univariate analysis and ordinal multinomial regression to explore the factors shaping the different profiles. Finally, we examine the moderating effect of nurses' safety attitudes with different latent profiles on the relationship between professional identification and turnover intention.ResultsA total of 816 novice nurses were included. Three profiles were identified: high, moderate and low safety attitudes – higher attitudes were associated with lower turnover intention. Interest in nursing, health status, identity and turnover predicted profile membership. Moderate profile had a stronger buffering effect on the identity–turnover link versus high profile.ConclusionMultiple safety attitude profiles exist among novice nurses. Certain factors like interest in nursing and occupational identity are associated with more positive safety profiles. Targeting these factors could potentially improve safety attitudes and reduce turnover among novice nurses. The moderating effects suggest that tailored interventions matching specific subgroups may maximize impact.ImpactAssessing subgroup attitudes enables tailored training for novices' specific needs, nurturing continuous improvement. Supporting early career development and role identity may strengthen retention intentions.

中文翻译:

通过以人为本的方法了解安全态度的机制可减轻新手护士的离职意向:一项理论驱动的演绎横断面研究

目的检查新手的安全态度概况,并探讨概况是否会调节职业认同-流动路径。背景新手护士在采取积极的安全态度方面面临着独特的挑战,这会影响流动等结果。然而,过去的研究仅发现新手的安全态度处于平均水平,忽略了可能的异质性。根据安全观点和影响它们的因素探索是否存在有意义的亚组,可以为改善安全态度和保留度提供见解。设计本研究被设计为横断面调查。方法通过发放问卷收集数据。首先进行描述性统计,然后进行潜在概况分析。然后,我们进行了单变量分析和序数多项回归,以探索形成不同概况的因素。最后,我们考察了不同潜在特征的护士安全态度对职业认同和离职倾向关系的调节作用。结果共纳入816名新护士。确定了三种情况:高、中和低安全态度——较高的态度与较低的离职意向相关。对护理的兴趣、健康状况、身份和流动率预测了个人资料成员资格。与高知名度相比,中等形象对身份-流动链接具有更强的缓冲作用。结论新手护士中存在多种安全态度概况。对护理的兴趣和职业认同等某些因素与更积极的安全状况相关。针对这些因素可能会改善安全态度并减少新手护士的流动率。调节效应表明,与特定亚组相匹配的定制干预措施可以最大限度地发挥影响。影响评估亚组态度可以针对新手的特定需求进行量身定制的培训,从而促进持续改进。支持早期职业发展和角色认同可能会增强保留意愿。
更新日期:2024-05-06
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