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首页> 外文期刊>Journal of Health Services Research & Policy >Leaving nursing: an event-history analysis of nurses' careers
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Leaving nursing: an event-history analysis of nurses' careers

机译：离开护理：对护士职业的事件历史分析

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Objectives: The current shortage of nurses is a major problem for health care systems around the world and has revitalized interest in the dynamics of nurses' careers. This paper investigates the factors associated with qualified nurses in Britain moving to different employment statuses, including jobs outside nursing, unemployment, maternity leave and family care over time. nnMethods: British Household Panel Survey (BHPS) data collected between 1991 and 2001 were used to estimate the effects of covariates on transition rates between different employment statuses. nnResults: Individual characteristics associated with shorter tenure in the profession include being male, being younger, having a degree, and having been born in the UK. Many nurses leave to care for their families, which suggests the possibility of returning to the profession at a later date. A number of job characteristics are also related to leaving, including low pay, managerial responsibility, full-time work and lack of opportunities to use initiative. Nurses seem to be particularly vulnerable to leaving early in their careers, but those who survive the first few years are likely to remain in the profession for the rest of their working lives. nnConclusions: It is particularly important in policy terms that ability to use initiative is related to leaving nursing for another form of full-time employment and, in particular, to leaving for a better job. This finding is consistent with results from studies of the Magnet hospitals in the US. Taken together, these results suggest that strategies to improve nurse retention must attend to nurses' status, authority and position in the hierarchy if they are to be successful. The results also provide strong support for those who argue that better rates of pay are necessary in order to improve nurse retention.
机译：目标：当前护士的短缺是世界各地卫生保健系统的一个主要问题，并且重新激发了人们对护士职业发展的兴趣。本文调查了与英国合格的护士转变为不同就业状况相关的因素，包括随着时间的推移从事护理工作，失业，产假和家庭护理等工作。 nn方法：1991年至2001年间收集的英国家庭面板调查（BHPS）数据用于估算协变量对不同就业状况之间过渡率的影响。结果：与该职业任期较短有关的个人特征包括男性，年轻，有学位和在英国出生。许多护士离开家照顾他们的家人，这表明以后有可能重返该行业。离职还涉及许多工作特征，包括低薪，管理责任，全职工作和缺乏使用主动权的机会。护士似乎特别容易在职业生涯的早期离开，但是那些在最初几年中幸存下来的人很可能会在余生中继续从事这一职业。 nn结论：从政策上来说，主动使用能力与离开护理岗位从事另一种全职工作尤其是离开以获得更好的工作有关。这一发现与美国磁铁医院的研究结果一致。综上所述，这些结果表明，要想使护士成功，提高护士保留率的策略就必须服从护士的地位，权威和地位。这些结果也为那些认为必须提高工资水平以改善护士保留率的人提供了有力的支持。

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