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首页> 外文期刊>Journal of health communication >Predicting Nurses' Turnover: The Aversive Effects of Decreased Identity, Poor Interpersonal Communication, and Learned Helplessness
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Predicting Nurses' Turnover: The Aversive Effects of Decreased Identity, Poor Interpersonal Communication, and Learned Helplessness

机译：预测护士的离职：身份下降，人际交往不佳和习得性无助的不良影响

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摘要

Through a social identity theoretical lens, this study examines how nurses' identification with their working small group, unit, or floor, nursing role (e.g., staff ER nurse, nurse practitioner), and nursing profession relate to nurses' interaction involvement, willingness to confront conflict, feelings of learned helplessness, and tenure (employment turnover) intentions. A cross-sectional survey (N=466) was conducted at a large, quaternary care hospital system. Structural equation modeling uncovered direct and indirect effects between the five primary variables. Findings demonstrate direct relationships between nurse identity (as a latent variable) and interaction involvement, willingness to confront conflict, and tenure intentions. Feelings of learned helplessness are attenuated by increased nurse identity through interaction involvement and willingness to confront conflict. In addition, willingness to confront conflict and learned helplessness mediate the relationship between interaction involvement and nurses' tenure intentions. Theoretical extensions include indirect links between nurse identity and learned helplessness via interaction involvement and willingness to confront conflict. Implications for interpersonal communication theory development, health communication, and the nursing profession are discussed.
机译：通过社会认同理论的视角，本研究探讨了护士对其工作小组，单位或楼层，护士角色（例如员工急诊室护士，护士执业者）以及护士职业的认同如何与护士的互动参与，对工作的意愿有关。面对冲突，学习到的无助感和任期（就业流失）意图。在大型四级护理医院系统中进行了横断面调查（N = 466）。结构方程模型揭示了五个主要变量之间的直接和间接影响。研究结果表明护士身份（作为潜在变量）与互动参与，面对冲突的意愿和任期意图之间存在直接关系。通过互动参与和面对冲突的意愿增加护士的身份，减轻了学习中的无助感。此外，面对冲突的意愿和所习得的无助介导了互动参与与护士任职意愿之间的关系。理论上的扩展包括护士身份和通过互动参与以及面对冲突的意愿而习得的无助之间的间接联系。讨论了对人际沟通理论发展，健康沟通和护理专业的影响。

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