Ying, Luk Ying and Ramoo, Vimala and Ling, Lee Wan and Nahasaram, Sri Theyshaini and Lei, Chui Ping and Leong, Luk Kuok and Danaee, Mahmoud (2021) Nursing practice environment, resilience, and intention to leave among critical care nurses. Nursing in Critical Care, 26 (6, SI). pp. 432-440. ISSN 1362-1017, DOI https://doi.org/10.1111/nicc.12551.
Full text not available from this repository.Abstract
Background Retaining experienced critical care nurses (CCNs) remains a challenge for health care organizations. Nursing practice environment and resilience are both seen as modifiable factors in ameliorating the impact on CCNs' intention to leave and have not yet been explored in Malaysia. Aims and objectives To assess the association between perceived nursing practice environment, resilience, and intention to leave among CCNs and to determine the effect of resilience on intention to leave after controlling for other independent variables. Design This was a cross-sectional survey. Methods The universal sampling method was used to recruit nurses from adult and paediatric (including neonatal) critical care units of a large public university hospital in Malaysia. Descriptive analysis and chi(2)and hierarchical logistic regression tests were used to analyse the data. Results A total of 229 CCNs completed the self-administrated questionnaire. Of the nurses, 76.4% perceived their practice environment as being favourable, 54.1% were moderately resilient, and only 20% were intending to leave. The logistic regression model explained 13.1% of variance in intention to leave and suggested that being single, an unfavourable practice environment, and increasing resilience were significant predictors of nurses' intention to leave. Conclusion This study found that an unfavourable practice environment is a strong predictor of intention to leave; however, further exploration is needed to explain the higherlikelihoodof expressingintentiontoleaveamong CCNswhentheir resilience level increases. Relevance to clinical practice Looking into staff allocation and equality of workload assignments may improve the perception of the work environment and help minimize intention to leave among nurses.
| Item Type: | Article |
|---|---|
| Funders: | None |
| Uncontrolled Keywords: | Critical care nurses; Intention to leave; Malaysia; Nursing practice environment; Resilience |
| Subjects: | R Medicine > RT Nursing |
| Divisions: | Faculty of Medicine |
| Depositing User: | Ms Zaharah Ramly |
| Date Deposited: | 15 Aug 2022 07:29 |
| Last Modified: | 15 Aug 2022 07:29 |
| URI: | http://eprints.um.edu.my/id/eprint/28764 |
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