【摘要】 目的 旨在回顾护士工作嵌入与离职意愿之间的关系,并探讨工作嵌入度量表类型、工作年限、教育程度和婚姻状况对护士工作嵌入与离职意愿的影响。方法 通过检索中国知网、维普数据库、中国生物医学文献数据库、万方数据库、Pub Med、Web of Science、Embase、CINAHL和APA-Psyc Net,检索建库至2024年3月有关护士工作嵌入和离职意愿的文章。使用美国医疗保健研究与质量局(the Agency Healthcare Research and Quality,AHRQ)质量评价标准评估研究质量。该综述方案已在PROSPERO注册(注册号:CRD42023483947)。结果 该综述包括47项研究,涉及来自全球7个国家的15 742名护士。研究发现,工作嵌入与离职意愿之间存在中度负相关(r=-0.487)。此外,与职外嵌入相比,职内嵌入与离职意愿的负相关程度更高(r=-0.527)。牺牲与离职意愿之间的负相关性最高(r=-0.460),而联系的负相关性最低(r=-0.185)。此外,研究还发现工作嵌入度及其维度与离职意愿之间的关系受到不同工作嵌入度量表、职业生涯年限、教育程度和婚姻状况的影响(P<0.05)。结论 该综述分析了护士工作嵌入及其维度与离职意愿之间的关系,并通过亚组分析和meta回归探讨了影响这些关系的因素。这对护士管理者促进护士留任具有重要的参考价值。更多还原

【Abstract】 Objective: This study aimed to review the relationship between job embeddedness and turnover intentions among nurses and explore the effects of the Job Embeddedness Scale, number of years in the career, education, and marital status on this relationship.Methods: The review was conducted by searching the China Knowledge Resource Integrated Database(CNKI), Weipu Database(CQVIP), China Biology Medicine(CBM), Wanfang Database, Pub Med, Web of Science, Embase, CINAHL, and APA-Psyc Net for articles on nurses’ job embeddedness and turnover from intention up to March 2024. The research quality was evaluated using the Agency for Healthcare Research and Quality(AHRQ) assessment criteria. The review protocol has been registered on PROSPERO[CRD42023483947].Results: The results of this review included 47 studies consisting of 15,742 nurses from seven countries worldwide. A moderate negative correlation was found between job embeddedness and turnover intention(r =-0.487). Furthermore, on-the-job embeddedness(r =-0.527) was more negatively associated with turnover intention than off-the-job embeddedness(r =-0.234). The highest negative correlation was found between sacrifice and turnover intention(r =-0.460), while the lowest was for the link(r =-0.185). Furthermore, the relationship between job embeddedness and its dimensions with turnover intention was affected by different job embeddedness scales, number of years in the career,education, and marital status(P < 0.05).Conclusion: This systematic review and meta-analysis analyzed the relationships between nurses’ job embeddedness, dimensions, and turnover intention. Meanwhile, subgroup analysis and meta-regression explored the factors influencing these relationships. It is an important reference for nurse managers to promote nurse retention.更多还原