Patient–Nurse Ratio is Related to Nurses’ Intention to Leave Their Job through Mediating Factors of Burnout and Job Dissatisfaction
Bibliographic Data
| ID | 15501033 |
|---|---|
| Authors | Yi‐Chuan Chen (0000-0003-0363-6023), Yi-Chuan Chen (0000-0001-7848-1383, National Taiwan University), Yue Leon Guo (0000-0002-8530-4809, National Taiwan University), Wei‐Shan Chin (0000-0001-9295-7966, Taipei Medical University), Nai-Yun Cheng (Institute of Labor, Occupational Safety And Health, Ministry of Labor), Jiune-Jye Ho (Institute of Labor, Occupational Safety And Health, Ministry of Labor), Judith Shu‐Chu Shiao (0000-0002-6725-0034, National Taiwan University, corresponding author) |
| Year | 2019 |
| Volume | 16 |
| Issue | 23 |
| Pages | 4801-4801 |
| Publication date | 2019-11-29 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph16234801 |
| PMID | 31795420 |
| OpenAlex | W2991513248 |
| Language | EN |
| Citations received | 13 |
| References cited | 7 |
In healthcare settings, nurses' workload, burnout, and job satisfaction are associated to the patient-nurse ratio. Whether this ratio also affects their intention to leave the nursing profession, along with the underlying stress pathway, remains unclear. This study aimed to investigate the effects of the patient-nurse ratio on nurses' intention to leave and considering the mediating roles of burnout and job dissatisfaction. The study analyzed the data of two pooled cross-sectional surveys collected in 2013 and 2014. Measures were obtained by a structure questionnaire, which queried the average daily patient-nurse ratio (ADPNR), nurses' personal burnout, client-related burnout, job dissatisfaction, intention to leave, and other demographics. ADPNRs were standardized according to hospital levels. Multiple regression models examined mediation hypotheses, and a percentile bootstrap confidence interval was applied to determine the significance of indirect effects. A total of 1409 full-time registered nurses in medical and surgical wards of 24 secondary or tertiary hospitals in Taiwan completed self-administered questionnaires. Most of the participants were female (97.2%), and the mean age was 29.9 years. The association between the standardized ADPNR and intention to leave their job was significantly mediated by personal burnout, client-related burnout, and job dissatisfaction. Higher standardized ADPNRs predicted higher levels of personal burnout, client-related burnout, and job dissatisfaction, each of which resulted in higher levels of intention to leave the current job. The results highlight that appropriate patient-nurse ratio standards may be further discussed by selecting personal burnout, client-related burnout, and job dissatisfaction as indicators
Burnout · Job satisfaction · Clinical Psychology · Health and Well-being Studies · Healthcare Education and Workforce Issues · Healthcare professionals’ stress and burnout · Medicine · Nursing · Psychology · Social Psychology
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| Unique citing works | 13 |
|---|---|
| Citations per year | 2.6 |
| Citation span | 2021 - 2026 (6) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 13 |