关键词: 急诊科, 护士, 个人-工作匹配, 离职意愿, 影响因素

Abstract: Objective To understand the effect of areas of worklife on turnover intention among emergency department nurses in 22 tertiary Grade A hospitals in Sichuan Province,in order to provide new ideas for reducing the turnover rate of nurses in emergency department. Methods From June to July 2022,a total of 308 emergency department nurses from 22 tertiary Grade A hospitals in Sichuan Province were selected as subjects by convenience sampling method. Demographic data questionnaire,areas of worklife scale and turnover intention scale were used for cross-sectional investigation,and the data were analyzed. Results The total scores of areas of worklife and turnover intention of 308 emergency department nurses were （99.69±13.69） and （13.5±33.06）points,respectively. The areas of worklife was negatively correlated with turnover intention（P<0.01）. After controlling for general information,the dimensions of job recognition and fairness in the areas of worklife scale can explain 19.3% of the variation in the turnover intention of emergency department nurses（P<0.01）. Conclusions The dimensions of work recognition and fairness in the areas of worklife scale negatively predicted the turnover intention of nurses in emergency department. Nursing managers should actively pay attention to the job recognition matching degree of nurses in the emergency department and give corresponding support. Meanwhile,they should also pay attention to the fair distribution of organizational resources and protect the reasonable rights and interests of nurses in the emergency department so as to reduce their turnover intention.

Key words: Emergency department, Nurses, Areas of worklife, Turnover intention, Influencing factors