A study on structural authorization，psychological authorization and retention intention of midwives in Liaoning Province

Abstract

Abstract: Objective To understand the status quo of structural authorization，psychological authorization and retention intention of midwives in Liaoning Province，analyze the relationship between structural authorization，psychological authorization and retention intention，so as to provide theoretical basis for improving the level of structural authorization and psychological authorization and stabilizing the retention intention of midwives. Methods A total of 206 midwives from eight grade-A tertiary hospitals in Shenyang City and Dalian City of Liaoning Province were selected by convenience sampling method from August to September 2020.The general demographic data questionnaire，job performance condition questionnaire，psychological authorization scale and nurses' retention intentionquestionnaire were used to conduct the survey，and the data were analyzed. Results The total score of midwives in Liaoning Province was （24.39±4.22）points，the total score of structural authorization was （48.87±10.29）points，and the total score of psychological authorization was （46.14±8.19）points.The correlation analysis showed that the total score ofstructure authorization and the score of each dimension in midwives were positively correlated with the total score of retention intention and the score of each item（r=0.305，0.664，both P<0.01），and the total score of psychological authorization and the score of each dimension in midwives were positively correlated with the total score of retention intention and the score of each item（r=0.333，0.658，both P<0.01）.The results of multiple stratified regression showed that structural authorization and psychological authorization had statistical significance in predicting theretention intention（β=0.336，0.264，both P<0.01），explaining 22.8% of the variation. Conclusions The structure authorization of midwives in Liaoning Province is at medium level，while the psychological authorization and retention intention are above medium level.The structure authorization and psychological authorization have the positive predictive effect on retention intention. It is suggested that nursing managers should take further effective authorization measures，create a good authorization environment，promote the career development of midwives，and stabilize the team of midwives.

Key words: Midwife, Structural authorization, Psychological authorization, Retention intention

CLC Number:

R181.3⁺1

SHI Ya-nan, BU Xiu-mei, FU Ning-ning, WANG Jin-jin, WANG Jing-wen. A study on structural authorization，psychological authorization and retention intention of midwives in Liaoning Province. [J]OCCUPATION AND HEALTH, 2023, 39(2): 227-232.

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