Odrednice namjere odlaska među medicinskim sestrama i ljekarima u bolničkom okruženju tokom pandemije COVID-19: sistematski pregled i meta-analiza.
PloS one
Sažetak istraživanja
Pozadina Globalna epidemija COVID-19 otkrila je dubok uticaj koji šire epidemije bolesti mogu imati na zdravstvene sisteme i posvećene stručnjake koji rade u njima. Postaje sve važnije istražiti strategije za zadržavanje medicinskih sestara i ljekara u bolničkim okruženjima u takvim izazovnim vremenima. Ovaj rad ima za cilj istražiti determinante zadržavanja kod medicinskih sestara i liječnika tokom pandemije COVID-19. Metoda Sproveden je sistematski pregled drugih potencijalnih determinanti koje utiču na stope zadržavanja tokom pandemije. Drugo, metaanaliza o učestalosti namjere odlaska za medicinske sestre i ljekare tokom pandemije COVID-19.
Nalazi Sveobuhvatna pretraga je izvršena u četiri elektronske baze podataka 17. marta 2023. godine. U sistematski pregled uključeno je 55 radova, dok su 33 rada ispunila kriterijume podobnosti za metaanalizu. Sistematski pregled je rezultirao sa šest tema determinanti koje utiču na namjeru odlaska: lične karakteristike, zahtjevi za poslom, službe za zapošljavanje, uslovi rada, radni odnosi i organizaciona kultura. Glavne odrednice koje utječu na namjeru odlaska su strah od COVID-19, godine, iskustvo, simptomi sagorijevanja i podrška. Meta-analiza je pokazala prevalenciju namjere da se napusti sadašnji posao od 38% za medicinske sestre (95% CI: 26%-51%) i 29% za ljekare (95% CI: 21%-39%), dok je namjera napuštanja profesije za medicinske sestre 28% (95% CI: 4% za ljekare: 25%-2%). (95% CI: 23%-25%).
Zaključak Nalazi ovog rada pokazali su kritičnu potrebu da se menadžeri bolnica pozabave zabrinjavajućim porastom namjera medicinskih sestara i ljekara da odu tokom pandemije COVID-19. Na ovu namjeru odlaska utječe složena kombinacija više determinanti, uključujući strah od COVID-19 i povjerenje i dostupnost lične zaštitne opreme. Štaviše, u ovom pregledu se zadržavaju individualni faktori kao što su godine, iskustvo, simptomi sagorevanja i podrška. Razumijevanje utjecaja determinanti na zadržavanje tokom pandemije COVID-19 pruža priliku da se formulišu potencijalne strategije za zadržavanje medicinskih sestara i liječnika u bolničkim okruženjima.
Prikaži originalni naslov i sažetak na engleskom
Determinants of intention to leave among nurses and physicians in a hospital setting during the COVID-19 pandemic: A systematic review and meta-analysis.
Background The global outbreak of COVID-19 has brought to light the profound impact that large-scale disease outbreaks can have on healthcare systems and the dedicated professionals who serve within them. It becomes increasingly important to explore strategies for retaining nurses and physicians within hospital settings during such challenging times. This paper aims to investigate the determinants of retention among nurses and physicians during the COVID-19 pandemic.
Method A systematic review of other potential determinants impacting retention rates during the pandemic was carried out. Secondly, a meta-analysis on the prevalence of intention to leave for nurses and physicians during the COVID-19 pandemic.
Findings A comprehensive search was performed within four electronic databases on March 17 2023. Fifty-five papers were included in the systematic review, whereas thirty-three papers fulfilled the eligibility criteria for the meta-analysis. The systematic review resulted in six themes of determinants impacting intention to leave: personal characteristics, job demands, employment services, working conditions, work relationships, and organisational culture. The main determinants impacting the intention to leave are the fear of COVID-19, age, experience, burnout symptoms and support. Meta-analysis showed a prevalence of intent to leave the current job of 38% for nurses (95% CI: 26%-51%) and 29% for physicians (95% CI: 21%-39%), whereas intention to leave the profession for nurses 28% (95% CI: 21%-34%) and 24% for physicians (95% CI: 23%-25%).
Conclusion The findings of this paper showed the critical need for hospital managers to address the concerning increase in nurses' and physicians' intentions to leave during the COVID-19 pandemic. This intention to leave is affected by a complex conjunction of multiple determinants, including the fear of COVID-19 and the confidence in and availability of personal protective equipment. Moreover, individual factors like age, experience, burnout symptoms, and support are maintained in this review. Understanding the influence of determinants on retention during the COVID-19 pandemic offers an opportunity to formulate prospective strategies for retaining nurses and physicians within hospital settings.
Izvorni podaci
- DOI
- 10.1371/journal.pone.0300377
- PMID
- 38484008
- PMCID
- PMC10939201
- Provjereno
- 2026-07-26
Naslov i sažetak prevedeni su automatski i prijevod može sadržavati netačnosti ili neprecizne stručne izraze. Za sve detalje, citiranje i medicinsko tumačenje pregledajte originalnu englesku verziju članka. Ne donosite zdravstvene odluke samo na osnovu ovog prijevoda.
Pregledaj originalni članak na engleskom