The Factors Affecting the Retention of Nurses in Public Hospitals: A Systematic Review

Abstract

Nowadays, the retention of nurses in healthcare facilities is essential for maintaining quality nursing care. This study aimed to assess factors influencing the retention of nurses in public hospitals. The systematic review method was used for data collection, analysis, interpretation, and presentation of findings in this study to assess factors influencing the retention of nurses in public hospitals. As a result of the review, 20 publications that meet the inclusion criteria have been evaluated within the scope of the research. The study identified 24 factors that affected the retention of nurses in public hospitals and examined these factors as organizational factors/business and role factors/individual factors under three themes. The organizational factors emphasized that organizational empowerment and organizational culture were the most influencing the retention of nurses in public hospitals. Business/role factors are determined as work satisfaction, work-life balance, and fee. The individual factors emphasized that the most influencing the retention of nurses in public hospitals found as attitude towards work, working time, and education. The factors affecting nurse retention in public hospitals are versatile, and these factors are not well understood and examined in sufficient areas of practice due to a lack of sampling and some restrictions associated with the work environment. The findings of this research, which study factors affecting nurse retention in public hospitals, guide future studies by providing a holistic perspective on this issue.

Keywords

• Job satisfaction
• Workload
• Quality
• Public hospitals
• Systematic Review

Kamu Hastanelerinde Çalışan Hemşireleri İşte Tutmayı Etkileyen Faktörler: Sistematik Derleme

Öz

Günümüzde, hemşireleri işte tutma konusu sağlık kurumlarında kaliteli bakım hizmetinin sunulması için önemlidir. Bu araştırmada, kamu hastanelerinde çalışan hemşireleri işte tutmayı etkileyen faktörlerin belirlenmesi amaçlanmaktadır. Araştırmada; verileri toplaması, analiz etmesi, yorumlaması ve bulguların sunulmasında sistematik derleme yöntemi kullanılmıştır. İnceleme sonucunda dâhil edilme kriterlerine uygun olan 20 çalışma araştırma kapsamında değerlendirilmiştir. Araştırma kapsamında kamu hastanelerinde çalışan hemşireleri işte tutmayı etkileyen 24 faktör tanımlanmış ve bu faktörler, örgütsel faktörler/ iş ve rol faktörleri/ bireysel faktörler olarak üç tema altında incelenmiştir. Kamu hastanelerinde hemşireyi işte tutmayı en fazla etkilediği vurgulanan örgütsel faktörler örgütsel güçlendirme ve örgütsel kültürdür. İş/rol faktörleri ise iş tatmini, iş-yaşam dengesi ve ücret olarak belirlenmiştir. Kamu hastanelerinde hemşireyi işte tutmayı en çok etkilediği vurgulanan bireysel faktörler hemşirelerin işe karşı tutumu, çalışma süresi ve eğitimdir. Kamu hastanelerinde çalışan hemşireleri işte tutmayı etkileyen faktörler çok yönlüdür ve bu faktörler örneklem yetersizliği ve iş ortamına bağlı birtakım kısıtlılıklar nedeniyle iyi anlaşılmamakta ve yeterli uygulama alanlarında incelenememektedir. Kamuda çalışan hemşireleri işte tutmayı etkileyen faktörleri inceleyen bu araştırmada elde edilen bulgular, konuya ilişkin bütüncül bir bakış açısı sunarak ileride yapılacak olan çalışmalara rehber olacağı düşünülmektedir.

Anahtar Kelimeler

• İş tatmini
• İşyükü
• Kalite
• Kamu hastaneleri
• Sistematik Derleme

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