Factors Related to Care Competence, Workplace Stress, and Intention to Stay among Novice Nurses during the Coronavirus Disease (COVID-19) Pandemic
Abstract
:1. Background
2. Methods
2.1. Research Design
2.2. Research Sampling
2.3. Data Collection
2.4. Research Instruments
2.5. Data Analysis
2.6. Ethical Considerations
3. Results
3.1. Personal and Demographic Characteristics of the Participants
3.2. Nursing Competence
3.3. Clinical Stress
3.4. Intention to Stay in Their Current Position
3.5. Correlations between Various Attributes and Scale Items
3.6. Factors Influencing Novice Nurses’ Intention to Stay in Their Current Position
4. Discussion
4.1. Limitations
4.2. Relevance to Clinical Practice
5. Conclusions
6. Implications for Nursing Management
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variables | Categories | N | (%) |
---|---|---|---|
Gender | |||
Female | 309 | 92.8 | |
Male | 24 | 7.2 | |
Education | |||
Junior college | 56 | 16.9 | |
General universities | 56 | 16.9 | |
Technological universities | 221 | 66.2 | |
Graduate school and above | 0 | 0 | |
Workplace | |||
Medical center | 150 | 45.0 | |
Regional hospital | 88 | 26.4 | |
District hospital | 63 | 18.9 | |
Others (e.g., community service center) | 32 | 9.7 | |
Experience in nursing practicum (year) | |||
<1 | 152 | 45.6 | |
1–2 | 98 | 29.5 | |
>2 | 83 | 24.9 |
Core Competence | Mean | SD |
---|---|---|
Nursing competencies (overall) | 3.11 | 0.55 |
Ethics | 3.30 | 0.51 |
End-of-life care | 3.20 | 0.49 |
Assessment | 3.20 | 0.53 |
Risk prevention and quality of care | 3.18 | 0.54 |
Utilization of resources/programs | 3.14 | 0.52 |
Resource linkage | 3.13 | 0.51 |
Acute and chronic co-morbid and disability care | 3.11 | 0.54 |
Referral | 3.10 | 0.57 |
Nursing theories and concepts | 3.10 | 0.48 |
Planning | 3.10 | 0.53 |
Syndromes care | 3.06 | 0.57 |
Communication | 3.06 | 0.52 |
Leadership | 3.04 | 0.67 |
Implementation | 3.02 | 0.58 |
Utilization of Care Model | 2.93 | 0.66 |
Item | Mean | SD |
---|---|---|
Overall | 2.31 | 0.48 |
1. Admitting new patients makes me feel stressed. | 2.42 | 0.70 |
2. Communicating with doctors makes me feel stressed. | 2.18 | 0.63 |
3. Communicating with colleagues makes me feel stressed. | 2.04 | 0.61 |
4. Communicating with patients or their family members makes me feel stressed. | 2.05 | 0.56 |
5. I am afraid to hurt patients because of negligence while providing care (e.g., needle-stick injury, giving the wrong medicine, or not using a bed rail). | 2.30 | 0.78 |
6. Being unfamiliar with how to use medical instruments on patients makes me feel stressed. | 2.19 | 0.67 |
7. Insufficient professional knowledge and being unable to identify dangerous signs in a patient make me feel stressed. | 2.34 | 0.63 |
8. Performing CPR on patients is stressful. | 2.69 | 0.92 |
9. Writing reports is stressful. | 2.35 | 0.80 |
10. Night shifts, which place a burden on my body, make me feel stressed. | 2.06 | 0.83 |
11. The sudden change in a patient’s condition makes me feel stressed. | 2.52 | 0.82 |
12. Excessive workload during a fixed period is stressful. | 2.57 | 0.80 |
13. Work allocation problems that increase my care workload make me feel stressed. | 2.25 | 0.81 |
14. Fatigue and an inability to take time off to rest make me feel stressed. | 2.45 | 0.87 |
15. Shift work makes me feel stressed. | 2.28 | 0.83 |
Item | Mean | SD |
---|---|---|
Overall | 2.00 | 0.46 |
1. I am considering quitting my current job within the next year. | 1.88 | 0.93 |
2. I am willing to continue my current nursing work for the next one year. | 2.87 | 0.94 |
3. I am unwilling to do a nursing job again. | 1.63 | 0.74 |
4. I will seek another nursing job at another medical institution. | 2.26 | 0.86 |
5. I would like to leave my current emergency unit and seek a long-term care job opportunity. | 1.48 | 0.63 |
6. I am considering quitting my current job and would like to find a nursing-related job. | 1.88 | 0.85 |
7. I am not satisfied with my current wage and am therefore unwilling to continue in the job. | 1.81 | 0.91 |
8. I am not satisfied with the current content of my job and am therefore unwilling to continue in the job. | 1.84 | 0.80 |
9. I am not satisfied with the system in my current work unit and am therefore unwilling to continue in the job. | 1.86 | 0.85 |
10. I may change my job if another job opportunity arises that suits me. | 2.53 | 0.92 |
Unstandardized Coefficients | Standardized Coefficients | Collinearity Statistics | |||||||
---|---|---|---|---|---|---|---|---|---|
R | R Square | Adjusted R Square | Β | SEB | β | t | Tolerance | VIF | |
Model | 0.48 | 0.23 | 0.23 | ||||||
(Constant) | 1.01 | 0.11 | 9.10 | ||||||
Workplace stress | 0.41 ** | 0.05 | 0.44 | 8.59 | 0.90 | 1.11 | |||
Having taken the course related to pandemic prevention | 0.12 * | 0.04 | 0.14 | 2.80 | 0.96 | 1.05 | |||
Frequency of providing care to infection patients in the workplace | 0.12 ** | 0.03 | 0.26 | 3.69 | 0.48 | 2.10 |
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Chen, H.-M.; Liu, C.-C.; Yang, S.-Y.; Wang, Y.-R.; Hsieh, P.-L. Factors Related to Care Competence, Workplace Stress, and Intention to Stay among Novice Nurses during the Coronavirus Disease (COVID-19) Pandemic. Int. J. Environ. Res. Public Health 2021, 18, 2122. https://doi.org/10.3390/ijerph18042122
Chen H-M, Liu C-C, Yang S-Y, Wang Y-R, Hsieh P-L. Factors Related to Care Competence, Workplace Stress, and Intention to Stay among Novice Nurses during the Coronavirus Disease (COVID-19) Pandemic. International Journal of Environmental Research and Public Health. 2021; 18(4):2122. https://doi.org/10.3390/ijerph18042122
Chicago/Turabian StyleChen, Hsiao-Mei, Chien-Chi Liu, Shang-Yu Yang, Yu-Rung Wang, and Pei-Lun Hsieh. 2021. "Factors Related to Care Competence, Workplace Stress, and Intention to Stay among Novice Nurses during the Coronavirus Disease (COVID-19) Pandemic" International Journal of Environmental Research and Public Health 18, no. 4: 2122. https://doi.org/10.3390/ijerph18042122