CAJ | 학술논문

目的：探讨急诊科护士留职意愿、职业承诺与护士长领导方式的现状及相关性。方法采用便利取样法选择广州市3所三级甲等综合医院130名急诊科护士进行问卷调查，了解急诊科护士留职意愿、职业承诺与护士长领导方式现状。结果急诊科护士留职意愿、职业承诺总分分别为（20?19±3?74）分、（76?16±12?13）分，均处于中等水平；急诊科护士长领导方式以变革型方式为主，职业承诺、护士长领导方式与护士留职意愿呈正相关（均P＜0?05）；护士急诊工作年限、情感承诺、规范承诺可作为预测急诊科护士留职意愿的主要因素（多重线性回归方程共解释护士留职意愿全部变异的38?7%）。结论急诊科护士留职意愿、职业承诺均处于中等水平；急诊科护士长以变革型领导方式为主；急诊护士工作年限、情感承诺、规范承诺是影响急诊护士留职意愿的主要因素。护理管理者应提高护士职业承诺水平，以提升急诊科护士的留职意愿，进而稳定护士队伍，有助于人才的健康发展。
목적：탐토급진과호사류직의원、직업승낙여호사장령도방식적현상급상관성。방법채용편리취양법선택엄주시3소삼급갑등종합의원130명급진과호사진행문권조사，료해급진과호사류직의원、직업승낙여호사장령도방식현상。결과급진과호사류직의원、직업승낙총분분별위（20?19±3?74）분、（76?16±12?13）분，균처우중등수평；급진과호사장령도방식이변혁형방식위주，직업승낙、호사장령도방식여호사류직의원정정상관（균P＜0?05）；호사급진공작년한、정감승낙、규범승낙가작위예측급진과호사류직의원적주요인소（다중선성회귀방정공해석호사류직의원전부변이적38?7%）。결론급진과호사류직의원、직업승낙균처우중등수평；급진과호사장이변혁형령도방식위주；급진호사공작년한、정감승낙、규범승낙시영향급진호사류직의원적주요인소。호리관리자응제고호사직업승낙수평，이제승급진과호사적류직의원，진이은정호사대오，유조우인재적건강발전。
Objective To explore the relationships among nurses’intent to stay,occupational commitment and managers’ leadership styles in emergency department.Methods A total of 130 nurses in emergency department were recruited by convenience sampling method from three tertiary hospitals in Guangzhou.They were investigated by using Nurses’Intent to Stay Questionnaire, Nurses’Occupational Commitment Questionnaire and Multifactor Leadership Questionnaire(MLQ).Results The score of nurses’ intent to stay and occupational commitment were(20?19±3?74)and(76?16±12?13),respectively;both were at medium levels and occupational commitment,transformational leadership style were positively correlated with nurses’intent to stay(P<0?05).Nurses perceived their managers as transformational leaders more often than transactional leaders.Conclusions Both the current nurses’ intent to stay,occupational commitment were at medium levels.The influential factors of nurses’intent to stay in emergency department included emergency work experience,emotional commitment and normative commitment.In order to increase nurses’retention and stabilize the healthy development of nursing personnel,nurse managers should improve the level of nurses’occupational commitment.