Résumés
Résumé
Les nouvelles infirmières diplômées intègrent un marché de travail difficile et complexe suite aux réformes du système de santé canadien des années 1990. Les ressources limitées et une charge de travail élevée ont eu un effet assez négatif sur la rétention de ces infirmières. Dans cet environnement très exigeant la nouvelle infirmière diplômée est plus apte à quitter son emploi. Le but de cette étude descriptive corrélationnelle est d’examiner les facteurs qui influencent l’intention de demeurer en poste des nouvelles infirmières diplômées du Nouveau-Brunswick. Pour ce faire, un questionnaire a été administré à un échantillon de 87 nouvelles infirmières diplômées du Nouveau-Brunswick. Les résultats montrent que l’intention de demeurer en poste est prédite de façon significative par trois facteurs : la vision des soins infirmiers du personnel infirmier en place, l’engagement envers l’employeur et la perception qu’ont les nouvelles diplômées de pouvoir influencer les décisions prises dans leur milieu de travail.
Mots-clés:
- environnement de travail,
- intention de demeurer en poste,
- nouvelle infirmière diplômée,
- rétention,
- sentiment d’autonomie
Abstract
New graduate nurses begin working in a health care system that has undergone massive restructuring since the 1990s. Limited resources and increased workloads have had a negative effect on retention of these nurses. In this highly demanding work environment new graduate nurses may be more inclined to leave. The goal of this descriptive correlational study was to examine the factors which influence the intentions of new graduate nurses in New Brunswick to stay in their positions. To this end, a survey was administered to a sample of 87 new graduate nurses in New Brunswick to examine the factors associated with the intention to leave their position. Results show that nurses’ intention to leave their position can be predicted by three factors : the vision of nursing science held by other nursing personnel, the new graduate nurses’ commitment to their employer, and new graduate nurses’ perception of their ability to influence decisions in the workplace.
Keywords:
- work environment,
- intent to stay,
- new graduate nurses,
- retention,
- empowerment
Parties annexes
Bibliographie
- Aiken, L. H., Clarke, S. P., et Sloane, D. M. (2000). Hospital restructuring : Does it adversely affect care and outcomes? Journal of Nursing Administration. 30.457-465.
- Aiken, L. H., Sochalski, J., et Lake, E. T. (1997). Studying outcomes of organizational change in health services. Medical Care. 35:11.6-18.
- Armstrong, K., et Laschinger, H.K.S. (2006). Structural empowerment, magnet hospital characteristics, and patient safety culture : Making the link. Journal of Nursing Care Quality. 21.124-32.
- Association des infirmières et infirmiers du Canada (2002). Planifier pour demain : prévisions des ressources humaines en soins infirmiers. Ottawa : Auteur.
- Baumann, A., Giovannetti, P., O’Brien-Pallas, L., Mallette, C., Deber, R., Blythe, J., Hibberd, J., et Dicenso, A. (2001). Healthcare restructuring : The impact of the job change. Canadian Journal of Nursing Leadership. 14.14-20.
- Baumann, A., O’Brien-Pallas, L., Armstrong-Stassen, M., Blythe, J., Bourbonnais, R., Cameron, S., Doran, D., Kerr, M., McGillis, L., Vézina, M., Butt, M., et Ryan, L. (2001). Engagement et soins : les avantages d’un milieu de travail sain pour le personnel infirmier, leurs patients et le système. Fondation canadienne de la recherche sur les services de santé (FCRSS/CHSRF). Ottawa, ON.
- Beeman, K. L., Jernigan, A. C., et Hensley, P. D. (1999). Employing new grads : A plan for success. Nursing Economic$. 17.91-95.
- Blanzola, C., Lindeman, R., et King, M. (2004). Nurse internship pathway to clinical comfort, confidence and competency. Journal for Nurses in Staff Development. 20.27-37.
- Blythe, J., Baumann, A., et Gionvannetti, P. (2001). Nurses’ experiences of restructuring in three Ontario hospitals. Journal of Nursing Scholarship. 33.61-68.
- Bourbonnais, R., Brisson, C., Malenfant, R., et Vézina, M. (2005). Health care restructuring, work environment, and health of nurses. American Journal of Industrial Medicine. 47.54-64.
- Bourbonnais, R., et Mondor, M. (2001). Job strain and sickness absence among nurses in the province of Quebec. American Journal of Industrial Medicine. 39.194-202.
- Bourbonnais, R., Malenfant, R., Viens, C., Vézina, M., Brisson, C., Laliberté, D., et Sarmiento, J. (2000). Les impacts positifs et négatifs de la transformation du réseau de la santé sur la vie professionnelle, la vie familiale et la santé des infirmières de l’agglomération de Québec. Rapport de recherche. Québec : Équipe de recherche RIPOST. Université Laval et Direction de la santé publique de Québec.
- Boychuk-Duchscher, J. (2001). Out in the real world. Journal of Nursing Administration. 9:426-438.
- Brewer, C.S., Kovner, C.T., Greene, W., et Cheng, Y. (2009). Predictors of RNs’ intent to work and work decisions 1 year later in a U.S. national sample. International Journal of Nursing Studies. 46:940-956.
- Buchan, J. (1999). Still attractive after all these years? Magnet hospitals in a changing health care environment. Journal of Advanced Nursing. 30.100-108.
- Burke, R.J. (2003a). Survivors and victims of hospital restructuring and downsizing : Who are the real victims? International Journal of Nursing. 40.903-909.
- Burke, R.J. (2003b). Hospital restructuring, workload, and nursing staff satisfaction and work experiences. The Health Care Manager. 22.99-107.
- Cho, J., Laschinger, H.K.S., et Wong, C. (2006). Workplace empowerment, work engagement and organizational commitment of new graduate nurses. Nursing Leadership. 19:3.43-60.
- Choi, J., Bakken, S., Larson, E., Du, Y., et Stone, P. (2004). Perceived nursing work environment of critical care nurses. Nursing Research. 53.370-378.
- Coomber, B., et Barriball, K.L. (2007). Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses : A review of the research literature. International Journal of Nursing Studies. 44:297-314.
- Connelly, L. M., et Hoffart, N. (1998). A research based model of nursing orientation. Journal of Nursing Staff Development. 14.31-39.
- Cummings, G., et Estabrooks, C.A. (2003). The effects of hospital restructuring that included layoffs on individual nurses who remained employed : A systematic review of impact. International Journal of Sociology and Social Policy. 23:8/9.8-53.
- Davidson, P., Rhéaume, A., Dykeman M., Ericson, P., Duffett-Leger, L., et Doucet, J. (2007). Nurses’ voice : Influencing the restructuring of the New Brunswick Healthcare system. Nursing Leadership. 20.98-112.
- Decter, M., et Villeneuve, M. (2001). Repairing and renewing nursing workplaces. Hospital Quarterly. 5.46-49.
- Delaney, C. (2003). Walking a fine line : Graduate nurses’ transition experiences during orientation. Journal of Nursing Education. 42.437-443.
- Ellerton, M. L., et Gregor, F. (2003). A study of transition : The new nurse graduate at 3 months. The Journal of Continuing Education in Nursing. 34.103-107.
- Flinkman, M., Laine, M., Leino-Kilpi, H., Hasselhorn, H.-M., et Salantera, S. (2008). Explaining young registered Finnish nurses’ intention to leave the profession : A questionnaire survey. International Journal of Nursing Studies. 45.727-739.
- Gardner, D. (1992). Conflict and retention of new graduate nurses. Western Journal of Nursing Research. 14.76-85.
- Gagnon, S., Ritchie, J., Lynch, A., Drouin, S., Cass, V., Rinfret, N., Rouleau, C., et Valois, M. (2006). Job Satisfaction and Retention of Nursing Staff : The Impact of Nurse Management Leadership. Ottawa : Fondation canadienne de la recherche sur les services de santé. Disponible à www.chsrf.ca.
- Gerrish, K. (2000). Still fumbling alone? A comparative study of the newly qualified nurse’s perception of the transition from student to qualified nurse. Journal of Advanced Nursing. 32.473-480.
- Gifford, B. D., Zammuto, R. F., Goodman, E. A. et Hill, K. S. (2002). The relationship between hospital unit culture and nurses’ quality of work life. Journal of Healthcare Management. 47.13-25.
- Gillis, A., Jackson, W., et Beiswanger, D. (2004). University nurse graduates : Perspectives on factors of retention and mobility. Nursing Leadership. 17.97-110.
- Hayes, L.J., O’Brien-Pallas, L., Duffield, C., Shamian, J., Buchan, J., Hughes, F., Laschinger, H.K.S., North, N., et Stone, P.W. (2006). Nurse turnover : A literature review. International Journal of Nursing Studies. 43:237-263.
- Isaac, J. (2003). Healthy Solutions. Alberta RN. 59:3.10.
- Johnson, J. V., et Hall, E. M. (1988). Job strain, workplace social support, and cardiovascular disease : A cross-sectional study of a random sample of the Swedish working population. American Journal of Public Health. 78.1336-1342.
- Karasek, R. (1979). Job demands, job decision latitude and mental strain : Implications for job redesign. Administrative Science Quarterly. 24.284-307.
- Karasek, R., et Theorell, T. (1990). Healthy work : Stress, productivity and reconstruction of working life. New York : Basic Books.
- Kramer, M. (1974). Reality shock :Why nurses leave nursing. Saint Louis, MI : Mosby.
- Kramer, M., et Schmalenberg, C.E. (2003). Magnet hospital nurses describe control over nursing practice. Western Journal of Nursing Research. 25:434-452.
- Kristensen, T. S. (1999). Challenges for research and prevention in relation to work and cardiovascular diseases. Scandinavian Journal of Work Environment and Health. 25.550-557.
- Lake, E. T. (2002). Development of the practice environment scale of the nursing work index. Research in Nursing and Health. 25.175-188.
- Laschinger, H. K. S., et Leiter, M. P. (2006). The impact of nursing work environments on patient safety outcomes : The mediating role of burnout/engagement. Journal of Nursing Administration. 36.259-267.
- Laschinger, H.K.S., Sabiston J.A., Finegan J., et Shamian J. (2001). Voices from the trenches : Nurses’ experiences of hospital restructuring in Ontario. Canadian Journal of Nursing Leadership. 14.6-13.
- Laschinger, H. K. S., Shamian, J., et Thomson, D. (2001). Impact of magnet hospital characteristics on nurses’ perception of trust, burnout, quality of care, and work satisfaction. Nursing Economic$. 19.209-219.
- Lavoie-Tremblay, M., et Viens, C. (2002). Le milieu hospitalier pour les nouvelles infirmières : une porte d’entrée ou de sortie? Perspective soignante. 14-15:193-199.
- LeBel, N. (2006). Nouvelles infirmières diplômées du Nouveau-Brunswick : l’influence du programme d’intégration et de l’environnement de travail sur la rétention. Thèse de maîtrise, Université de Moncton, Moncton, NB.
- Leiter, M. P., et Laschinger, H. K. S. (2006). Relationships of work and practice environment to professional burnout : Testing a causal model. Nursing Research. 55.137-146.
- Mayrand-Leclerc, M. (2002). Les caractéristiques organisationnelles des Magnet Hospitals : pistes de solutions pour réorganiser le travail des infirmières. In Viens, C., Lavoie-Tremblay, M. et Mayrand-Leclerc, M. (dir.) Optimisez votre environnement de travail en soins infirmiers. Québec : Presses Inter Universitaires. 67-90.
- McKenna, B. G., Smith, N. A., Poole, S. J., et Coverdale, J. H. (2003). Horizontal violence : Experiences of registered nurses in their first year of practice. Journal of Advanced Nursing. 42.90-96.
- Menon, S. T. (2001). Employee empowerment : An integrative psychological approach. Applied psychological approach :An international review. 50.153-180.
- Menon, S. T., et Hartman, L. C. (2002), Generalizability of Menon’s empowerment scale. Replication and extension with Australian data. International Journal of Cross Cultural Management. 2.137-153.
- Niedhammer, I., et Siegrist, J. (1998). Facteurs psychosociaux au travail et maladies cardio-vasculaires : l’apport du modèle Déséquilibre Efforts/Récompenses. Revue d'Épidémiologie et de Santé Publique. 46.398-410.
- O’Brien-Pallas, L., Alksnis, C., et Wang, S. (2003). Envisager l’avenir. Prévoir la retraite chez les infirmières autorisées au Canada. Institut canadien d’information sur la santé ICIS. Ottawa, ON.
- Oermann, M. H., et Garvin, M. F. (2002). Stresses and challenges for new graduates in hospitals. Nurse Education Today. 22:225-230.
- Oermann, M. H., et Moffitt-Wolf, A. (1997). New graduates’ perceptions of clinical practice. Journal of Continuing Education in Nursing. 28.20-25.
- Registered Nurses Association of British Columbia (2004). New graduate registered nurse study 2004. (pub.421) Vancouver : Auteur.
- Scott, J.G., Sochalski, J., et Aiken, L. (1999). Review of magnet hospital research : Findings and implications for professional nursing practice. Journal of Nursing Administration. 29.9-19.
- Shannon V., et French S. (2005) The impact of the re-engineered world of health-care in Canada on nursing and patient outcomes. Nursing Inquiry. 12.231-239.
- Siegrist, J. A. (1996). Adverse health effects of high-efforts/low reward conditions. Journal of Occupational Health Psychology. 1:1.27-41.
- Smith, H., Tallman, R., et Kelly, K. (2006). Magnet hospital characteristics and northern Canadian nurses’ job satisfaction. Nursing Leadership. 19:3.73-86.
- Squires, A. (2002). New graduate orientation in the rural community hospital. The Journal of Continuing Education in Nursing. 5.203-209.
- Thomka, L. A. (2001). Graduate nurses’ experiences of interactions with professional nursing staff during transition to the professional role. The Journal of Continuing Education in Nursing. 32.16-19.
- Torpe, D. (2005). The Orientation of New Brunswick nursing graduates : A survey. Thèse de maîtrise, University of New Brunswick. Fredericton.
- Upenieks, V.V. (2002). Assessing differences in job satisfaction of nurses in magnet and nonmagnet hospitals. Journal of Nursing Administration. 32.564-576.
- Viens, C., Lavoie-Tremblay, M., et Mayrand-Leclerc, M. (2002). Optimisez votre environnement de travail en soins infirmiers. Québec : Presses Inter Universitaires.