Understanding the mechanism of safety attitude mitigates the turnover intention novice nurses via the person‐centred method: A theory‐driven, deductive cross‐sectional study

描述性统计 心理干预 心理学 情感(语言学) 身份(音乐) 人事变更率 多项式logistic回归 应用心理学 社会心理学 医学 护理部 计算机科学 沟通 统计 机器学习 物理 经济 管理 数学 声学
作者
Xutong Zheng,Huan Liu,Man Zhang,Zhen Yang,Dong Yang,Zhuzhu Qin,Xin Tao,Xiancui Zhang,Aiping Wang
出处
期刊:Journal of Advanced Nursing [Wiley]
标识
DOI:10.1111/jan.16213
摘要

Abstract Aim Examine profiles of safety attitudes among novices and explore whether profiles moderate the occupational identity–turnover pathway. Background Novice nurses face unique challenges in adopting positive safety attitudes, which influence outcomes like turnover. However, past research found only average levels of safety attitudes among novices, ignoring possible heterogeneity. Exploring whether meaningful subgroups exist based on safety perspectives and factors shaping them can provide insights to improve safety attitudes and retention. Design This study was designed as a cross‐sectional investigation. Methods Data were collected through the distribution of questionnaires. Descriptive statistics were first conducted, followed by latent profile analysis. We then carried out univariate analysis and ordinal multinomial regression to explore the factors shaping the different profiles. Finally, we examine the moderating effect of nurses' safety attitudes with different latent profiles on the relationship between professional identification and turnover intention. Results A total of 816 novice nurses were included. Three profiles were identified: high, moderate and low safety attitudes – higher attitudes were associated with lower turnover intention. Interest in nursing, health status, identity and turnover predicted profile membership. Moderate profile had a stronger buffering effect on the identity–turnover link versus high profile. Conclusion Multiple safety attitude profiles exist among novice nurses. Certain factors like interest in nursing and occupational identity are associated with more positive safety profiles. Targeting these factors could potentially improve safety attitudes and reduce turnover among novice nurses. The moderating effects suggest that tailored interventions matching specific subgroups may maximize impact. Impact Assessing subgroup attitudes enables tailored training for novices' specific needs, nurturing continuous improvement. Supporting early career development and role identity may strengthen retention intentions.
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