Exploring Nurses’ Quit Intentions: A Structural Equation Modelling and Mediation Analysis Based on the JD-R and Social Exchange Theories

Healthcare, Год журнала: 2025, Номер 13(7), С. 692 - 692

Опубликована: Март 21, 2025

Understanding how work environments affect nurses' turnover intentions is crucial for improving retention and organizational stability. Research on factors influencing nursing in Italy limited despite its significant impact healthcare sustainability today. This study aims to identify the individual, interpersonal, job-related quit among nurses, examining mediating role of job satisfaction. Guided by Job Demands-Resources (JD-R) theory Social Exchange Theory (SET), this cross-sectional applied structural equation modelling (SEM) analyse theoretical relationships. Researchers collected data between August 2022 December 2023 via an online survey sent nurses different settings across Italy. tested a hypothesised mediation model using SEM analysis, demonstrating good fit indices. A total 1745 responded. The findings reveal that high demands-physical, mental, emotional workloads-were significantly associated with increased dissatisfaction intentions. Conversely, resources, including decision-making autonomy, inspiring leadership, positive leader-member exchanges, were linked greater satisfaction retention. Contrary expectations, did not mediate relationship demands/resources could be explained strong direct effect Additionally, younger more likely report higher Identifying potential quitters at early stage essential organizations. contributing nurse developing effective strategies. emphasizes need organizations prioritize supportive enhance well-being,

Язык: Английский

---

Preserving Continuity and Trust in Primary Care: Strategies for Implementing Team-Based Models in South Tyrol, Italy

International Journal of Environmental Research and Public Health, Год журнала: 2025, Номер 22(4), С. 477 - 477

Опубликована: Март 23, 2025

Continuity of care is fundamental to the efficacy primary healthcare, fostering trust, enhancing patient satisfaction, and improving health outcomes. However, implementation Ministerial Decree 77/2022, which advocates for team-based in multidisciplinary Community Health Centers, presents challenges these established principles. This article proposes strategies maintain continuity trust whilst supporting reform objectives, specifically tailored unique linguistic cultural context Autonomous Province Bolzano—South Tyrol. A synthesis regional healthcare reports, academic literature, practical insights from implementing 77/2022 was performed develop addressing such as ensuring continuity, minimizing administrative burdens, promoting general practitioner engagement. Strategies include establishing Centers integration hubs, assigning providers within teams, formalizing personalized contracts, leveraging digital tools collaboration, expanding roles nurses coordinators. Additional measures focus on building infrastructure telemedicine home-based care, engaging patients through transparent communication feedback loops, preserving GP autonomy flexible participation models incentives. adapted accommodate South Tyrol’s demographic, cultural, systemic characteristics can during transition care. By key risks collaboration among stakeholders, reforms enhance delivery without compromising principles personalized, patient-centered

Язык: Английский

---

Examining South Tyrol’s Experience: Digital Health Adoption and Workforce Issues in Implementing Italy’s Primary Care Reform Under Ministerial Decree No. 77/2022

Epidemiologia, Год журнала: 2024, Номер 5(4), С. 838 - 853

Опубликована: Дек. 23, 2024

Background: Ministerial Decree (D.M.) 77/2022 aims to reform Italy’s primary care system by establishing community health centres and integrating digital tools address healthcare access disparities workforce shortages. This review focuses on frailty assessment tools, innovations, challenges in the Autonomous Province of Bolzano, South Tyrol, emphasising interprofessional trust collaboration issues. Methods: Using a narrative custom approach guided SANRA checklist, this study synthesised findings from PubMed, official websites, regional surveys frailty, dynamics, collaboration, infrastructure Tyrol. Results: General practitioners (GPs) exhibited high professional motivation but expressed concerns about autonomy administrative burdens collaborative models. Trust issues between GPs specialists hinder cohesion coordination, highlighting need for structured inter-professional communication. Frailty assessments, such as PRISMA-7 tool, identify over 33% community-dwelling individuals aged 75 years older frail, necessitating targeted interventions. Digital adoption, particularly electronic records telemedicine, is slow because shortages limitations. Conclusions: The successful implementation D.M. Tyrol requires addressing challenges, improving trust, expanding infrastructure, into strategies. These measures are critical achieving more resilient, equitable, effective system.

Язык: Английский

---

Construction of an index system of core competence assessment for sleep medicine nurse specialists in China: a Delphi study

BMC Nursing, Год журнала: 2024, Номер 23(1)

Опубликована: Сен. 27, 2024

Язык: Английский

---