关键词: 护士；离职意愿；工作压力；共情满意

Abstract: Objective: To investigate the prevalence of turnover invention and to explore its influencing factors among nurses in tertiary grade A hospitals in Wuhan, and to provide evidence for targeted intervention to decrease nurse turnover. Methods: A clustered sample of 1 667 nurses were recruited from 6 tertiary grade A hospitals in Wuhan and completed the Chinese Nurse Job Stressors Questionnaire, Compassion Satisfaction Questionnaire and intention to leave profession. Multivariate logistic regression was used to analyze main influencing factors of turnover intention. Results: About 47.3% of the nurses intended to leave their profession in the past six months. Nurses aged 26 to 35 are more likely to leave their jobs than nurses of other ages. Compared with nurses with master's degree or above, associate college and bachelor nurses are more likely to have a leaving intention. Surgical, gynecology, pediatric nurses are more likely to have a willingness to leave than nurses in other units. Nurses with high level job stress and low compassion satisfaction were prone to have the intention to leave the profession. Conclusion: Nurses in Wuhan have a higher turnover invention, specially nurses with associate college and undergraduate degree, working in surgery, gynecology and pediatrics departments. Job stress and compassion satisfaction are significantly related to turnover intention. Nursing managers should pay more attention to internal and external characteristics, job stress and compassion satisfaction among nurses to decrease nurse' turnover intention.

Key words: nurses; turnover intention; job stress; compassion satisfaction