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Background <p>Psychiatric nurses are instrumental in enhancing accessibility to care and addressing the mental health care needs of individuals. However, the field faces a significant shortage of nurses coupled with a high turnover rate. Developing policies to attract or retain psychiatric nurses is imperative, but little is known about the preferences of psychiatric nurses regarding the economic and non-economic attributes of work. Here, a discrete choice experiment (DCE) was used to explore psychiatric nurses’ job preferences.</p> Methods <p>A survey instrument was developed adhering to the design-principles of DCE. Psychiatric nurses were surveyed nationwide based on convenience sampling. A mixed logit model was used to estimate the psychiatric nurses’ preferences. Willingness to pay was calculated and the change in the probability of psychiatric nurses accepting a job when attribute levels changed was simulated.</p> Results <p>The attribute level most valued by respondents was ‘violent coping strategies-impeccable’ (coefficient = 1.002, <i>p</i> &lt; 0.01) and willingness to pay for it is 4476.5323 CNY. The most important attribute level for psychiatric nurses living in cities was ‘respect-high’ (coefficient = 0.505, <i>p</i> &lt; 0.01), and for psychiatric nurses living in town is ‘study assistance for children-thorough’ (coefficient = 0.620, <i>p</i> &lt; 0.01). Notably, psychiatric nurses with less than ten years of work experience exhibited significant preferences for ‘opportunity to upgrade-sufficient’ (coefficient = 0.417, <i>p</i> &lt; 0.01), whereas this preference was insignificant among those with ten years or more of experience (<i>p</i> &gt; 0.05). Changing ‘violence coping strategies’ from ‘without’ to ‘impeccable’ increased the probability of psychiatric nurses accepting the job by 37.04%. The optimal job increased the probability of psychiatric nurses accepting the job by 86.06%.</p> Conclusion <p>Psychiatric nurses would prefer jobs with higher income, more respect, better coping strategies with violence, better opportunities for promotion, and a good working atmosphere. Psychiatric nurses with different seniority and residence had different preferences.</p>

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Psychiatric nurses’ preferences for job: a discrete choice experiment

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年3月3日

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  • Hui-qin Li,
  • Peng Xie,
  • Weixin Jiang,
  • Yu Hou,
  • Shiwei Gong,
  • Si Jin,
  • Zhenfan Liu

摘要

Background

Psychiatric nurses are instrumental in enhancing accessibility to care and addressing the mental health care needs of individuals. However, the field faces a significant shortage of nurses coupled with a high turnover rate. Developing policies to attract or retain psychiatric nurses is imperative, but little is known about the preferences of psychiatric nurses regarding the economic and non-economic attributes of work. Here, a discrete choice experiment (DCE) was used to explore psychiatric nurses’ job preferences.

Methods

A survey instrument was developed adhering to the design-principles of DCE. Psychiatric nurses were surveyed nationwide based on convenience sampling. A mixed logit model was used to estimate the psychiatric nurses’ preferences. Willingness to pay was calculated and the change in the probability of psychiatric nurses accepting a job when attribute levels changed was simulated.

Results

The attribute level most valued by respondents was ‘violent coping strategies-impeccable’ (coefficient = 1.002, p < 0.01) and willingness to pay for it is 4476.5323 CNY. The most important attribute level for psychiatric nurses living in cities was ‘respect-high’ (coefficient = 0.505, p < 0.01), and for psychiatric nurses living in town is ‘study assistance for children-thorough’ (coefficient = 0.620, p < 0.01). Notably, psychiatric nurses with less than ten years of work experience exhibited significant preferences for ‘opportunity to upgrade-sufficient’ (coefficient = 0.417, p < 0.01), whereas this preference was insignificant among those with ten years or more of experience (p > 0.05). Changing ‘violence coping strategies’ from ‘without’ to ‘impeccable’ increased the probability of psychiatric nurses accepting the job by 37.04%. The optimal job increased the probability of psychiatric nurses accepting the job by 86.06%.

Conclusion

Psychiatric nurses would prefer jobs with higher income, more respect, better coping strategies with violence, better opportunities for promotion, and a good working atmosphere. Psychiatric nurses with different seniority and residence had different preferences.