Abstract: Objective: To analyze the status of the nursery present practical environment and turnover intention, to find out the internal relation between them in order to provide the basic evidence and the direction for adopting suitable measures. Methods: 414 nurses from 6 hospitals were investigated the internal relation between the present practical environment and turnover intention by the practice environment scale of the nursing work index (PES-NWI) and WISC-R. Results: The score of the evaluation for the investigation of practical environment was（79.81±14.90）. There was statistics difference between different department (P<0.05). The 6 dimensions of nursery practical environment arranging from high to low, quality service basis, co-operation between doctor and nurse, the ability of nursing management, leadership and supporting, the allocate for manpower and resources power, compensation package and social status, the participate of nurse in the hospital affairs. The score of turnover intention was（2.26±0.71）, the index value was 56.65%. There were statistics difference in turnover intention among the different hospital class, employment situation, professional title, position title, work experiences, practical department(P<0.05). It reveals that it was negative correlation between the evaluation in 6 dimensions of nursery practical environment and the turnover intention(P<0.01). The most important factor was compensation package and social status. Conclusion: The level of turnover intention for the 6 secondary class hospital was still in medium scope, but in an unstable state and the nurse recognize the condition of practical situation not optimistic. It is indeed necessary to improve the practical environment for the clinical nurse. It is also important to raise the remuneration of nurse. To build up democratic system to let the nurse to participant into the hospital affair so that to improve their initiative and proactive. We must incessant to lower the willing of nursing separation, to expedite our nurse profession to be developed persistently steadily and healthily.

Key words:   Secondary class hospital, Clinical nurse, Practical environment, turnover intention, Influence factor

摘要：  

关键词: 二级医院, 临床护士, 执业环境, 离职意愿, 影响因素