Predictors of the Intentions to Leave Among Nurses in an Academic Medical Center

Overview

Journal PCN Rep

Publisher Wiley

Date 2024 Jun 13

PMID 38868654

Authors

Aoi Sato

Yoshiteru Sato

Norio Sugawara

Masataka Shinozaki

Hiroaki Okayasu

Yasushi Kawamata

Keita Tokumitsu

Yumiko Uchibori

Tomie Komatsu

Norio Yasui-Furukori

Kazutaka Shimoda

Affiliations

Soon will be listed here.

Abstract

Aim: Nurses are an essential human resource for the healthcare system. However, high turnover of nurses is a current issue. Reducing the high turnover of nurses is crucial for facilitating the sustainable provision of care in hospitals. The purpose of this study was to explore the factors affecting nurses' intentions to leave among nurses in an advanced medical center.

Methods: Using a cross-sectional design, we conducted a questionnaire survey of nurses working at an academic medical center in August 2020. Of the 1063 distributed questionnaires, there were 821 (77.2%) valid responses. The questionnaire included items on the Kessler 6 (K6), New Brief Job Stress Questionnaire (New BJSQ), Organizational Justice Questionnaire (OJQ), and intention to leave a hospital job.

Results: Overall, the mean age of the nurses was 34.3 ± 10.1 years and 87.8% (721/821) of them were female. Among respondents, 19.5% (160/821) had a strong intention to leave. After adjusting for all the variables, a logistic regression analysis revealed that longer working hours, job rank (staff nurse), work-self-balance positive (imbalance), workplace harassment (no bullying), and interactional justice (unfair supervisor) were determinants associated with strong intentions to leave.

Conclusions: Approximately one-fifth of nurses working at advanced medical center had a strong intention to leave. However, our findings can help managers predict the turnover of nurses by understanding occupational characteristics. Managing work-self-balance and treating staff fairly could improve work environments. Further research focusing on the outcome of actual turnover rather than intention to leave is needed.

Citing Articles

Predictors of the intentions to leave among nurses in an academic medical center.

Sato A, Sato Y, Sugawara N, Shinozaki M, Okayasu H, Kawamata Y PCN Rep. 2024; 1(4):e48.

PMID: 38868654 PMC: 11114313. DOI: 10.1002/pcn5.48.

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