Analysis of Turnover Intention and Influencing Factors Among Female Nurses with Two Children in Grade A Tertiary Public Hospitals in Sichuan Province: a Cross-sectional Study

Overview

Journal Front Public Health

Specialty Public Health

Date 2024 Sep 6

PMID 39238541

Authors

Chengrong Ling

Liande Tao

Xin Wang

Yunlian Wu

Yong Chai

Lan Zhang

Affiliations

Soon will be listed here.

Abstract

Objective: This study aims to examine the current status of turnover intention among female nurses with two children and explore the factors influencing their decision to resign, ultimately providing a basis for reducing nurses' turnover intention and stabilizing the nursing workforce.

Methods: A convenience sampling method was used to select 1,370 in-service female nurses with two children from 65 Grade A tertiary public hospitals in Sichuan Province from September to December 2023. Data was collected through a general information questionnaire, work-family behavioral role conflict scale, regulatory emotional self-efficacy, and turnover intention scale.

Results: This study revealed that the average score for turnover intention among female nurses with two children was (13.11 ± 3.93). There was a positive correlation between work-family behavioral role conflict and turnover intention ( = 0.485, < 0.01), while regulatory emotional self-efficacy showed a negative correlation with turnover intention ( = -0.382, < 0.01). The main influencing factors for resignation among these nurses included age, number of night shifts per month, average monthly income, primary caregiver for children, work-to-family conflict and family-to-work conflict, and the ability to express positive emotions (POS), the capacity to regulate negative emotions such as despondency/distress (DES), and the skill to manage anger/irritation (ANG). Collectively, these factors explained 29.5% of the total variance in turnover intention scores.

Conclusion: Turnover intention among female nurses with two children is relatively high. To address this issue, hospital managers shall implement effective measures through various channels to settle work-family conflict, enhance nurses' regulatory emotional self-efficacy, and reduce turnover intention resulting from work-family conflict. Together, these efforts will reduce nurse turnover and foster a stable nursing workforce.

References

Zhang M, Zheng X, Chen C, Fang J, Liu H, Zhang X . Role of patient safety attitudes between career identity and turnover intentions of new nurses in China: A cross-sectional study. Front Public Health. 2022; 10:981597. PMC: 9667691. DOI: 10.3389/fpubh.2022.981597. View

Liu W, Zhao S, Shi L, Zhang Z, Liu X, Li L . Workplace violence, job satisfaction, burnout, perceived organisational support and their effects on turnover intention among Chinese nurses in tertiary hospitals: a cross-sectional study. BMJ Open. 2018; 8(6):e019525. PMC: 6009508. DOI: 10.1136/bmjopen-2017-019525. View

Sasso L, Bagnasco A, Catania G, Zanini M, Aleo G, Watson R . Push and pull factors of nurses' intention to leave. J Nurs Manag. 2019; 27(5):946-954. DOI: 10.1111/jonm.12745. View

Labrague L, Ballad C, Fronda D . Predictors and outcomes of work-family conflict among nurses. Int Nurs Rev. 2020; 68(3):349-357. DOI: 10.1111/inr.12642. View

La Torre G, Grima D, Romano F, Polimeni A . Perceived work ability and work-family conflict in healthcare workers: An observational study in a teaching hospital in Italy. J Occup Health. 2021; 63(1):e12271. PMC: 8448582. DOI: 10.1002/1348-9585.12271. View

Jia C, Cheung C, Fu C . Work Support, Role Stress, and Life Satisfaction among Chinese Social Workers: The Mediation Role of Work-Family Conflict. Int J Environ Res Public Health. 2020; 17(23). PMC: 7730308. DOI: 10.3390/ijerph17238881. View

Simon M, Kummerling A, Hasselhorn H . Work-home conflict in the European nursing profession. Int J Occup Environ Health. 2005; 10(4):384-91. DOI: 10.1179/oeh.2004.10.4.384. View

Bae S, Cho M, Kim O, Pang Y, Cha C, Jung H . Predictors of actual turnover among nurses working in Korean hospitals: A nationwide longitudinal survey study. J Nurs Manag. 2021; 29(7):2102-2114. DOI: 10.1111/jonm.13347. View

Modaresnezhad M, Andrews M, Mesmer-Magnus J, Viswesvaran C, Deshpande S . Anxiety, job satisfaction, supervisor support and turnover intentions of mid-career nurses: A structural equation model analysis. J Nurs Manag. 2021; 29(5):931-942. DOI: 10.1111/jonm.13229. View

10.

Labrague L, Gloe D, McEnroe-Petitte D, Tsaras K, Colet P . Factors influencing turnover intention among registered nurses in Samar Philippines. Appl Nurs Res. 2018; 39:200-206. DOI: 10.1016/j.apnr.2017.11.027. View

11.

Caprara G, Di Giunta L, Eisenberg N, Gerbino M, Pastorelli C, Tramontano C . Assessing regulatory emotional self-efficacy in three countries. Psychol Assess. 2008; 20(3):227-37. PMC: 2713723. DOI: 10.1037/1040-3590.20.3.227. View

12.

Zhu X, Shen L, Du P, Guan J . The mediating role of psychological capital between Dayadi stress and job burnout in female nurses with two children. Transl Pediatr. 2021; 10(10):2449-2458. PMC: 8578747. DOI: 10.21037/tp-21-375. View

13.

Kashdan T, Breen W . Social anxiety and positive emotions: a prospective examination of a self-regulatory model with tendencies to suppress or express emotions as a moderating variable. Behav Ther. 2008; 39(1):1-12. DOI: 10.1016/j.beth.2007.02.003. View

14.

Masum A, Azad M, Hoque K, Beh L, Wanke P, Arslan O . Job satisfaction and intention to quit: an empirical analysis of nurses in Turkey. PeerJ. 2016; 4:e1896. PMC: 4860322. DOI: 10.7717/peerj.1896. View

15.

He W, Li M, Ye J, Shen Y, Cao Y, Zhou S . Regulatory emotional self-efficacy as a mediator between high-performance work system perceived by nurses on their job burnout: a cross-sectional study. Psychol Health Med. 2021; 28(3):743-754. DOI: 10.1080/13548506.2021.1990362. View

16.

Shao L, Guo H, Yue X, Zhang Z . Psychological Contract, Self-Efficacy, Job Stress, and Turnover Intention: A View of Job Demand-Control-Support Model. Front Psychol. 2022; 13:868692. PMC: 9115548. DOI: 10.3389/fpsyg.2022.868692. View

17.

Blytt K, Bjorvatn B, Moen B, Pallesen S, Harris A, Waage S . The association between shift work disorder and turnover intention among nurses. BMC Nurs. 2022; 21(1):143. PMC: 9169346. DOI: 10.1186/s12912-022-00928-9. View

18.

Fei Y, Jiang N, Zhao H, Zhang F, Fu W, Yin X . How work-family conflict influences emergency department nurses' turnover intention: The mediating role of positive and negative affect. Int Emerg Nurs. 2023; 68:101289. DOI: 10.1016/j.ienj.2023.101289. View

19.

Marc M, Bartosiewicz A, Burzynska J, Chmiel Z, Januszewicz P . A nursing shortage - a prospect of global and local policies. Int Nurs Rev. 2018; 66(1):9-16. DOI: 10.1111/inr.12473. View

20.

Chu X, Zhang L, Li M . Nurses' strengths use and turnover intention: The roles of job crafting and self-efficacy. J Adv Nurs. 2021; 78(7):2075-2084. DOI: 10.1111/jan.15124. View