Predictors of nurses' intent to stay at work in a university health center

The purpose of the present study was to evaluate nurses' intent to stay at work and to determine the associations between intent to stay and various predictors. A sample of 108 nurses at a single tertiary care hospital filled in a questionnaire on intent to stay, satisfaction at work, satisfaction with administration, organizational commitment and work group cohesion. The results showed that the majority of nurses are planning to stay in their current job. Satisfaction at work and satisfaction with administration are the best predictors of intent to stay and explained 25.5% of intent to stay variance. It is possible that developing strategies based on the predictors of intent to stay at work could improve that intent. Healthcare organizations could consider this with the objective of increasing nurses' intent to stay at work and, consequently, retention.     

社区护士工作嵌入与留职意愿调查

目的：了解社区护士工作嵌入和留职意愿情况。方法;采取便利取样方法,选取某市28个社区的140名社区护士进行问卷调查,并进行统计学分析。结果：社区护士的工作嵌入平均分为（3．38±0．44）分,留职意愿平均分为（3．85±0．69）分,工作嵌入与留职意愿之间存在显著的正相关（r=0．523,P〈0．05）,工作嵌入是预测社区护士留职的重要变量。结论：社区护士的工作嵌人处于中等水平,留职意愿处于高水平;若提高社区护士的工作嵌入水平,将会增强护士的留职意愿。     

Factors influencing intentions to stay and retention of nurse managers: a systematic review

Aims This systematic review aimed to explore factors known to influence intentions to stay and retention of nurse managers in their current position. Background Retaining staff nurses and recruiting nurses to management positions are well documented; however, there is sparse research examining factors that influence retention of nurse managers. Evaluations Thirteen studies were identified through a systematic search of the literature. Eligibility criteria included both qualitative and quantitative studies that examined factors related to nurse manager intentions to stay and retention. Quality assessments, data extraction and analysis were completed on all studies included. Twenty-one factors were categorized into three major categories: organizational, role and personal. Key issues Job satisfaction, organizational commitment, organizational culture and values, feelings of being valued and lack of time to complete tasks leading to work/life imbalance, were prominent across all categories. Conclusion These findings suggest that intentions to stay and retention of nurse managers are multifactoral. However, lack of robust literature highlights the need for further research to develop strategies to retain nurse managers. Implications for nurse management Health-care organizations and senior decision-makers should feel a responsibility to support front-line managers in relation to workload and span of control, and in understanding work/life balance issues faced by managers.     

我国护士留职意愿的研究进展

文章归纳了留职意愿的概念及其测评指标,指出了护士留职意愿的影响因素,包括:护士个人特征、护士的心理因素和组织环境因素。在此基础上,对护士留职意愿干预研究的前景进行了展望。     

护士留职意愿与工作满意度的相关性研究

目的 调查护士留职意愿、护士工作满意度的现状及两者的相关性,为制订护士留职策略提供依据.方法 采用问卷调查法,对4所综合医院(2所三级甲等医院和2所二级甲等医院)690名护士进行调查.结果 护士留职意愿得分为 (3.55±0.64)分;护士总体工作满意度得分为(2.99±0.37)分,护士对与同事关系、家庭和工作的平衡、管理及工作被认可方面表示满意;但对工作本身、个人成长及发展、工作负荷、工资及福利方面表示不满意;护士的留职意愿与其工作满意度呈显著正相关(P＜0.01);工作被认可、个人成长及发展、年龄、工作本身、工作负荷、学历、工资及福利(P＜0.05)是预测护士留职意愿的主要因素.结论 护士留职意愿水平虽受其工作满意度的影响,但还有很大的提升空间,若结合国情提出护士留职的相关干预策略,将有益于护士人才队伍的稳定、健康发展.     

Relationships among structural empowerment,psychological empowerment,intent to stay and burnout in nursing field in mainland China—based on a cross‐sectional questionnaire research

The aim of the study was to explore the relationship among perceived structural empowerment, psychological empowerment, burnout and intent to stay by nurses in mainland China.With the shortage of nurses in many countries, including China, intent to stay is a dominant factor to influence the quality of care. Also, burnout is identified to negatively affect the quality of care. Empowered clinical nurse practical environment is related to intent to stay and burnout. In the current literature, there is a lack of data based on empowering environment discussing the relationship between burnout and intent to stay. The study used an anonymous questionnaire, filled voluntarily by 219 nurses from different sections in a city in mainland China, 2012.Structural equation modelling (SEM) was used to test the proposed hypotheses. Based on the SEM model, structural empowerment and psychological empowerment had significant positive effects on intent to stay of nurses and negative effects on burnout. Burnout had a significant negative effect on intent to stay. The final modified models yielded χ² = 58.580, P > 0.05, χ²/df = 1.046, root mean square error of approximation = 0.015, Tucker–Lewis Index = 0.996, comparative fit index = 0.998,which indicated good fit indices. Creating a positive empowering workplace can encourage nurses to stay long and prevent burnout. Therefore, higher level of empowering environment is required.     

Registered nurse empowerment and intent to leave current position and/or profession

Aim  This study explored the relationship between Registered Nurses' (RN) empowerment and intent to leave their current position and/or profession.
Background  While there is documentation of the relationship between job satisfaction and retention, little is known about the relationship between empowerment and intent to leave either the current position and/or profession.
Methods  A web-based survey was conducted in which 1355 respondents completed measures of personal demographics, empowerment, intent to leave their current position and the profession.
Results  Relationships were found between empowerment and intent to leave the current position ( F  = 80.08, P  < 0.001) and intent to leave the profession ( F  = 75.99, P  < 0.001).
Implications for nursing management  The results of this study contribute to the limited body of knowledge in this area. It is suggested that nursing leaders utilize empowerment and intent to leave the position and/or profession as new concepts to measure future retention within the nursing workforce.
Conclusion  Retention strategies need to focus on strategies for nurse empowerment.     

Relationships among conflict, conflict management, job satisfaction, intent to stay, and turnover of professional nurses in Thailand*

Abstract This study was conducted to describe level of conflict, conflict management styles, level of job satisfaction, and intent to stay, and to ascertain relationships among conflict, conflict management styles, level of job satisfaction, intent to stay, and turnover of professional nurses in Thailand. The sample was 354 professional nurses employed in four regional hospitals in Thailand. The findings showed that the overall level of conflict was at a moderate level. The majority of subjects used accommodation most frequently to manage conflict. Subjects were dissatisfied with pay but were neither satisfied nor dissatisfied with work, supervision, opportunities for promotion, co-workers and the job in general facets of job satisfaction. Most subjects had a high intent to stay in their present jobs for 1 year (97.1%) but intent to stay for the next 5 years decreased (78.5%). The result showed some relationships among these variables, but no relationship between intent to stay and turnover of professional nurses.     

A systematic literature review of nurse shortage and the intention to leave

chan z.c.y., tam w.s., lung m.k.y., wong w.y. & chau c.w. (2013) Journal of Nursing Management  21 , 605–613 A systematic literature review of nurse shortage and the intention to leave Aim To present the findings of a literature review regarding nurses’ intention to leave their employment or the profession. Background The nursing shortage is a problem that is being experienced worldwide. It is a problem that, left unresolved, could have a serious impact on the provision of quality health care. Understanding the reasons why nurses leave their employment or the profession is imperative if efforts to increase retention are to be successful. Evaluation Electronic databases were systematically searched to identify English research reports about nurses’ intention to leave their employment or the profession. Key results concerning the issue were extracted and synthesized. Key issues The diversified measurement instruments, samples and levels of intention to leave caused difficulties in the attempt to compare or synthesize findings. The factors influencing nurses’ intention to leave were identified and categorized into organizational and individual factors. Conclusions The reasons that trigger nurses’ intention to leave are complex and are influenced by organizational and individual factors. Further studies should be conducted to investigate how external factors such as job opportunities correlate with nurses’ intention to leave. Implications for nursing management The review provides insight that can be useful in designing and implementing strategies to maintain a sustainable workforce in nursing.