Exploring the reasons behind nurses' intentions to leave their hospital or profession: A cross-sectional survey

被引：12

作者：

Enea, Marco ^{[1
]}

Maniscalco, Laura ^{[1
]}

de Vries, Neeltje ^{[2
,3
]}

Boone, Anke ^{[4
]}

Lavreysen, Olivia ^{[4
]}

Baranski, Kamil ^{[5
]}

Miceli, Silvana ^{[6
]}

Savatteri, Alessandra ^{[1
]}

Mazzucco, Walter ^{[1
]}

Fruscione, Santo ^{[1
]}

Kowalska, Malgorzata ^{[5
]}

de Winter, Peter ^{[7
,8
,9
,10
]}

Szemik, Szymon ^{[5
]}

Godderis, Lode ^{[4
,11
]}

Matranga, Domenica ^{[1
]}

机构：

[1] Univ Palermo, Dept Hlth Promot Mother & Child Care Internal Med, Palermo, Italy

[2] Spaarne Gasthuis, Dept Internal Med, Hoofddorp, Netherlands

[3] Spaarne Gasthuis Acad, Hoofddorp, Netherlands

[4] Univ Leuven, KU Leuven, Ctr Environm & Hlth, Dept Publ Hlth & Primary Care, Leuven, Belgium

[5] Med Univ Silesia, Dept Epidemiol, Katowice, Poland

[6] Univ Palermo, Dept Psychol Educ Sci & Human Movement, Palermo, Italy

[7] Katholieke Univ Leuven, Leuven Child & Hlth Inst, Leuven, Belgium

[8] Katholieke Univ Leuven, Dept Dev & Regenerat, Leuven, Belgium

[9] Spaarne Gasthuis, Dept Pediat, Haarlem, Netherlands

[10] Spaarne Gasthuis, Dept Pediat, Hoofddorp, Netherlands

[11] External Serv Prevent & Protect Work, IDEWE, Interleuvenlaan 58, B-3001 Heverlee, Belgium

来源：

INTERNATIONAL JOURNAL OF NURSING STUDIES ADVANCES | 2024年 / 7卷

关键词：

Nurses; Exhaustion; Depersonalization; Work environment; Personnel turnover; Demographic factors; Job satisfaction; BURNOUT;

D O I：

10.1016/j.ijnsa.2024.100232

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Background: Multiple factors can fuel nurses' intention to leave their employing hospital or their profession. Job dissatisfaction and burnout are contributors to this decision. Sociodemographic and work context factors can also play a role in explaining nurses' intention to leave. Objective: To investigate the role of sociodemographic and work context factors, including job resources, job demands, job dissatisfaction, depersonalization, and emotional exhaustion, on nurses' intention to leave their hospital or their profession. Design: Multicentre cross-sectional study. Setting(s): Eight European hospitals, two per each country, including Belgium, the Netherlands, Italy, and Poland. Participants: From May 16 to September 30, 2022, we collected 1,350 complete responses from nurses working at the selected hospitals (13 % response rate). Methods: The intention to leave was assessed through two 5-Likert scale outcomes, agreeing with the intention to leave the profession and the intention to leave the hospital. Logistic regression models were used for statistical analysis. Results: At the multivariable analysis, a higher intention to leave the hospital was observed for: younger age, having served on the frontline against COVID-19, lack of quipment, living in the Netherlands, emotional exhaustion, dissatisfaction with work prospects, and dissatisfaction with the use of professional abilities. There was a higher intention to leave the profession for: younger age, living in the Netherlands, having work-related health problems, depersonalization, emotional exhaustion, low possibilities of professional development, dissatisfaction with work prospects, lack of use of professional abilities, overall ob issatisfaction, and dissatisfaction with salary. Nurses living in Italy expressed the lowest intention to leave. Conclusion: While confirming the role of job dissatisfaction and burnout, we found higher intention to leave for young nurses, nurses with work-related health problems, and caregivers during the COVID-19 pandemic. Dissatisfaction with work prospects, professional development, and salary also increased the intention to leave. We call for educators, managers, and policy- makers to address these factors to retain at-risk nursing categories, implementing strategies to mitigate intentions to leave.

引用

页数：13

共 47 条

[1] The influence of supportive work environment on work-related stress and conflict management style among emergency care nurses: A descriptive correlational study [J].