Concept analysis of nurse retention

Abstract

Nurse retention is widely acknowledged as a crucial international workforce issue, yet the concept remains ambiguous. This study focuses on a concept analysis in an effort to clarify the attributes of nurse retention, including its antecedents and consequences. The Walker and Avant approach was applied to analyze the concept of nurse retention. Four key attributes of nurse retention were identified in the analysis, specifically motivation, intention, and individual decision; strategy and intervention; geographic context; and attachment to work. Antecedents of nurse retention included the healthcare system at the macro level, the health care facility, health personnel, and living conditions. Retention has consequences for individual nurses, the healthcare organization, and the overall health system. Our concept analysis provides clarification to better understand nurse retention along with its implications for the healthcare workforce. The analysis further emphasizes the importance of retention as a comprehensive priority issue for human resources when recruiting and maintaining the nursing workforce internationally. K E Y W O R D Snurse retention, concept analysis, health workforce, retention

How organisational commitment influences nurses’ intention to stay in nursing throughout their career

“…Intention to stay is an attitude and a behaviour that has not yet occurred ( Al-Hamdan, Nussera et al 2016 ) and is a strong statistically direct cognitive antecedent of retention ( Price and Mueller 1981 ). While intention to stay has been interpreted and investigated in a number of ways within the workforce literature, there remains a lack of clear discrimination between this concept and similar constructs adding to the confusion and the inability to clearly compare results ( Efendi, Kurniati et al 2019 ). For example there is a lack of clarity as to whether the nurse's intention to stay is within the current position ( Cowden and Cummings 2012 ), the current organisation ( Krausz, Koslowsky et al 1995 , Zeytinoglu, Denton et al 2006 )or within the nursing profession ( Flinkman, Leino-Kilpi et al 2010 ).…”

Determinants of nursing students' intention to migrate overseas to work and implications for sustainability: The case of Indonesian students

“…This critical connection suggests that specific measurement may be applied to support the nursing workforce policy (Buchan, Campbell, Dhillon, & Charlesworth, 2019). However, maintaining a nursing workforce within the national health system is a complex issue for both sending and receiving countries (Efendi, Kurniati, Bushy, & Gunawan, 2019). The current shortage of approximately 9 million nurses and midwives worldwide become a real challenge for any country's health system as the demand of health services increases rapidly due to the population growth, aging population, and the shift of public health burden to non‐communicable diseases (World Health Organization, 2016).…”

Mattering perception, work engagement and its relation to burnout amongst nurses during coronavirus outbreak

“…He also points out a positive link between problems and psychological health and participation in the workplace. Negative results are displayed when people feel that they are not important (Efendi et al, 2019;Tong, 2018).…”