What relationships can be found between nurses' working life and turnover? A mixed‐methods approach

Engström, Maria; Mårtensson, Gunilla; Pålsson, Ylva; Strömberg, Annika

doi:10.1111/jonm.13494

Cited by 17 publications

(12 citation statements)

References 28 publications

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“…Frequency distribution of coping strategies reported by nurses in China high workload (Engström et al, 2022). For instance, a study, investigated during a pandemic, showed that uncontrollable job demand increases nurses' strain and turnover intention (Lavoie-Tremblay et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

Stressors, coping strategies and intention to leave the nursing profession: A cross‐sectional nationwide study in China

Wang

Chen

et al. 2022

J Nursing Management

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Aims This study aims to investigate the association between stressors, coping strategies and intention to leave the nursing profession among nurses. Background Job stressors and coping strategies are believed to affect turnover intention among nurses, but no large‐scale study has been conducted on these associations in China yet. Method A cross‐sectional secondary analysis was conducted among 51,406 nurses from 1858 hospitals. Univariable and multivariable logistic regression analyses were carried out, and odds ratios were reported. Results Overall, 49.58% nurses had an intention to leave the profession. It is found that stress from health condition, family, occupational injuries, nurse–patient tension, high job demands, strict leaders and colleague relationships were significantly associated with higher intention to leave. Coping strategies such as talking to family and friends, talking to leaders, doing outdoor activities, engaging in hobbies and attending on‐the‐job training were significantly associated with lower intention, but social gathering, psychological counselling and suffering in silence had an opposite effect. Conclusions Our study provides new insights into the association between stressors, coping strategies and turnover intention among nurses in China. Implications for Nursing Management Evidence from this study indicates that policies promoting a safe and supportive work environment should be developed to help nurses cope with stress.

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Section: Discussionmentioning

confidence: 99%

Stressors, coping strategies and intention to leave the nursing profession: A cross‐sectional nationwide study in China

Wang

Chen

et al. 2022

J Nursing Management

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show abstract

“…, 2015). Moreover, workload predicts nurse turnover (Engström et al. , 2021), supporting their inclusion as control variables.…”

Section: Literature Review and Hypothesesmentioning

confidence: 80%

Mental health of healthcare professionals: headaches and professional commitment interact to impact nurse turnover intention

Pham

Chang

Wong

et al. 2022

IJWHM

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PurposeNurses' health is vital for retaining nurses in the profession. However, lack of study has examined how headaches and professional commitment interact to impact professional turnover intention. This study aims to examine the moderating effect of nurses' headaches on the relationship among professional commitment factors (affective professional commitment, continuance professional commitment and normative professional commitment) and nurses' professional turnover intention.Design/methodology/approachThis study employed a two-wave design and questionnaires to survey 524 nurses from a large medical center in Taiwan during February and March 2017 (the first wave) and June and August 2017 (the second wave). Headaches were measured using descriptions formulated by the International Headache Society. Items measuring other constructs came from relevant literature. Regression analysis was used to assess relationships between the constructs.FindingsAll aspects of professional commitment are negatively related to professional turnover intention (B [CI] = −0.47 [−0.58, −0.36], −0.20 [−0.29, −0.11], −0.22 [−0.32, −0.12], p < 0.001). Headaches reduce the negative relation between affective professional commitment and professional turnover intention (B [CI] = 0.14 [0.02,0.27], p = 0.02).Practical implicationsHeadaches could interfere with nurses' commitment to the nursing profession and influence nurses' intention to leave. Managers should seek means to help alleviate nurses' headaches.Originality/valueThis study is the first to examine how headaches and professional commitment interact to influence nurses' professional turnover intention.

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“…Secondly, Engström et al (2022) indicated high workload and low salary are the most common reasons for inducing nurses' intention to leave. Our study concurs with Engström et al (2022) that a supportive work environment is critical for reducing nurses' turnover. However, we uniquely proposed how technology support (i.e.…”

Section: Discussionmentioning

confidence: 99%

How robots impact nurses' time pressure and turnover intention: A two‐wave study

Huang

Lee

et al. 2022

J Nursing Management

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Aims To examine the relationships among effort ensuring robots' smooth operation (EERSO), time pressure, missed care, and nurses' turnover intention, and how robot performance moderates such relations. Background Robots may reduce nurses' workload but typically still require some effort of nurses for robots' smooth operation. However, the negative impact of EERSO on nurses' workplace outcomes is unknown. Methods This study used a two‐wave follow‐up design. Data were collected in a medical center in Taiwan, with first wave collected in 2019 and second wave collected between 2019 and 2020. A total of 331 participants were followed through the two waves. Results EERSO is positively linked to missed care and time pressure. Time pressure is also positively linked to missed care and turnover intention. Positive robot performance weakens the positive link between EERSO and time pressure. Conclusion Using robots may help reduce nurses' workload, but it also requires nurses' efforts to maintain robots' continuous operation, that is, EERSO. It may adversely impact nursing professional workplaces. Implications for Nursing Management Nurse managers should reduce nurses' time pressure whilst suggest hospital managers to seek robots that require minimal EERSO.

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What relationships can be found between nurses' working life and turnover? A mixed‐methods approach

Cited by 17 publications

References 28 publications

Stressors, coping strategies and intention to leave the nursing profession: A cross‐sectional nationwide study in China

Stressors, coping strategies and intention to leave the nursing profession: A cross‐sectional nationwide study in China

Mental health of healthcare professionals: headaches and professional commitment interact to impact nurse turnover intention

How robots impact nurses' time pressure and turnover intention: A two‐wave study

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