Predictors of Croatian nurses' turnover intention: A cross-sectional study

IF 3.6 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Health Policy Pub Date : 2024-11-08 DOI:10.1016/j.healthpol.2024.105198

Ivana Gusar , Dragan Šijan , Tomislav Sorić , Sonja Šare , Mediana Županović , Marija Ljubičić

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Abstract

The turnover intention rate among nurses is very high both worldwide, and in Europe. It is related to personal and professional factors that contribute to the decision to leave or stay. This descriptive cross-sectional study aimed to identify the personal and professional predictors that contribute to nurses’ turnover intention in Croatia. A convenient sample of 448 nurses employed in public general hospitals was used. The Practice Environment Scale of the Nursing Work Index questionnaire and the Turnover Intention Scale were applied. A logistic regression model was used to determine the associations between nurses' turnover intention and their personal and professional factors. The results indicate that both types of factors can influence nurses’ turnover intention. The associations between turnover intention and personal factors such as age (p = 0.033), gender (p = 0.023), job satisfaction (p < 0.001), and social satisfaction (p = 0.006), were recorded. Nurse participation in hospital affairs (p = 0.026), and the nurse manager ability, leadership, and support of nurses (p = 0.002), which are professional factors were also associated with turnover intention. In order to prevent turnover intention, continuous measures need to be planned and implemented to increase nurses' satisfaction and improve their working environment.

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克罗地亚护士离职意向的预测因素：横断面研究。

无论是在全球还是在欧洲，护士的离职意向率都非常高。护士离职意向与个人和职业因素有关，这些因素促成了护士离职或留任的决定。这项描述性横断面研究旨在确定导致克罗地亚护士离职意向的个人和职业预测因素。研究使用了一个方便的样本，包括 448 名受雇于公立综合医院的护士。研究采用了护理工作指数问卷的实践环境量表和离职意向量表。采用逻辑回归模型确定护士离职意向与其个人和专业因素之间的关联。结果表明，这两类因素都会影响护士的离职意向。离职意向与年龄（p = 0.033）、性别（p = 0.023）、工作满意度（p < 0.001）和社会满意度（p = 0.006）等个人因素之间存在关联。护士参与医院事务（p = 0.026）、护士长的能力、领导力和对护士的支持（p = 0.002）这些专业因素也与离职意向有关。为了防止离职意向，需要规划和实施持续的措施，以提高护士的满意度并改善其工作环境。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Policy 医学-卫生保健

CiteScore

6.40

自引率

6.10%

发文量

157

审稿时长

3-8 weeks

期刊介绍： Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.