Factors affecting turnover intention of nurses in Japanese nursing homes for older adults—A cross-sectional study

IF 1.7 4区医学 Q2 NURSING

Japan Journal of Nursing Science Pub Date : 2024-12-10 DOI:10.1111/jjns.12637

Kaoru Baba, Mana Doi, Azusa Arimoto, Akiko Kaneda, Yuka Kanoya

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引用次数: 0

Abstract

Aim

This study aimed to clarify factors that affect turnover intention of nurses in Japanese nursing homes (NHs).

Methods

Cross-sectional nationwide self-administered anonymous questionnaire survey was conducted among 2000 nurses and 1000 directors from 1000 NHs. Data were collected between December 2019 and January 2020. The questionnaire contained NH nurses' turnover intention，organizational factors such as work conditions, and so on; individual factors such as self-evaluation of nursing practice and so on. Responses were obtained from 267 nurses and 163 directors (response rates: 13.4% and 16.3%, respectively). This analysis included 196 responses from both nurses and directors from NHs. Univariate analysis and logistic regression analyses were performed to examine factors affecting nurses' turnover intentions.

Results

Regarding the NH nurses' turnover intention, 49.5% responded “no intention to leave,” 50.5% responded “intention to leave.” Of these “intention to leave,” 41.4% responded “I wanted to work in a medical facility.” A stronger burden of on-call shift (OR [odds ratio] = 1.54, 95% CI [confidence interval]: 1.10–2.16) and a lower affective organizational commitment (OR = 0.71, 95% CI: 0.62–0.80) indicated a higher turnover intention of NH nurses.

Conclusions

Retention of NH nurses may be increased by reducing the burden of on-call shifts and enhancing affective organizational commitment.

查看原文本刊更多论文

日本养老院护士离职意向的影响因素-横断面研究。

目的：本研究旨在厘清影响日本养老院护士离职意向的因素。方法：对全国1000家国民保健服务机构的2000名护士和1000名主任进行横断面自我匿名问卷调查。数据收集于2019年12月至2020年1月。问卷内容包括新卫生院护士离职意向、工作条件等组织因素；个体因素如护理实践自我评价等。获得了267名护士和163名主任的回复（回复率分别为13.4%和16.3%）。该分析包括来自NHs护士和主管的196份回复。采用单因素分析和logistic回归分析探讨影响护士离职意向的因素。结果：在护士离职意向方面，49.5%回答“无意离职”，50.5%回答“有离职意向”。在这些“打算离开”的人中，41.4%的人回答“我想在医疗机构工作”。较强的值班负担（OR[比值比]= 1.54,95% CI[置信区间]:1.10-2.16）和较低的情感组织承诺（OR = 0.71, 95% CI: 0.62-0.80）表明NH护士的离职意愿较高。结论：通过减少随叫随到轮班的负担和加强情感组织承诺，可以提高护士的保留率。

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

Japan Journal of Nursing Science 医学-护理

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.