Factors influencing nurses' turnover: An umbrella review

IF 3.7 2区医学 Q1 NURSING

Nursing Outlook Pub Date : 2025-07-07 DOI:10.1016/j.outlook.2025.102464

Shih-Yu Chang , Eri Yanuar Akhmad Budi Sunaryo , Kristamuliana Kristamuliana , Huan-Fang Lee , Ching-Min Chen

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引用次数: 0

Abstract

Background

The global nursing shortage threatens health care systems. While many systematic reviews have examined factors influencing nurse turnover, the results have exhibited inconsistent findings.

Purpose

This umbrella review holistically synthesizes systematic reviews to identify factors impacting nurse retention and supporting evidence-based practices.

Methods

This umbrella review was conducted in accordance with Joanna Briggs Institute guidelines. Systematic reviews on factors influencing nurse retention were included, with no restrictions on language or publication year, and were retrieved from six databases up to May 2024.

Discussion

A total of six systematic reviews with 104 studies were analyzed. The major factors were organizational (58.9%), individual (33%), and cultural (7.8%). The most mentioned themes included personal factors, job characteristics, the significance of work, attitudes toward the organization, leadership, and teamwork.

Conclusion

The related factors of nurse turnover are complicated, with organizational elements being the primary contributors. Managers can identify these organizational factors while also considering individual-level influences.

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影响护士离职的因素：概括性回顾

全球护理人员短缺威胁着卫生保健系统。虽然许多系统的回顾研究了影响护士离职的因素，但结果显示出不一致的发现。目的：本综述从整体上综合了系统综述，以确定影响护士保留和支持循证实践的因素。方法本综述按照乔安娜布里格斯研究所的指导方针进行。纳入影响护士留任因素的系统综述，不受语言和发表年份的限制，检索自截至2024年5月的6个数据库。共分析了6项系统综述，共104项研究。主要影响因素为组织（58.9%）、个人（33%）和文化（7.8%）。被提及最多的主题包括个人因素、工作特点、工作的重要性、对组织的态度、领导能力和团队合作。结论护士离职的相关因素较为复杂，组织因素是主要影响因素。管理者可以识别这些组织因素，同时也考虑个人层面的影响。

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

Nursing Outlook 医学-护理

CiteScore

6.20

自引率

7.00%

发文量

109

审稿时长

25 days

期刊介绍： Nursing Outlook, a bimonthly journal, provides innovative ideas for nursing leaders through peer-reviewed articles and timely reports. Each issue examines current issues and trends in nursing practice, education, and research, offering progressive solutions to the challenges facing the profession. Nursing Outlook is the official journal of the American Academy of Nursing and the Council for the Advancement of Nursing Science and supports their mission to serve the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The journal is included in MEDLINE, CINAHL and the Journal Citation Reports published by Clarivate Analytics.