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Generation-Common and -Specific Factors in Intention to Leave among Female Hospital Nurses: A Cross-Sectional Study Using a Large Japanese Sample

Author

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  • Maki Tei-Tominaga

    (Faculty of Nursing, Setsunan University, Osaka 573-0101, Japan)

  • Kyoko Asakura

    (Division of Nursing Education and Administration, Graduate School of Medicine, Tohoku University, Sendai 980-0872, Japan)

  • Takashi Asakura

    (Laboratory of Health and Social Behaviour, Tokyo Gakugei University, Tokyo 184-8501, Japan)

Abstract

An understanding of the conditions that determine the factors affecting nurses’ intention to leave is important for countries suffering from nurse shortage. Aim: to examine factors influencing intention to leave among female hospital nurses in a large Japanese sample, classified into four generations by age and considering economic conditions. Methods: a cross-sectional survey with convenience sampling was conducted. Anonymous self-administered questionnaires were distributed to all nurses in 30 hospitals. To assess intention to leave, basic attributes, life conditions, work characteristics, and factors of psychosocial work environment were addressed. After classifying data into four generations based on age cohorts, we conducted multivariate logistic regression analysis using the completed data ( N = 5074, mean age = 36.24 years). Results: regardless of the generational characteristics influenced by economic conditions, effort and monetary reward were generation-common factors. Over-commitment, social support, and the presence of a role model were generation-common factors in three generations. While having children increased intention to leave in the generation born in 1965–1979, having family members in need of caregiving other than children decreased the risk in the generation born in the 1980s. Conclusion: generational countermeasures considering factors of psychosocial work environment and life conditions are needed to avert female nurse turnover.

Suggested Citation

  • Maki Tei-Tominaga & Kyoko Asakura & Takashi Asakura, 2018. "Generation-Common and -Specific Factors in Intention to Leave among Female Hospital Nurses: A Cross-Sectional Study Using a Large Japanese Sample," IJERPH, MDPI, vol. 15(8), pages 1-17, July.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:8:p:1591-:d:160199
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    1. Siegrist, Johannes & Starke, Dagmar & Chandola, Tarani & Godin, Isabelle & Marmot, Michael & Niedhammer, Isabelle & Peter, Richard, 2004. "The measurement of effort-reward imbalance at work: European comparisons," Social Science & Medicine, Elsevier, vol. 58(8), pages 1483-1499, April.
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    Cited by:

    1. Yunmi Kim & Hyun-Young Kim, 2021. "Retention Rates and the Associated Risk Factors of Turnover among Newly Hired Nurses at South Korean Hospitals: A Retrospective Cohort Study," IJERPH, MDPI, vol. 18(19), pages 1-14, September.

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