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The Impact of Changes in Professional Autonomy and Occupational Commitment on Nurses’ Intention to Leave: A Two-Wave Longitudinal Study in Japan

Author

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  • Yukari Hara

    (Graduate School of Medicine, Tohoku University, 2-1, Seiryo-machi, Aoba-ku, Sendai, Miyagi 980-8575, Japan)

  • Kyoko Asakura

    (Graduate School of Medicine, Tohoku University, 2-1, Seiryo-machi, Aoba-ku, Sendai, Miyagi 980-8575, Japan)

  • Takashi Asakura

    (Faculty of Education, Tokyo Gakugei University, 4-1-1, Nukuikita, Koganei, Tokyo 184-8501, Japan)

Abstract

This study aimed to investigate changes in nurses’ attitudes toward professional autonomy and occupational commitment over time, and their effect on nurses’ intentions to leave, using a two-wave longitudinal design. Anonymous, self-report questionnaires were distributed to all nurses working at 28 hospitals in western Japan on two separate occasions ( n = 1778). Multivariate analysis using a generalized estimation equation was conducted, with the intention to leave at Time 2 as the dependent variable, and the changing secular trends in all subscales of attitudes toward professional autonomy and occupational commitment as the independent variables. Age, sex, education, and intention to leave at Time 1 were control variables. Results showed that increasing changing secular trends in control over work conditions, which is a subscale of attitudes toward professional autonomy, increased intention to leave at Time 2, while increasing changing secular trends in all subscales of occupational commitment decreased intention to leave at Time 2. Nurses with a progressive attitude toward discretion of control over work conditions may have higher intentions to leave. Therefore, increasing control over their work conditions may reduce this intention. Additionally, it is necessary to continually enhance nurses’ occupational commitment by offering professional development programs.

Suggested Citation

  • Yukari Hara & Kyoko Asakura & Takashi Asakura, 2020. "The Impact of Changes in Professional Autonomy and Occupational Commitment on Nurses’ Intention to Leave: A Two-Wave Longitudinal Study in Japan," IJERPH, MDPI, vol. 17(17), pages 1-14, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6120-:d:402698
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    References listed on IDEAS

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    1. Olivia Numminen & Helena Leino‐Kilpi & Hannu Isoaho & Riitta Meretoja, 2016. "Newly graduated nurses’ occupational commitment and its associations with professional competence and work‐related factors," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(1-2), pages 117-126, January.
    2. Marie-Laure Delamaire & Gaétan Lafortune, 2010. "Nurses in Advanced Roles: A Description and Evaluation of Experiences in 12 Developed Countries," OECD Health Working Papers 54, OECD Publishing.
    3. Jule Specht & Boris Egloff & Stefan C. Schmukle, 2011. "Stability and Change of Personality across the Life Course: The Impact of Age and Major Life Events on Mean-Level and Rank-Order Stability of the Big Five," SOEPpapers on Multidisciplinary Panel Data Research 377, DIW Berlin, The German Socio-Economic Panel (SOEP).
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    2. Teresa Neves & Pedro Parreira & Vitor Rodrigues & João Graveto, 2022. "Organizational Commitment and Intention to Leave of Nurses in Portuguese Hospitals," IJERPH, MDPI, vol. 19(4), pages 1-14, February.
    3. Zhou, Min & Yin, Jia & Tang, Yu & Yi, Huan & Kong, Nan & Campy, Kathryn S., 2024. "What drives the drivers away? An empirical study on the factors influencing the turnover intention of full-time online ride-hailing drivers in China," Transportation Research Part A: Policy and Practice, Elsevier, vol. 186(C).
    4. Marina Bădileanu & Ileana Paula Ionel & Justin Aurelian & Daniel Alin Cristian & Cornelia Jude & Luminița-Izabell Georgescu & Ivona Răpan, 2022. "Perception and Deception in Nurses’ Clinical and Work-Related Professional Autonomy: Case Study for a Hospital in Romania," Sustainability, MDPI, vol. 15(1), pages 1-19, December.

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