IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i13p8205-d855885.html
   My bibliography  Save this article

A Conceptual Model of Nurses’ Turnover Intention

Author

Listed:
  • Eva Smokrović

    (Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia
    Faculty of Health Studies, University of Rijeka, 51000 Rijeka, Croatia)

  • Tomislav Kizivat

    (Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia)

  • Antun Bajan

    (Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia
    Nursing Institute “Professor Radivoje Radić”, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia)

  • Krešimir Šolić

    (Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia
    Faculty of Electrical Engineering, Computer Science and Information Technology, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia)

  • Zvjezdana Gvozdanović

    (Nursing Institute “Professor Radivoje Radić”, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia)

  • Nikolina Farčić

    (Nursing Institute “Professor Radivoje Radić”, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia)

  • Boštjan Žvanut

    (Faculty of Health Sciences, University of Primorska, 6000 Koper, Slovenia)

Abstract

The World Health Organisation predicts a lack of 15 million health professionals by 2030. The lack of licenced professionals is a problem that keeps emerging and is carefully studied on a global level. Strategic objectives aimed at stimulating employment, improving working conditions, and keeping the nurses on board greatly depends on identifying factors that contribute to their turnover. The aim of this study was to present a conceptual model based on predictors of nurses’ turnover intention. Methods: A quantitative, non-experimental research design was used. A total of 308 registered nurses (RNs) took part in the study. The Multidimensional Work Motivation Scale (MWMS) and Practice Environment Scale of the Nursing Work Index (PES-NWI) were used. Results: The conceptual model, based on the binary regression models, relies on two direct significant predictors and four indirect significant predictors of turnover intention. The direct predictors are job satisfaction (OR = 0.23) and absenteeism (OR = 2.5). Indirect predictors that affect turnover intention via job satisfaction are: amotivation (OR = 0.59), identified regulation (OR = 0.54), intrinsic motivation (OR = 1.67), and nurse manager ability, leadership and support of nurses (OR = 1.51). Conclusions: The results of the study indicate strategic issues that need to be addressed to retain the nursing workforce. There is a need to ensure positive perceptions and support from managers, maintain intrinsic motivation, and promote even higher levels of motivation to achieve satisfactory levels of job satisfaction.

Suggested Citation

  • Eva Smokrović & Tomislav Kizivat & Antun Bajan & Krešimir Šolić & Zvjezdana Gvozdanović & Nikolina Farčić & Boštjan Žvanut, 2022. "A Conceptual Model of Nurses’ Turnover Intention," IJERPH, MDPI, vol. 19(13), pages 1-14, July.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:13:p:8205-:d:855885
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/13/8205/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/19/13/8205/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Ying Wang & Weizhen Dong & Kristen Mauk & Peiying Li & Jin Wan & Guang Yang & Lyuying Fang & Wan Huan & Chun Chen & Mo Hao, 2015. "Nurses’ Practice Environment and Their Job Satisfaction: A Study on Nurses Caring for Older Adults in Shanghai," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-13, September.
    2. Carole Pélissier & Barbara Charbotel & Jean Baptiste Fassier & Emmanuel Fort & Luc Fontana, 2018. "Nurses’ Occupational and Medical Risks Factors of Leaving the Profession in Nursing Homes," IJERPH, MDPI, vol. 15(9), pages 1-14, August.
    3. Alberto González García & Arrate Pinto-Carral & Jesús Sanz Villorejo & Pilar Marqués-Sánchez, 2020. "Nurse Manager Core Competencies: A Proposal in the Spanish Health System," IJERPH, MDPI, vol. 17(9), pages 1-15, May.
    4. Carina Ahlstedt & Carin Eriksson Lindvall & Inger K. Holmström & Åsa Muntlin, 2020. "Flourishing at work: Nurses' motivation through daily communication – An ethnographic approach," Nursing & Health Sciences, John Wiley & Sons, vol. 22(4), pages 1169-1176, December.
    5. Beatrice Van der Heijden & Christine Brown Mahoney & Yingzi Xu, 2019. "Impact of Job Demands and Resources on Nurses’ Burnout and Occupational Turnover Intention Towards an Age-Moderated Mediation Model for the Nursing Profession," IJERPH, MDPI, vol. 16(11), pages 1-22, June.
    6. Smokrović, Eva & Žvanut, Maja Frencl & Bajan, Antun & Radić, Radivoje & Žvanut, Boštjan, 2019. "The effect of job satisfaction, absenteeism, and personal motivation on job quitting: A survey of Croatian nurses," Journal of East European Management Studies, Nomos Verlagsgesellschaft mbH & Co. KG, vol. 24(3), pages 398-422.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Vicente Gea-Caballero & José Ramón Martínez-Riera & Pedro García-Martínez & Jorge Casaña-Mohedo & Isabel Antón-Solanas & María Virtudes Verdeguer-Gómez & Iván Santolaya-Arnedo & Raúl Juárez-Vela, 2021. "Study of the Strengths and Weaknesses of Nursing Work Environments in Primary Care in Spain," IJERPH, MDPI, vol. 18(2), pages 1-12, January.
    2. Yuki Chatani & Kyoko Nomura & Haruko Hiraike & Akiko Tsuchiya & Hiroko Okinaga, 2021. "Multiple Physical Symptoms Are Useful to Identify High Risk Individuals for Burnout: A Study on Faculties and Hospital Workers in Japan," IJERPH, MDPI, vol. 18(6), pages 1-13, March.
    3. Nesrine Tebbeb & Fanny Villemagne & Thomas Prieur & Solène Dorier & Emmanuel Fort & Thomas Célarier & Luc Fontana & Nathalie Barth & Carole Pélissier, 2022. "COVID-19 Health Crisis Workloads and Screening for Psychological Impact in Nursing Home Staff: A Qualitative and Quantitative Survey," IJERPH, MDPI, vol. 19(7), pages 1-17, March.
    4. Derong Zeng & Nozomu Takada & Yukari Hara & Shoko Sugiyama & Yoshimi Ito & Yoko Nihei & Kyoko Asakura, 2022. "Impact of Intrinsic and Extrinsic Motivation on Work Engagement: A Cross-Sectional Study of Nurses Working in Long-Term Care Facilities," IJERPH, MDPI, vol. 19(3), pages 1-13, January.
    5. Magnus Helgesson & Staffan Marklund & Klas Gustafsson & Gunnar Aronsson & Constanze Leineweber, 2020. "Interaction Effects of Physical and Psychosocial Working Conditions on Risk for Sickness Absence: A Prospective Study of Nurses and Care Assistants in Sweden," IJERPH, MDPI, vol. 17(20), pages 1-15, October.
    6. Megan Guardiano & Paul Boy & Grigoriy Shapirshteyn & Lisa Dobrozdravic & Liwei Chen & Haiou Yang & Wendie Robbins & Jian Li, 2022. "Working Conditions and Wellbeing among Prison Nurses during the COVID-19 Pandemic in Comparison to Community Nurses," IJERPH, MDPI, vol. 19(17), pages 1-12, September.
    7. Mihaela Alexandra Gherman & Laura Arhiri & Andrei Corneliu Holman & Camelia Soponaru, 2022. "Injurious Memories from the COVID-19 Frontline: The Impact of Episodic Memories of Self- and Other-Potentially Morally Injurious Events on Romanian Nurses’ Burnout, Turnover Intentions and Basic Need ," IJERPH, MDPI, vol. 19(15), pages 1-25, August.
    8. Ana María Porcel-Gálvez & Sergio Barrientos-Trigo & Sara Bermúdez-García & Elena Fernández-García & Mercedes Bueno-Ferrán & Bárbara Badanta, 2020. "The Nursing Stress Scale-Spanish Version: An Update to Its Psychometric Properties and Validation of a Short-form Version in Acute Care Hospital Settings," IJERPH, MDPI, vol. 17(22), pages 1-13, November.
    9. Manuela Schönmann & Anja Bodenschatz & Matthias Uhl & Gari Walkowitz, 2022. "The Care-Dependent are Less Averse to Care Robots: Comparing Intuitions of the Affected and the Non-Affected," Munich Papers in Political Economy 24, Munich School of Politics and Public Policy and the School of Management at the Technical University of Munich.
    10. Ana Mari Fité-Serra & Montserrat Gea-Sánchez & Álvaro Alconada-Romero & José Tomás Mateos & Joan Blanco-Blanco & Eva Barallat-Gimeno & Judith Roca-Llobet & Carles Muntaner, 2019. "Occupational Precariousness of Nursing Staff in Catalonia’s Public and Private Nursing Homes," IJERPH, MDPI, vol. 16(24), pages 1-7, December.
    11. Doris Gebhard & Julia Neumann & Magdalena Wimmer & Filip Mess, 2022. "The Second Side of the Coin—Resilience, Meaningfulness and Joyful Moments in Home Health Care Workers during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(7), pages 1-23, March.
    12. Na Li & Lichuan Zhang & Xuejing Li & Qian Lu, 2022. "Moderated Role of Social Support in the Relationship between Job Strain, Burnout, and Organizational Commitment among Operating Room Nurses: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(17), pages 1-11, August.
    13. Alberto González-García & Arrate Pinto-Carral & Jesús Sanz Villorejo & Pilar Marqués-Sánchez, 2021. "Competency Model for the Middle Nurse Manager (MCGE-Logistic Level)," IJERPH, MDPI, vol. 18(8), pages 1-13, April.
    14. Jia Xu & Baoguo Xie & Bin Tang, 2020. "Guanxi HRM Practice and Employees’ Occupational Well-Being in China: A Multi-Level Psychological Process," IJERPH, MDPI, vol. 17(7), pages 1-15, April.
    15. Cicilia Nagel & Kerstin Nilsson, 2022. "Nurses’ Work-Related Mental Health in 2017 and 2020—A Comparative Follow-Up Study before and during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(23), pages 1-20, November.
    16. Yan Liu & Li Lu & Wen-Xin Wang & Shou Liu & Hong-Ru Chen & Xiang Gao & Ming-Yu Huang & Yong-Nian Liu & Yan-Ming Ren & Chao-Cai Wang, 2020. "Job Burnout and Occupational Stressors among Chinese Healthcare Professionals at County-Level Health Alliances," IJERPH, MDPI, vol. 17(6), pages 1-9, March.
    17. Chienchung Huang & Xiaoxia Xie & Shannon P. Cheung & Yuqing Zhou & Ganghui Ying, 2021. "Job Demands, Resources, and Burnout in Social Workers in China: Mediation Effect of Mindfulness," IJERPH, MDPI, vol. 18(19), pages 1-15, October.
    18. Pedro Lucas & Elvio Jesus & Sofia Almeida & Beatriz Araújo, 2021. "Validation of the Psychometric Properties of the Practice Environment Scale of Nursing Work Index in Primary Health Care in Portugal," IJERPH, MDPI, vol. 18(12), pages 1-11, June.
    19. Chan-Young Kwon & Boram Lee & O-Jin Kwon & Myo-Sung Kim & Kyo-Lin Sim & Yung-Hyun Choi, 2021. "Emotional Labor, Burnout, Medical Error, and Turnover Intention among South Korean Nursing Staff in a University Hospital Setting," IJERPH, MDPI, vol. 18(19), pages 1-14, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:13:p:8205-:d:855885. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.