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Investigating the adequacy of the Competence‐Turnover Intention Model: how does nursing competence affect nurses’ turnover intention?

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  • Miyuki Takase
  • Sachiko Teraoka
  • Yabase Kousuke

Abstract

Aims and objectives The aim of this study was to test the adequacy of the Competence‐Turnover Intention Model, which was developed to identify how nursing competence could affect nurses’ turnover intention (nurses’ intention to voluntarily leave an organisation). Background Recent studies have suggested that the level of nursing competence is negatively related to nurses’ intention to leave their jobs, suggesting that a lack of competence threatens both the quality and quantity of the nursing workforce. However, the mechanism of how nursing competence affects nurses’ turnover intention has not been explored previously. Design A cross‐sectional survey design was used. Methods Surveys were distributed to 1337 Japanese registered nurses/midwives in October, 2013. The adequacy of the model was analysed using structural equation modelling. Results In total, 766 questionnaires were returned, with a return rate of 57%. The model fitted well with the data. The results showed that the level of nursing competence was related positively to the quantity of organisational rewards they felt they had received, and negatively related to the level of exhaustion they experienced. Moreover, the perceived organisational rewards and exhaustion were correlated with nurses’ turnover intention through affective commitment. Conclusions The Competence‐Turnover Intention Model is useful for explaining how nursing competence impacts on their turnover intention. Relevance to clinical practice Clinical implications derived from the findings are that: promoting nursing competence is key to improving not only the quality of care provided by nurses, but also to retaining the nursing workforce, and the model can be used to develop strategies that would mitigate their turnover intention.

Suggested Citation

  • Miyuki Takase & Sachiko Teraoka & Yabase Kousuke, 2015. "Investigating the adequacy of the Competence‐Turnover Intention Model: how does nursing competence affect nurses’ turnover intention?," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(5-6), pages 805-816, March.
  • Handle: RePEc:wly:jocnur:v:24:y:2015:i:5-6:p:805-816
    DOI: 10.1111/jocn.12711
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    References listed on IDEAS

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    1. Miyuki Takase, 2013. "The relationship between the levels of nurses’ competence and the length of their clinical experience: a tentative model for nursing competence development," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(9-10), pages 1400-1410, May.
    2. Christoph Kowalski & Oliver Ommen & Elke Driller & Nicole Ernstmann & Markus A Wirtz & Thorsten Köhler & Holger Pfaff, 2010. "Burnout in nurses – the relationship between social capital in hospitals and emotional exhaustion," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(11‐12), pages 1654-1663, June.
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    Cited by:

    1. Yu‐fang Guo & Virginia Plummer & Louisa Lam & Yan Wang & Wendy Cross & Jing‐ping Zhang, 2019. "The effects of resilience and turnover intention on nurses’ burnout: Findings from a comparative cross‐sectional study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(3-4), pages 499-508, February.
    2. Neda Mirbagher Ajorpaz & Mansoureh Zagheri Tafreshi & Jamileh Mohtashami & Farid Zayeri & Zahra Rahemi, 2016. "The effect of mentoring on clinical perioperative competence in operating room nursing students," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(9-10), pages 1319-1325, May.
    3. Wenxian Wang & Seung-Wan Kang & Suk Bong Choi, 2021. "Effects of Employee Well-Being and Self-Efficacy on the Relationship between Coaching Leadership and Knowledge Sharing Intention: A Study of UK and US Employees," IJERPH, MDPI, vol. 18(20), pages 1-16, October.
    4. Nur Laeli Masykuroh & Muafi Muafi, 2021. "The influence of job insecurity and person-job fit on turnover intention mediated by job satisfaction," International Journal of Business Ecosystem & Strategy (2687-2293), Bussecon International Academy, vol. 3(3), pages 01-12, July.
    5. Dana Hayward & Vicky Bungay & Angela C Wolff & Valerie MacDonald, 2016. "A qualitative study of experienced nurses' voluntary turnover: learning from their perspectives," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(9-10), pages 1336-1345, May.

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