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Intention to leave among newly graduated nurses: A descriptive, multicenter study.

Abstract：

AIMS:To investigate newly graduated Chinese nurses' intention to leave their jobs and to explore the association of intention to leave with nurse characteristics, person-environment fit, and social support. DESIGN:This was a cross-sectional descriptive study. METHODS:Newly graduated nurses (N = 1,313) were recruited from 18 hospitals in six provinces in China, during 2018. An online questionnaire explored intention to leave and related factors, including proactive personality, personal-environment fit, and perceived social support. Chi-squared and multilevel logistic regression analysis were used to examine associations between factors. RESULTS:Among 1,313 newly graduated nurses, 88 (6.7%) reported high-level intention to leave. Nurses working in specialty areas (i.e., outside of medical-surgical wards) and those with higher degree of person-organization fit showed lower intention to leave, whereas those with higher level of education, exposure to negative workplace/life events during the previous year and a proactive personality showed higher intention to leave. CONCLUSION:Among newly graduated Chinese nurses, intention to leave is significant and is influenced by work area, level of education, negative workplace/life events and person-organization fit. The intention to leave is dynamically multifactorial and supportive strategies must be similarly multifaceted to effectively reduce turnover. IMPACT:Little is known about the factors influencing the intention to leave among newly graduated nurses. We found significant intention to leave among new nurses which was negatively associated with work in a specialty area and degree of person-organization fit and positively associated with level of education, exposure to negative workplace/life events and proactive personality. This information adds to our understanding of nurse turnover and will support nurse administrators in the introduction of specific strategies to decrease turnover in this population. :目的: 调查中国新毕业护士的离职意愿,探讨离职意愿与护士性格、个人与环境的适配性、社会支持的关系。设计: 此为横断面描述性研究。方法: 2018年,中国6大省份的18家医院面向新毕业的护士招聘(N = 1,313)。开展在线问卷调查,了解护士的离职意愿和相关因素,包括主观性格因素、个人与环境的适配性以及所感知的社会支持。另外采用卡方检验和多水平逻辑回归分析方法,以便检验不同因素的相关性。结果: 在1313名新毕业的护士中,88名(6.7%)有较高程度的离职意愿。在专业领域工作的护士(即除外科病房外)以及个人与环境的适配性较高的护士的离职意愿较低,而受教育程度较高、上一年工作/生活中出现负面事件以及性格乐观的护士的离职意愿较高。结论: 中国新毕业护士的离职意愿极高,并受工作区域、文化程度、负面工作/生活事件以及个人与环境的适配性影响。离职意愿呈动态变化,受多个因素影响,因此,必须制定多层面的支持性策略,以便有效降低离职率。影响: 人们对影响新毕业护士离职意愿的因素了解较少。我们发现,新毕业护士的离职意愿与其专业领域工作及个人与环境的适配性负相关,与教育程度、负面工作/生活事件以及性格乐观呈正相关。通过这些信息,我们可以强化对护士离职的理解,并将有助于护士管理者采取具体措施来降低护士离职率。.

journal_name

J Adv Nurs

journal_title

Journal of advanced nursing

authors

Li Z,Cao J,Wu X,Li F,Zhu C

doi

10.1111/jan.14545

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

3429-3439

issue

eissn

0309-2402

issn

1365-2648

journal_volume

pub_type

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Intention to leave among newly graduated nurses: A descriptive, multicenter study.