Impact and determinants of nurse turnover: a pan-Canadian study

被引:197
作者
O'Brien-Pallas, Linda [1 ]
Murphy, Gail Tomblin [1 ,3 ,4 ]
Shamian, Judith [5 ]
Li, Xiaoqiang
Hayes, Laureen J. [2 ]
机构
[1] Univ Toronto, Nursing Hlth Serv Res Unit, Toronto, ON M5T 1P8, Canada
[2] Univ Toronto, Lawrence S Bloomberg Fac Nursing, CHSRF CIHR Natl Chair, Toronto, ON M5T 1P8, Canada
[3] Dalhousie Univ, Sch Nursing, Fac Hlth Profess & Community Hlth & Epidemiol, Fac Med, Halifax, NS, Canada
[4] Dalhousie Univ, WHO PAHO Collaborating Ctr, Halifax, NS, Canada
[5] Victorian Order Nurses Canada, Ottawa, ON, Canada
基金
加拿大健康研究院;
关键词
health services research; nursing management; outcomes; quality of work environment; quantitative methods; NATIONAL-HEALTH-SERVICE; JOB-SATISFACTION; ROLE-CONFLICT; ORGANIZATIONAL COMMITMENT; MEDICAL OUTCOMES; HOSPITAL NURSES; SHORT-FORM; CARE; INTENTION; STAFF;
D O I
10.1111/j.1365-2834.2010.01167.x
中图分类号
C93 [管理学];
学科分类号
12 ; 1201 ; 1202 ; 120202 ;
摘要
Aim As part of a large study of nursing turnover in Canadian hospitals, the present study focuses on the impact and key determinants of nurse turnover and implications for management strategies in nursing units. Background Nursing turnover is an issue of ever-increasing priority as work-related stress and job dissatisfaction are influencing nurses' intention to leave their positions. Methods Data sources included the nurse survey, unit managers, medical records and human resources databases. A broad sample of hospitals was represented with nine different types of nursing units included. Results Nurses turnover is a major problem in Canadian hospitals with a mean turnover rate of 19.9%. Higher levels of role ambiguity and role conflict were associated with higher turnover rates. Increased role conflict and higher turnover rates were associated with deteriorated mental health. Higher turnover rates were associated with lower job satisfaction. Higher turnover rate and higher level of role ambiguity were associated with an increased likelihood of medical error. Conclusion Managing turnover within nursing units is critical to high-quality patient care. A supportive practice setting in which role responsibilities are understood by all members of the caregiver team would promote nurse retention. Implications for nursing management Stable nurse staffing and adequate managerial support are essential to promote job satisfaction and high-quality patient care.
引用
收藏
页码:1073 / 1086
页数:14
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