Factors related to intention to stay in the current workplace among long-term care nurses: A nationwide survey
Section snippets
What is already known about the topic?
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Nurse turnover is costly and associated with negative nursing and patient outcomes.
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Voluntary nurse turnover is influenced by a myriad of inter-related individual and organizational factors, and might be moderated by the cultural and national context.
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Research on long-term care nurses’ intention to stay is scarce and so far insufficient for explaining stay or turnover intention in this population.
What this paper adds
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Long-term care nurses’ intention to stay in their workplace varies significantly by hospital, and is significantly influenced by both individual variables (e.g., age and reason for choosing workplace) and unit context variables (e.g., quality of care process and educational opportunities).
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The relationship between individual variables and intention to stay does not vary significantly across units; therefore, it is not moderated by the unit context variables.
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There are statistically significant
Design, sampling, and participants
This is a secondary analysis of a cross-sectional questionnaire survey of long-term care hospital nurses. First, 2000 hospitals with long-term care wards were selected randomly using a table of random numbers from the national hospital database (which contains a total of 3767 hospitals with long-term care wards). Second, we sent a letter to the nursing directors of those hospitals explaining the study aim and asking whether they wished to participate in the survey. The nursing directors of 268
Study participants (Table 2)
Out of the 268 hospitals, 263 returned questionnaires (response rate = 98.13%). A total of 3279 questionnaires were from nursing staff (response rate = 83.0%) and 257 were from nurse managers (response rate = 95.9%). The number of returned questionnaires from nursing managers is less than the number of participating hospitals because 6 hospitals did not return nursing manager questionnaires; thus, we excluded the staff nurse questionnaires (n = 61) from these hospitals due to the missing
Discussion
Worldwide, rather few studies have examined intention to stay in long-term care nurses. In Japan, while there has been research on turnover (Ohue et al., 2011; Tei-Tominaga and Miki, 2010; Yamaguchi et al., 2016), the current study is among the first, to our knowledge, to investigate intention to stay among nurses in long-term care hospitals across Japan. Despite the low response rate among hospitals in agreeing to participate in the study, the distribution of the participating hospitals across
Conclusion
In this cross-sectional survey, we demonstrated that a broad range of individual and contextual factors significantly contribute to long-term care nurses’ intention to stay in their workplace. Nurses’ reason for choosing their workplace, burnout, work engagement, and quality of care process were significant factors related to intention to stay. Providing appropriate support from the nurse managers and giving nurses further educational opportunities might help to keep long-term care nurses
Funding
None.
Conflict of interest
None.
Ethical approval
Research Ethics Committee, Graduate School of medicine, The University of Tokyo, Japan (No. 10925).
Acknowledgement
We would like to give special thanks to Prof. Claudia K.Y. Lai for her contribution and encouragement.
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