Turnover intention in new graduate nurses: a multivariate analysis
This paper is a report of a study to determine the relationship of new nurse turnover intent with individual characteristics, work environment variables and organizational factors and to compare new nurse turnover with actual turnover in the 18 months of employment following completion of a residency.
Because of their influence on patient safety and health outcomes nurse turnover and turnover intent have received considerable attention worldwide. When nurse staffing is inadequate, especially during nursing shortages, unfavourable clinical outcomes have been documented.
Prospective data collection took place from 1999 to 2006 with 889 new paediatric nurses who completed the same residency. Scores on study instruments were related to likelihood of turnover intent using logistic regression analysis models. Relationships between turnover intent and actual turnover were compared using Kaplan–Meier survivorship.
The final model demonstrated that older respondents were more likely to have turnover intent if they did not get their ward choice. Also higher scores on work environment and organizational characteristics contributed to likelihood that the new nurse would not be in the turnover intent group. These factors distinguish a new nurse with turnover intent from one without 79% of the time. Increased seeking of social support was related to turnover intent and older new graduates were more likely to be in the turnover intent group if they did not get their ward choice.
When new graduate nurses are satisfied with their jobs and pay and feel committed to the organization, the odds against turnover intent decrease.
What is already known about this topicThere is concern in many countries about nurse turnover and the resulting effects on patient safety and quality of care.Decreasing ability to recruit experienced nurses has increased the emphasis on recruitment of new graduate nurses, particularly in the United States of America.Historically, new graduate nurses have a high turnover rate within the first year of employment.What this paper addsWhen new graduate nurses are satisfied with their jobs and pay and feel committed to the organization, the odds of turnover intent decrease.Increased seeking social support to cope with the transition from student to competent Registered Nurse is related to turnover intent.Older graduates (>30) are 4·5 times more likely to have turnover intent if they do not get their ward of choice.