edoc

Nurses' intention to leave their profession: a cross sectional observational study in 10 European countries

Heinen, Maud M. and van Achterberg, Theo and Schwendimann, René and Zander, Britta and Matthews, Anne and Kózka, Maria and Ensio, Anneli and Sjetne, Ingeborg Strømseng and Moreno Casbas, Teresa and Ball, Jane and Schoonhoven, Lisette. (2013) Nurses' intention to leave their profession: a cross sectional observational study in 10 European countries. International Journal of Nursing Studies, 50 (2). pp. 174-184.

Full text not available from this repository.

Official URL: https://edoc.unibas.ch/59788/

Downloads: Statistics Overview

Abstract

As the European population ages, the demand for nursing care increases. Yet, a shortage of nurses at the labour market exists or is predicted for most European countries. There are no adequate solutions for this shortage yet, and recruitment of future nurses is difficult. Therefore, retaining nurses for the profession is urgent.; To determine factors associated with nurses' intention to leave the profession across European countries.; A multi-country, multi-centre, cross-sectional analysis of survey data.; 2025 surgical and medical units from 385 hospitals in ten European countries that participated in the RN4Cast study. Hospital selection was based on a stratified randomised selection procedure.; All nurses from the participating medical and surgical hospital wards received a survey. 23,159 nurses (64%) returned the survey.; The nurse survey included questions about intention to leave the profession, nurse characteristics, factors related to work environment, patient-to-nurse staffing ratio, burnout and perceived quality and safety of care. Multilevel regression analyses with 'intention to leave the profession' as dependent variable were conducted for all 10 countries combined as well as per country.; Overall, 9% of the nurses intended to leave their profession. This varied from 5 to 17% between countries. Seven factors were associated with intention to leave the profession at European level: nurse-physician relationship (OR 0.86; 95%CI 0.79-0.93), leadership (OR 0.78; 95% CI 0.70-0.86), participation in hospital affairs (0.68; 95%CI 0.61-0.76), older age (OR 1.13; 95%CI 1.07-1.20), female gender (OR 0.67; 95%CI 0.55-0.80), working fulltime (OR 0.76; 95%CI 0.66-0.86) and burnout (OR 2.02; 95%CI 1.91-2.14). The relevance of these factors differed for the individual countries. Nurse perceived staffing adequacy, patient-to-nurse staffing ratio, perceived quality and safety of care and hospital size were not associated with intention to leave at a European level.; Burnout is consistently associated with nurses' intention to leave their profession across the 10 European countries. Elements of work environment are associated with intention to leave the nursing profession but differ between countries, indicating the importance of national contexts in explaining and preventing nurses' intention to leave their profession.
Faculties and Departments:03 Faculty of Medicine > Departement Public Health > Institut für Pflegewissenschaft
UniBasel Contributors:Schwendimann, René
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Elsevier
ISSN:0020-7489
e-ISSN:1873-491X
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:13 Jul 2020 14:42
Deposited On:13 Jul 2020 14:42

Repository Staff Only: item control page