Work environment issues and intention-to-leave in Portuguese nurses: a cross-sectional study

Claudia Leone; Luk Bruyneel; Janet Anderson; Trevor John Murrells; Gilles  Dussault; Elvio Henriques de Jesus; Walter Sermeus; Linda Aiken; Anne Marie Rafferty

doi:10.1016/j.healthpol.2015.09.006

Work environment issues and intention-to-leave in Portuguese nurses: a cross-sectional study

Claudia Leone, Luk Bruyneel, Janet Anderson, Trevor John Murrells, Gilles Dussault, Elvio Henriques de Jesus, Walter Sermeus, Linda Aiken, Anne Marie Rafferty

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68 Citations (Scopus)

Abstract

This study extends the Registered Nurses Forecasting (RN4CAST) study evidence base with newly collected data from Portuguese nurses working in acute care hospitals, in which the measurement of the quality of work environment, workload and its association with intention-to-leave emerge as of key importance. Data included surveys of 2235 nurses in 144 nursing units in 31 hospitals via stratified random sampling. Multilevel multivariate regression analysis shows that intention-to-leave is higher among nurses with a specialty degree, nurses aged 35–39, and in nursing units where nurses are less satisfied with opportunities for career advancement, staffing levels and participation in hospital affairs. Analysis with moderation effects showed the observed effect of age and of having a specialty degree on intention-to-leave during the regression analysis is reduced in nursing units where nurses are more satisfied with opportunities for career advancement. The most important finding from the study suggests that promoting retention strategies that increase satisfaction with opportunities for career advancement among Portuguese nurses has the potential to override individual characteristics associated with increased turnover intentions.

Original language	English
Pages (from-to)	1584-1592
Journal	HEALTH POLICY
Volume	119
Issue number	12
Early online date	28 Sept 2015
DOIs	https://doi.org/10.1016/j.healthpol.2015.09.006
Publication status	Published - Dec 2015

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title = "Work environment issues and intention-to-leave in Portuguese nurses: a cross-sectional study",

abstract = "This study extends the Registered Nurses Forecasting (RN4CAST) study evidence base with newly collected data from Portuguese nurses working in acute care hospitals, in which the measurement of the quality of work environment, workload and its association with intention-to-leave emerge as of key importance. Data included surveys of 2235 nurses in 144 nursing units in 31 hospitals via stratified random sampling. Multilevel multivariate regression analysis shows that intention-to-leave is higher among nurses with a specialty degree, nurses aged 35–39, and in nursing units where nurses are less satisfied with opportunities for career advancement, staffing levels and participation in hospital affairs. Analysis with moderation effects showed the observed effect of age and of having a specialty degree on intention-to-leave during the regression analysis is reduced in nursing units where nurses are more satisfied with opportunities for career advancement. The most important finding from the study suggests that promoting retention strategies that increase satisfaction with opportunities for career advancement among Portuguese nurses has the potential to override individual characteristics associated with increased turnover intentions.",

author = "Claudia Leone and Luk Bruyneel and Janet Anderson and Murrells, {Trevor John} and Gilles Dussault and {Henriques de Jesus}, Elvio and Walter Sermeus and Linda Aiken and Rafferty, {Anne Marie}",

year = "2015",

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doi = "10.1016/j.healthpol.2015.09.006",

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T1 - Work environment issues and intention-to-leave in Portuguese nurses: a cross-sectional study

AU - Leone, Claudia

AU - Bruyneel, Luk

AU - Anderson, Janet

AU - Murrells, Trevor John

AU - Dussault, Gilles

AU - Henriques de Jesus, Elvio

AU - Sermeus, Walter

AU - Aiken, Linda

AU - Rafferty, Anne Marie

PY - 2015/12

Y1 - 2015/12

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AB - This study extends the Registered Nurses Forecasting (RN4CAST) study evidence base with newly collected data from Portuguese nurses working in acute care hospitals, in which the measurement of the quality of work environment, workload and its association with intention-to-leave emerge as of key importance. Data included surveys of 2235 nurses in 144 nursing units in 31 hospitals via stratified random sampling. Multilevel multivariate regression analysis shows that intention-to-leave is higher among nurses with a specialty degree, nurses aged 35–39, and in nursing units where nurses are less satisfied with opportunities for career advancement, staffing levels and participation in hospital affairs. Analysis with moderation effects showed the observed effect of age and of having a specialty degree on intention-to-leave during the regression analysis is reduced in nursing units where nurses are more satisfied with opportunities for career advancement. The most important finding from the study suggests that promoting retention strategies that increase satisfaction with opportunities for career advancement among Portuguese nurses has the potential to override individual characteristics associated with increased turnover intentions.

U2 - 10.1016/j.healthpol.2015.09.006

DO - 10.1016/j.healthpol.2015.09.006

M3 - Article

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SP - 1584

EP - 1592

JO - HEALTH POLICY

JF - HEALTH POLICY

IS - 12

ER -

Work environment issues and intention-to-leave in Portuguese nurses: a cross-sectional study

Abstract

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