Factors related to turnover intention among emergency department nurses in China: A nationwide cross-sectional study
Nan Jiang PhD
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorXuan Zhou MD
Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorYanhong Gong PhD
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorMengge Tian MS
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorYafei Wu MS
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorJiali Zhang MS
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorZhenyuan Chen PhD
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorJing Wang PhD
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorJianxiong Wu PhD
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorCorresponding Author
Xiaoxv Yin PhD
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Correspondence
Xiaoxv Yin, Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Email: [email protected]
Chuanzhu Lv, Department of Emergency Medicine Center, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu 610072, China.
Email: [email protected]
Search for more papers by this authorCorresponding Author
Chuanzhu Lv MS
Department of Emergency Medicine Center, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China
Research Unit of Island Emergency Medicine, Chinese Academy of Medical Sciences (No.2019RU013), Hainan Medical University, Haikou, China
Key Laboratory of Emergency and Trauma of Ministry of Education, Hainan Medical University, Haikou, China
Correspondence
Xiaoxv Yin, Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Email: [email protected]
Chuanzhu Lv, Department of Emergency Medicine Center, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu 610072, China.
Email: [email protected]
Search for more papers by this authorNan Jiang PhD
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorXuan Zhou MD
Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorYanhong Gong PhD
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorMengge Tian MS
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorYafei Wu MS
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorJiali Zhang MS
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorZhenyuan Chen PhD
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorJing Wang PhD
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorJianxiong Wu PhD
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorCorresponding Author
Xiaoxv Yin PhD
Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Correspondence
Xiaoxv Yin, Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Email: [email protected]
Chuanzhu Lv, Department of Emergency Medicine Center, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu 610072, China.
Email: [email protected]
Search for more papers by this authorCorresponding Author
Chuanzhu Lv MS
Department of Emergency Medicine Center, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China
Research Unit of Island Emergency Medicine, Chinese Academy of Medical Sciences (No.2019RU013), Hainan Medical University, Haikou, China
Key Laboratory of Emergency and Trauma of Ministry of Education, Hainan Medical University, Haikou, China
Correspondence
Xiaoxv Yin, Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Email: [email protected]
Chuanzhu Lv, Department of Emergency Medicine Center, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu 610072, China.
Email: [email protected]
Search for more papers by this authorFunding information: This work was supported by the Department of science and technology of Hainan Province, Major Science and Technology Projects under Grant number ZDKJ202004 and the Department of science and technology of Hainan Province, Key Research and Development Program under Grant number ZDYF2020112.
Nan Jiang and Xuan Zhou authors contributed equally to this work.
Abstract
Background
Turnover intention among nurses is high, especially in the emergency department. However, factors that are associated with Chinese emergency department nurses' turnover intention have been scarcely studied.
Aims
The present study examined relationships between turnover intention and demographic characteristics, job-related factors, depressive symptoms, and organizational commitment among emergency department nurses.
Study Design
A cross-sectional study of emergency department nurses was conducted in China between July and August 2018. The questionnaire included demographic characteristics (age, gender, level of education, and self-rated health status), job-related factors (qualification title, job seniority, night shifts, and workplace violence), depressive symptoms, organizational commitment, and turnover intention. A hierarchical linear regression model was used to identify factors that are associated with turnover intention among emergency department nurses.
Results
A total of 17 582 emergency department nurses participated in the study. The response rate was 68.9%. The findings indicated that poor self-rated health status (β = 0.25, p < .001), working more than 11 night shifts per month (β = 0.14, p < .01), experiencing workplace violence in the past year (β = 0.08, p < .05), and higher depressive symptom scores (β = 0.07, p < .001) positively correlated with turnover intention. More years of service (β = −0.38, p < .001) and higher organizational commitment scores (β = −0.45, p < .001) negatively correlated with turnover intention.
Conclusions
Health status, job seniority, night shift frequency per month, workplace violence, depressive symptoms, and organizational commitment were significantly associated with emergency department nurses' turnover intention.
Relevance to Clinical Practice
To reduce turnover intention in the emergency department nurses, hospital administrators and managers should implement measures to improve their physical and mental health, increase organizational commitment, develop staff acceptable shift schedules, and reduce incidences of workplace violence.
CONFLICT OF INTEREST
The authors report no conflict of interest.
Open Research
DATA AVAILABILITY STATEMENT
Data are available from the corresponding authors upon reasonable request.
Supporting Information
| Filename | Description |
|---|---|
| nicc12770-sup-0001-Supinfo.docxWord 2007 document , 162.7 KB | Table S1. Correlation between variables Table S2. Fit Statistics for OCQ, PHQ-9, Turnover intention scale. Figure S1. Confirmatory factor analysis model for Patient Health Questionnaire-9 (PHQ-9). Figure S2. Confirmatory factor analysis model for Organizational Commitment Questionnaire (OCQ). Figure S3. Confirmatory factor analysis model for Turnover Intention Scale. |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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