A Hospital-Based Nursing Study on Intention to Leave Job and Nurse-Physician Collaboration
Nursing Forum, cilt.2024, 2024 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 2024
- Basım Tarihi: 2024
- Doi Numarası: 10.1155/2024/9503988
- Dergi Adı: Nursing Forum
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim. To explore factors influencing Turkish nurses' intention to leave job, including nurse-physician collaboration level, workplace's environment issues, job satisfaction components, and the effects of the COVID-19 pandemic. Methods. A cross-sectional hospital-based nursing study was conducted between 1 April and 1 May 2022. The data were gathered using a self-administered questionnaire including sociodemographic variables, region of childhood, priorities on job expectations, self-score of job satisfaction level (0-10 points), intention to leave scale score, and nurse-physician collaboration scale score. The E-PICOS statistic program was used for descriptive and correlation analyses exploring data. Results. A total of 325 nurses were enrolled with an average age of 29.71 ± 6.39 and work experience of 7.88 ± 7.15 years. Female (73.5%) and male (26.5%) nurses had similar levels of intention to leave (p=0.078). The most frequent priorities on job expectations were high salary (40.3%) and well-planned working hours (26.8%), respectively. Priority rate on job expectations about academic advancement opportunities was seen in 17.5% of all. Participating in joint doctor-nurse visits more than nurse-nurse working and work experience time significantly impacted satisfaction (p=0.012; p=0.027, respectively). Job satisfaction has a positive relationship with a high level of socioeconomic and physical environment in workplace's environment characteristics (p=0.035; r = 0.117) and a negative relationship with intention to leave the job (p<0.001; r = -0.502). No correlation was found between an increased intention to leave and poorer collaboration between nurses and physicians (p=0.370; r = -0.050). Despite the lack of significance, nurses who prioritize organizational culture and brand in their workplace expectations and who work in COVID-19 areas reported higher job satisfaction than others (p=0.133; p=0.133, respectively). Furthermore, nurses who grew up in the Aegean Region, a highly developed part of the country, displayed the highest intention to leave and the lowest job satisfaction (p=0.214, p=0.359, respectively). Conclusions. Nurses' intention to leave job negatively correlates with job satisfaction, regardless of level of nurse-physician collaboration. Additionally, variations in the intention to leave based on regions of upbringing highlight the importance of human resources based on geographical and cultural development levels.