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A concept analysis of turnover intention: implications for nursing management
1Hiroshima University, School of Health Sciences, 1-2-3 Kasumi, Minami-ku, Hiroshima-shi, Hiroshima 734-8551, Japan. mtakase@hiroshima-u.ac.jp
Collegian (Royal College of Nursing, Australia)
|April 17, 2010
Summary
Nurse turnover intention is a multi-stage process driven by negative job responses. Understanding these stages helps Nurse Managers prevent staff departure and improve retention.
Area of Science:
- Nursing Management
- Organizational Psychology
- Human Resources
Background:
- Nurse turnover is a significant issue impacting healthcare.
- Understanding the concept of turnover intention is crucial for effective management.
- Previous research has not fully elucidated the mechanisms of turnover intention.
Purpose of the Study:
- To conduct a concept analysis of turnover intention.
- To enhance Nurse Managers' understanding of turnover intention's meanings and mechanisms.
- To provide strategies for counteracting nurse turnover.
Main Methods:
- Systematic review and concept analysis of 66 papers.
- Literature search conducted in CINAHL, PubMed, and PsycINFO (1998-2007).
- Application of Rogers' concept analysis framework.
Main Results:
- Turnover intention is a multi-stage process.
- It involves voluntary employee departure.
- Negative psychological responses to job context trigger the intention, leading to withdrawal cognition, behaviors, and eventual turnover.
Conclusions:
- Nurse Managers must understand the stages of turnover intention.
- Identifying and addressing internal/external causes of turnover is essential.
- Proactive observation of nurses' turnover intention can mitigate turnover.
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