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A contextual work-life experiences model to understand nurse commitment and turnover.

Dilmi Aluwihare-Samaranayake1, Ian Gellatly2, Greta Cummings1

  • 1Faculty of Nursing, University of Alberta, Edmonton, AB, Canada.

Journal of Advanced Nursing
|May 18, 2018
PubMed
Summary

Work-life experiences significantly impact nurses

Keywords:
Sri Lankafamily commitmentnursesprofessional commitmentstaying intentionsturnover intentionsturnover modelswork-life experiencesworkplace commitment

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Area of Science:

  • Nursing Studies
  • Organizational Psychology
  • Sociology

Background:

  • The increasing global demand for qualified nurses necessitates effective retention strategies.
  • Understanding the factors influencing nurses' commitment and turnover is crucial for healthcare systems.
  • Existing research often overlooks the specific work-life context of nurses in developing nations.

Purpose of the Study:

  • To develop a model of work-life contextual factors affecting nurse commitment and turnover intentions in Sri Lanka.
  • To integrate theoretical frameworks with practical experiences relevant to Sri Lankan nurses.
  • To provide a basis for evidence-based strategies to improve nurse retention.

Main Methods:

  • A discussion paper synthesizing existing literature and expert knowledge.
  • Integration of classic turnover research and commitment theory (1958-2017).
  • Contextualization of findings to reflect the realities faced by Sri Lankan nurses.

Main Results:

  • A model is presented outlining intrinsic, extrinsic, personal, and professional antecedents of nurse turnover.
  • Work-life experiences are identified as key determinants of nurses' motivation to stay or leave.
  • The model highlights the interplay between organizational, professional, and personal factors.

Conclusions:

  • The proposed model offers a framework for researchers, policymakers, and educators to develop targeted retention strategies.
  • Addressing contextual work-life influences can strengthen nurses' commitment to their profession and country.
  • Implementing evidence-based strategies can enhance nurse retention within Sri Lanka's health sector.