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Minimizing rest break disturbances and reducing job demands can improve nurse retention. Addressing these factors is crucial for preventing nurses from leaving the profession.

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Area of Science:

  • Nursing
  • Occupational Health Psychology
  • Human Resources Management

Background:

  • High turnover rates in nursing necessitate strategies to improve staff retention.
  • Job demands are known drivers of nurses' intentions to leave, while job resources can mitigate these.
  • The impact of rest break design on nurses' turnover intentions and its interaction with job demands remains under-researched.

Purpose of the Study:

  • To investigate the predictive value of rest break characteristics (length, disturbances, social breaks) on nurses' organizational leaving intentions.
  • To examine the interplay between job demands (quantitative, cognitive, emotional, social conflicts) and rest break design in influencing turnover intentions.
  • To identify actionable interventions for nursing management to enhance staff retention.

Main Methods:

  • A cross-sectional survey study was conducted with 167 nurses in Germany.
  • Data were collected using paper-pencil questionnaires assessing rest break characteristics, job demands, and organizational leaving intentions.
  • Statistical analyses were performed to examine the relationships between variables, controlling for potential confounders.

Main Results:

  • Rest break disturbances positively predicted organizational leaving intentions, even after adjusting for confounders.
  • High quantitative demands and social conflicts at work were associated with increased leaving intentions.
  • Reduced rest break disturbances moderated the relationship between cognitive demands and leaving intentions, suggesting a protective effect.

Conclusions:

  • Preventing disturbances during nurses' rest breaks is a critical intervention to reduce turnover intentions.
  • Nursing management should implement work design strategies that reduce quantitative demands and social conflicts.
  • Optimizing rest break conditions, particularly in cognitively demanding roles, is essential for improving nurse retention.