Related Experiment Video
Updated: Sep 28, 2025

Acupoint Application as a Traditional Chinese Medicine Treatment for Fatigue Associated with Chronic Obstructive Pulmonary Disease
Published on: September 5, 2025
Chronic Fatigue Predicts Hospital Nurse Turnover Intentions
Dana N Rutledge1, Sarah Douville, Elizabeth J Winokur
1Author Affiliations : Nursing Research Consultant (Dr Rutledge) and Nurse Researcher (Dr Winokur), St Joseph Hospital, Orange, California; Professor Emeritus (Dr Rutledge), California State University, Fullerton; and Associate Director and Associate Professor (Dr Winokur), California State University, Los Angeles. Ms Douville is an independent researcher and evaluator in Pomona, California.
Objective:
The objective of this study was to determine the impact of workforce engagement factors on hospital nurse turnover intentions.
Background:
Nurse turnover intentions are impacted by occupational fatigue and burnout, which are differentially impacted by fatigue, meaning and joy in work, and work-related resilience.
Methods:
One hundred fifty-one nurses from a southwestern hospital completed online surveys. Path analyses evaluated relationships among variables.
Results:
Chronic occupational fatigue was the only significant predictor of turnover intentions among nurses. Although strongly associated with emotional exhaustion and depersonalization (burnout components), burnout did not predict turnover intention. High levels of chronic fatigue predicted lower meaning and joy in work and lower work-related resilience. Although significantly correlated, meaning and joy in work and resilience did not predict total burnout scores when analyzed in causal models.
Conclusions:
Nurse administrators should focus efforts on factors such as chronic occupational fatigue that are likely to impact nurses' decisions to leave their positions.
Related Concept Videos
Current Trends in Nursing I
Current Trends in Nursing II
Heart Failure VII: Nursing Interventions
Hospitals-II
Nurses that work in...
Planning Nursing Care I
The Professional Nurse
Communication skills: These are critical characteristics, especially speaking and listening.

