Changes in Workplace Choice Reasons and Individual Influencing Factors for Nurses Across Job Changes: Cross-Sectional...

Area of Science:

• Nursing Workforce Dynamics
• Healthcare Management
• Human Resources in Healthcare

Background:

• Addressing the global nursing shortage requires effective retention strategies.
• Issues include uneven distribution, international outflow, and retirement.
• Understanding nurse career transitions is crucial for retention.

Purpose of the Study:

• To analyze shifts in Japanese nurses' facility selection reasons after job changes.
• To identify personal attributes influencing these facility choices.

Main Methods:

• Online survey of licensed practical nurses, registered nurses, midwives, and public health nurses in Japan (January 2023).
• Data collected on personal attributes, employment history (up to five facilities), and selection reasons.
• Statistical analysis included generalized linear models and logistic regression.

Main Results:

• Initially, 90.8% of nurses chose hospitals; subsequent job changes led to increased selection of non-hospital facilities (nursing homes, schools, agencies).
• Key reasons for choosing facilities after multiple job changes were "good location," "good salary," and "convenient working style."
• Personal attributes like age, sex, education, number of children, and living situation influenced workplace choices.

Conclusions:

• Healthcare facilities and policymakers must adapt employment conditions and recruitment strategies to address nursing shortages, considering demographic and policy changes.
• Nurses can leverage insights from career trends to inform their own professional development and job choices.