Factors Associated With Turnover Intention Among Nurses: A Quantile Regression Analysis

Area of Science:

• Nursing Research
• Occupational Health Psychology
• Healthcare Management

Background:

• Nurse turnover intention is a significant issue impacting healthcare systems globally.
• Understanding the multifaceted factors contributing to nurses' decisions to leave is crucial for workforce stability.

Purpose of the Study:

• To investigate factors influencing turnover intention among nurses.
• To examine the association between psychological distress and turnover intention across different workplace bullying exposures.

Main Methods:

• A cross-sectional study involving 188 registered nurses in Hong Kong.
• Quantile regression analysis was used to explore factors influencing turnover intention at various levels.
• Data were collected between April 2020 and September 2021.

Main Results:

• Workplace bullying (direct/indirect) and absence of violence reporting procedures were associated with increased turnover intention.
• Depressive symptoms were linked to turnover intention at multiple levels.
• Nurses exposed to both direct and indirect bullying reported higher psychological distress and turnover intention.

Conclusions:

• Workplace bullying, inadequate violence reporting, and depressive symptoms are key drivers of nurse turnover intention.
• Healthcare organizations need targeted interventions to address turnover risk at different levels.
• Strategies should focus on preventing bullying, supporting mental health, and establishing effective violence reporting mechanisms.