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Factors Related to Turnover Intention Among OR Nurses: A Systematic Review.

Sebastiana Leone, Isabella Rosato, Elena Poli

    AORN Journal
    |February 19, 2026
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    Nurse turnover intention is influenced by job satisfaction, age, and experience. Addressing these factors is key to retaining operating room (OR) nurses and improving patient care.

    Keywords:
    intention to leavejob satisfactionnursesoperating room (OR)turnover

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    Area of Science:

    • Nursing
    • Healthcare Management
    • Organizational Psychology

    Background:

    • Nurse turnover significantly impacts patient care quality and healthcare expenses.
    • Turnover intention, a precursor to nurses leaving, is a critical area for study.
    • Operating room (OR) nurses face unique workplace pressures contributing to turnover.

    Purpose of the Study:

    • To systematically review and identify factors contributing to turnover intention among OR nurses.
    • To categorize these factors into individual and work-environment components.
    • To inform strategies for nurse retention in specialized surgical settings.

    Main Methods:

    • A systematic review of quantitative and qualitative studies.
    • Searches conducted across major databases: PubMed, Scopus, CINAHL, PsycInfo, and Embase.
    • Inclusion of 11 studies that met predefined criteria for analysis.

    Main Results:

    • Individual factors (e.g., age, work experience) and work-environment factors (job attributes, work-related issues) were identified.
    • Job satisfaction, age, and work experience showed a strong association with increased turnover intention.
    • Key themes included the influence of job demands and organizational support.

    Conclusions:

    • Job satisfaction and working conditions are critical targets for interventions to reduce OR nurse turnover intention.
    • Standardized research methodologies are needed for more accurate comparisons and effective interventions.
    • Retaining OR nurses is essential for maintaining high-quality patient care and controlling healthcare costs.