Associations of Individual and Team-Level Resources With Turnover Intention in Nurses: A Multilevel Analysis

Area of Science:

• Nursing Workforce Research
• Healthcare Management
• Organizational Psychology

Background:

• Nurse turnover intention presents a significant challenge to healthcare stability and quality.
• Limited research has explored individual and team resources influencing turnover intention within a multilevel framework.

Purpose of the Study:

• To investigate the associations between nurses' individual-level resources (psychological resilience, perceived social support) and team-level resources (team resilience) and their turnover intention.
• To examine these relationships using a multilevel framework.

Main Methods:

• A multicenter cross-sectional study involving 773 clinical nurses from 62 teams across eight hospitals.
• Utilized validated scales for psychological resilience, perceived social support, team resilience, and turnover intention.
• Employed multilevel logistic regression to analyze individual and team factors influencing turnover intention.

Main Results:

• A significant prevalence of turnover intention (35.6%) was observed.
• Individual psychological resilience (OR=0.78) and perceived social support (OR=0.75) were negatively associated with turnover intention.
• Higher team resilience (OR=0.73) was also significantly associated with lower turnover intention, after controlling for covariates.

Conclusions:

• Nurses reporting higher psychological resilience, perceived social support, and team resilience demonstrated lower turnover intention.
• Healthcare administrators should invest in strengthening nurses' multilevel resources to enhance workforce stability.
• Targeted strategies addressing multilevel factors are crucial for reducing nurse turnover and ensuring healthcare system sustainability.