Work-related Well-Being, Turnover Intention, and Completed Turnover in a Cohort of US Patient Care Workers

To determine whether burnout and thriving from work affect turnover intention and actual turnover.

This study used multivariable logistic regression to estimate the impact of burnout and thriving from work on turnover intention in a cohort of nurses and nursing assistants. Using administrative records of turnover, we used Cox regression to estimate the impact of these two factors on actual turnover.

Burnout affected both turnover intention and actual turnover, although 95% confidence limits for the effect of burnout among nursing assistants included 1.0. Thriving affected turnover intention but did not increase actual turnover.

Using turnover intention as a proxy for actual turnover may be misleading.