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Impact of a Mandatory Two-Year Job Rotation System on Turnover Intention Among Registered Nurses: A Case Study at a
Hsin-Ling Tai1,2, Seng-Su Tsang1, Shu-Fen Chen2
1Department of Business Administration, National Taiwan University of Science and Technology, Taipei, Taiwan.
The Journal of Nursing Research : JNR
|June 27, 2026
Summary
Mandatory job rotation in Taiwan hospitals may increase nurse turnover due to psychological stressors. Flexible policies and better support are needed to improve job satisfaction and well-being.
Area of Science:
- Healthcare Management
- Nursing Workforce Studies
- Organizational Psychology
Background:
- High nurse turnover rates are a significant issue at Taipei Veterans General Hospital.
- The hospital employs approximately 3,300 nurses.
Purpose of the Study:
- To investigate the impact of a mandatory two-year job rotation system on nurses' turnover intention, job stress, and emotional well-being.
- This study is part of a broader talent revitalization strategy.
Main Methods:
- Cross-sectional design with a convenience sample of 246 nurses.
- Measured job stress, job satisfaction, stress levels, emotional resilience, and turnover intention.
- Utilized Partial Least Squares Structural Equation Modeling (PLS-SEM) and Affect Valuation Theory (AVT).
Main Results:
- Job rotation enhanced professional versatility but introduced significant psychological stressors.
- A gap exists between nurses' actual and ideal affective states, indicating a need for improved emotional support.
- These stressors may increase the risk of nurse turnover.
Conclusions:
- Enhance career development opportunities and introduce voluntary rotation options.
- Implement comprehensive training and mentorship programs.
- Align the job rotation system with individual career goals to mitigate turnover.
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