Factors Affecting the Turnover Intention in Newly Graduated Nurses: A Narrative Review

Area of Science:

• Nursing
• Healthcare Management
• Organizational Psychology

Background:

• High turnover among new nurses is a significant healthcare challenge.
• It impacts patient safety, staffing levels, and operational expenses.
• Understanding factors influencing new nurse turnover is critical.

Purpose of the Study:

• To identify key factors influencing turnover intention in newly graduated nurses.
• To differentiate between individual and organizational influences on nurse retention.

Main Methods:

• A narrative review of English and Persian studies from 2010-2022.
• Literature search conducted across Science Direct, SID, Google Scholar, Scopus, PubMed, and Magiran.
• 19 relevant studies were selected for analysis.

Main Results:

• Individual factors like stress, role ambiguity, and skill deficits increase turnover intention.
• Protective individual factors include professional commitment, conscientiousness, and psychological capital (resilience, optimism).
• Organizational factors such as workload, bullying, and resource scarcity drive turnover, while supportive leadership and relationships aid retention.

Conclusions:

• Addressing nurse turnover requires multifaceted strategies.
• Policy, management, education, and institutional support are crucial for retaining nurses.
• Implementing safe staffing, antibullying policies, leadership development, and resilience programs can improve retention and patient care.