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Factors Influencing Intention to Leave and Anticipated Turnover Among Italian Nurses: A Scoping Review

Flavio Marti¹, Giovanni Gioiello², Francesco Zaghini¹

¹Department of Biomedicine and Prevention, Tor Vergata University of Rome, Rome, Italy.

La Medicina Del Lavoro

|October 24, 2026

Abstract

Background:

Nurses' Intention to Leave (ITL) threatens care continuity and organizational stability, increasing workload, stress, and burnout. Understanding ITL and Anticipated Turnover determinants is essential to promote retention.

Objectives:

This scoping review aimed to identify factors influencing nurses' ITL and Anticipated Turnover in Italian hospital settings and to highlight mechanisms supporting workforce sustainability.

Methods:

A comprehensive search of PubMed, Scopus, CINAHL, Web of Science, PsycINFO, and Cochrane Library included English and Italian primary studies (2014-2025) examining qualitative or quantitative determinants of ITL or turnover among hospital nurses in Italy.

Results:

Thirteen studies met inclusion criteria. Determinants included leadership quality, organizational support, affective commitment, resource availability, workplace climate, and personal experiences of leaving. These were grouped into management and contextual domains.

Discussion:

Multilevel strategies enhancing leadership, support, and teamwork are crucial to strengthen nurses' wellbeing and retention. Further longitudinal and intervention studies are needed to guide targeted retention efforts.

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