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Work environment issues and intention-to-leave in Portuguese nurses: A cross-sectional study

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  • Leone, Claudia
  • Bruyneel, Luk
  • Anderson, Janet E.
  • Murrells, Trevor
  • Dussault, Gilles
  • Henriques de Jesus, Élvio
  • Sermeus, Walter
  • Aiken, Linda
  • Rafferty, Anne Marie

Abstract

This study extends the Registered Nurses Forecasting (RN4CAST) study evidence base with newly collected data from Portuguese nurses working in acute care hospitals, in which the measurement of the quality of work environment, workload and its association with intention-to-leave emerge as of key importance. Data included surveys of 2235 nurses in 144 nursing units in 31 hospitals via stratified random sampling. Multilevel multivariate regression analysis shows that intention-to-leave is higher among nurses with a specialty degree, nurses aged 35–39, and in nursing units where nurses are less satisfied with opportunities for career advancement, staffing levels and participation in hospital affairs. Analysis with moderation effects showed the observed effect of age and of having a specialty degree on intention-to-leave during the regression analysis is reduced in nursing units where nurses are more satisfied with opportunities for career advancement. The most important finding from the study suggests that promoting retention strategies that increase satisfaction with opportunities for career advancement among Portuguese nurses has the potential to override individual characteristics associated with increased turnover intentions.

Suggested Citation

  • Leone, Claudia & Bruyneel, Luk & Anderson, Janet E. & Murrells, Trevor & Dussault, Gilles & Henriques de Jesus, Élvio & Sermeus, Walter & Aiken, Linda & Rafferty, Anne Marie, 2015. "Work environment issues and intention-to-leave in Portuguese nurses: A cross-sectional study," Health Policy, Elsevier, vol. 119(12), pages 1584-1592.
    • Handle: RePEc:eee:hepoli:v:119:y:2015:i:12:p:1584-1592
    DOI: 10.1016/j.healthpol.2015.09.006
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    References listed on IDEAS

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    1. Nooney, Jennifer G. & Unruh, Lynn & Yore, Michelle M., 2010. "Should I stay or should I go? Career change and labor force separation among registered nurses in the U.S," Social Science & Medicine, Elsevier, vol. 70(12), pages 1874-1881, June.
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    3. Cervero-Liceras, Francisco & McKee, Martin & Legido-Quigley, Helena, 2015. "The effects of the financial crisis and austerity measures on the Spanish health care system: A qualitative analysis of health professionals’ perceptions in the region of Valencia," Health Policy, Elsevier, vol. 119(1), pages 100-106.
    4. Burke, Sara & Thomas, Steve & Barry, Sarah & Keegan, Conor, 2014. "Indicators of health system coverage and activity in Ireland during the economic crisis 2008–2014 – From ‘more with less’ to ‘less with less’," Health Policy, Elsevier, vol. 117(3), pages 275-278.
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    5. Teresa Neves & Pedro Parreira & Vitor Rodrigues & João Graveto, 2022. "Organizational Commitment and Intention to Leave of Nurses in Portuguese Hospitals," IJERPH, MDPI, vol. 19(4), pages 1-14, February.
    6. HakemZadeh, Farimah & Sayin, Firat K. & Neiterman, Elena & Zeytinoglu, Isik Urla & Geraci, Johanna & Plenderleith, Jennifer & Lobb, Derek, 2021. "Does an alignment of employment policies and individual preferences affect intention to stay in the profession? Evidence from Canadian Midwives," Health Policy, Elsevier, vol. 125(4), pages 450-458.
    7. Sara Anunciada & Patrícia Benito & Filomena Gaspar & Pedro Lucas, 2022. "Validation of Psychometric Properties of the Nursing Work Index—Revised Scale in Portugal," IJERPH, MDPI, vol. 19(9), pages 1-10, April.
    8. Pedro Lucas & Elvio Jesus & Sofia Almeida & Beatriz Araújo, 2021. "Validation of the Psychometric Properties of the Practice Environment Scale of Nursing Work Index in Primary Health Care in Portugal," IJERPH, MDPI, vol. 18(12), pages 1-11, June.
    9. Alina BOTEZAT & Andreea MORARU, 2020. "Brain drain from Romania: what do we know so far about the Romanian medical diaspora? Abstract: In recent years a considerable amount of attention has been directed to the migration of tertiary educat," Eastern Journal of European Studies, Centre for European Studies, Alexandru Ioan Cuza University, vol. 11, pages 309-334, June.
    10. Qiaoqin Wan & Weijiao Zhou & Zhaoyang Li & Shaomei Shang & Fang Yu, 2018. "Work engagement and its predictors in registered nurses: A cross‐sectional design," Nursing & Health Sciences, John Wiley & Sons, vol. 20(4), pages 415-421, December.

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