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Predictors of Croatian nurses' turnover intention: A cross-sectional study

Author

Listed:
  • Gusar, Ivana
  • Šijan, Dragan
  • Sorić, Tomislav
  • Šare, Sonja
  • Županović, Mediana
  • Ljubičić, Marija

Abstract

The turnover intention rate among nurses is very high both worldwide, and in Europe. It is related to personal and professional factors that contribute to the decision to leave or stay. This descriptive cross-sectional study aimed to identify the personal and professional predictors that contribute to nurses’ turnover intention in Croatia. A convenient sample of 448 nurses employed in public general hospitals was used. The Practice Environment Scale of the Nursing Work Index questionnaire and the Turnover Intention Scale were applied. A logistic regression model was used to determine the associations between nurses' turnover intention and their personal and professional factors. The results indicate that both types of factors can influence nurses’ turnover intention. The associations between turnover intention and personal factors such as age (p = 0.033), gender (p = 0.023), job satisfaction (p < 0.001), and social satisfaction (p = 0.006), were recorded. Nurse participation in hospital affairs (p = 0.026), and the nurse manager ability, leadership, and support of nurses (p = 0.002), which are professional factors were also associated with turnover intention. In order to prevent turnover intention, continuous measures need to be planned and implemented to increase nurses' satisfaction and improve their working environment.

Suggested Citation

  • Gusar, Ivana & Šijan, Dragan & Sorić, Tomislav & Šare, Sonja & Županović, Mediana & Ljubičić, Marija, 2025. "Predictors of Croatian nurses' turnover intention: A cross-sectional study," Health Policy, Elsevier, vol. 151(C).
    • Handle: RePEc:eee:hepoli:v:151:y:2025:i:c:s0168851024002082
    DOI: 10.1016/j.healthpol.2024.105198
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    References listed on IDEAS

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    1. Mi-Aie Lee & So-Hee Lim, 2023. "Effects of External Employment Opportunities, Nursing Professionalism, and Nursing Work Environments on Korean Hospital Nurses’ Intent to Stay or Leave," IJERPH, MDPI, vol. 20(5), pages 1-12, February.
    2. Kroezen, Marieke & Dussault, Gilles & Craveiro, Isabel & Dieleman, Marjolein & Jansen, Christel & Buchan, James & Barriball, Louise & Rafferty, Anne Marie & Bremner, Jeni & Sermeus, Walter, 2015. "Recruitment and retention of health professionals across Europe: A literature review and multiple case study research," Health Policy, Elsevier, vol. 119(12), pages 1517-1528.
    3. Smokrović, Eva & Žvanut, Maja Frencl & Bajan, Antun & Radić, Radivoje & Žvanut, Boštjan, 2019. "The effect of job satisfaction, absenteeism, and personal motivation on job quitting: A survey of Croatian nurses," Journal of East European Management Studies, Nomos Verlagsgesellschaft mbH & Co. KG, vol. 24(3), pages 398-422.
    4. Vočanec, Dorja & Džakula, Aleksandar & Lončarek, Karmen & Sović, Slavica & Rechel, Bernd, 2022. "Integration processes within the Croatian palliative care model in 2014 – 2020," Health Policy, Elsevier, vol. 126(3), pages 207-215.
    5. Eva Smokrović & Tomislav Kizivat & Antun Bajan & Krešimir Šolić & Zvjezdana Gvozdanović & Nikolina Farčić & Boštjan Žvanut, 2022. "A Conceptual Model of Nurses’ Turnover Intention," IJERPH, MDPI, vol. 19(13), pages 1-14, July.
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    Keywords

    Croatia; Intention; Nurses; Turnover;
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