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Factors Associated With Turnover Intention Among Nurses: A Quantile Regression Analysis.

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Titel: Factors Associated With Turnover Intention Among Nurses: A Quantile Regression Analysis.
Autoren: Nam S; College of Nursing, Yonsei University, Seoul, Korea.; Li Ka Shing Faculty of Medicine, School of Nursing, The University of Hong Kong, Pokfulam, Hong Kong, China., Wong JYH; School of Nursing and Health Studies, Hong Kong Metropolitan University, Kowloon, Hong Kong, China., Fong DYT; Li Ka Shing Faculty of Medicine, School of Nursing, The University of Hong Kong, Pokfulam, Hong Kong, China.
Quelle: Journal of clinical nursing [J Clin Nurs] 2025 Oct; Vol. 34 (10), pp. 4377-4388. Date of Electronic Publication: 2025 Mar 25.
Publikationsart: Journal Article
Sprache: English
Info zur Zeitschrift: Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 9207302 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2702 (Electronic) Linking ISSN: 09621067 NLM ISO Abbreviation: J Clin Nurs Subsets: MEDLINE
Imprint Name(s): Original Publication: Oxford ; Boston : Blackwell Scientific Publications, c1992-
MeSH-Schlagworte: Personnel Turnover*/statistics & numerical data , Nursing Staff, Hospital*/psychology , Workplace*/psychology , Intention*, Humans ; Cross-Sectional Studies ; Adult ; Female ; Male ; Hong Kong ; Bullying/psychology ; Bullying/statistics & numerical data ; Middle Aged ; Regression Analysis ; Surveys and Questionnaires ; Job Satisfaction
Abstract: Objectives: To investigate the factors influencing turnover intention among nurses, and to examine the association between psychological distress and turnover intention across different types of workplace bullying exposure.
Methods: A cross-sectional study was conducted with 188 registered nurses in Hong Kong, recruited through convenience sampling. Data collection took place from April 2020 to September 2021. Quantile regression analysis, which captures relationships that may be overlooked by ordinary least squares regression, was employed to explore the factors influencing turnover intention varied across different levels. This analysis examined the associations between demographic and work-related characteristics, work events, work environment features, affective states and turnover intention across quantiles ranging from 0.05 to 0.95.
Results: Quantile regression analysis revealed that only indirect or direct exposure to workplace bullying was positively associated with turnover intention at the 25th percentile, while both forms of exposure were significantly associated with turnover intention across all percentiles. The absence of workplace violence reporting procedures was positively associated with turnover intention at the highest quantile. Depressive symptoms were significantly associated with turnover intention at the 5th, 25th and 50th percentiles. Additionally, nurses exposed to both direct and indirect workplace bullying exhibited higher levels of psychological distress and turnover intention compared to those exposed to either form alone or those without exposure.
Conclusions: Exposure to workplace bullying, the absence of workplace violence reporting procedures, and depressive symptoms significantly contribute to turnover intention among nurses across different levels. To improve nurse retention and workforce sustainability, healthcare organisations should implement targeted interventions that address turnover risk at varying levels.
Relevance to Clinical Practice: These findings underscore the need for healthcare organisations to develop and enforce strategies aimed at preventing workplace bullying, providing comprehensive mental health support and establishing effective reporting mechanisms for workplace violence.
Patient and Public Contribution: No patient or public involvement.
(© 2025 John Wiley & Sons Ltd.)
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Grant Information: The University of Hong Kong
Contributed Indexing: Keywords: bullying; nurses; personnel turnover; psychological distress; regression analysis
Entry Date(s): Date Created: 20250325 Date Completed: 20250904 Latest Revision: 20250904
Update Code: 20250904
DOI: 10.1111/jocn.17698
PMID: 40130664
Datenbank: MEDLINE
Beschreibung
Abstract:Objectives: To investigate the factors influencing turnover intention among nurses, and to examine the association between psychological distress and turnover intention across different types of workplace bullying exposure.<br />Methods: A cross-sectional study was conducted with 188 registered nurses in Hong Kong, recruited through convenience sampling. Data collection took place from April 2020 to September 2021. Quantile regression analysis, which captures relationships that may be overlooked by ordinary least squares regression, was employed to explore the factors influencing turnover intention varied across different levels. This analysis examined the associations between demographic and work-related characteristics, work events, work environment features, affective states and turnover intention across quantiles ranging from 0.05 to 0.95.<br />Results: Quantile regression analysis revealed that only indirect or direct exposure to workplace bullying was positively associated with turnover intention at the 25th percentile, while both forms of exposure were significantly associated with turnover intention across all percentiles. The absence of workplace violence reporting procedures was positively associated with turnover intention at the highest quantile. Depressive symptoms were significantly associated with turnover intention at the 5th, 25th and 50th percentiles. Additionally, nurses exposed to both direct and indirect workplace bullying exhibited higher levels of psychological distress and turnover intention compared to those exposed to either form alone or those without exposure.<br />Conclusions: Exposure to workplace bullying, the absence of workplace violence reporting procedures, and depressive symptoms significantly contribute to turnover intention among nurses across different levels. To improve nurse retention and workforce sustainability, healthcare organisations should implement targeted interventions that address turnover risk at varying levels.<br />Relevance to Clinical Practice: These findings underscore the need for healthcare organisations to develop and enforce strategies aimed at preventing workplace bullying, providing comprehensive mental health support and establishing effective reporting mechanisms for workplace violence.<br />Patient and Public Contribution: No patient or public involvement.<br /> (© 2025 John Wiley & Sons Ltd.)
ISSN:1365-2702
DOI:10.1111/jocn.17698