Factors Influencing Turnover Intention in Nurses: A Scoping Review
Abstract
Urnover intention in nurses is a serious concern in the health care industry, affecting workforce stability and the quality of services provided to patients. Complex factors such as job satisfaction, work environment, and personal factors have been identified as the main causes of nurses' intention to leave their jobs. Purpose: This study aims to review the factors that influence turnover intention in nurses. Methods: A scoping review study design was used with the Arksey and O'Malley approach. A literature search was carried out through the Scopus, PubMed, and CINAHL databases using relevant keywords. Inclusion and exclusion criteria were established for study selection, and data were extracted using manual tables. Data analysis was carried out descriptively qualitatively with a thematic analysis approach. Results: The literature review showed that there were 8 articles that met the inclusion criteria to be included in the analysis. Factors that influence turnover intention in nurses include internal aspects such as job satisfaction, work stress, and organizational commitment, as well as external factors such as the work environment and social support. Conclusion: By deeply understanding these factors, health organizations can design appropriate intervention strategies to reduce turnover intention, increase nursing workforce retention, and improve the quality of health services provided to patients.
References
Abd-Ellatif, E. E., Anwar, M. M., AlJifri, A. A., & Dalatony, M. M. (2021). Fear of COVID-19 and its impact on job satisfaction and turnover intention among Egyptian Physicians. Saf Health Work, 12. https://doi.org/10.1016/j.shaw.2021.07.007
Akbolat, M., Sezer, C., Ünal, Ö., Amarat, M., & Durmuş, A. (2021). The effects of direct violence and witnessed violence on the future fear of violence and turnover intention: A study of health employees. Current Psychology, 40(9), 4684–4690. https://doi.org/10.1007/s12144-019-00410-x
Alshareef, A. G., Wraith, D., Dingle, K., & Mays, J. (2020). Identifying the factors influencing Saudi Arabian nurses’ turnover. Journal of Nursing Management, 28(5), 1030–1040. https://doi.org/10.1111/jonm.13028
Anggara, A., & Nursanti, T. D. (2019). Pengaruh Kepuasan Kerja dan Stres Kerja Terhadap Turnover Intention Pada Karyawan PT Fuli Semitexjaya. Jurnal Ekonomi, Manajemen Dan Perbankan (Journal of Economics, Management and Banking), 2(2), 83. https://doi.org/10.35384/jemp.v2i2.106
Arifah, N., Triharini, M., & Setia Wahyudi, A. (2021). Analysis Of External And Internal Factors Of Nurse Turnover: A Systematic Review. Jurnal Kesehatan Dr. Soebandi, 9(2), 67–78. https://doi.org/10.36858/jkds.v9i2.312
Arksey, H., & O’Malley, L. (2005). Scoping studies: towards a methodological framework. Int J Soc Res Methodol, 8. https://doi.org/10.1080/1364557032000119616
Boateng, A. B., Opoku, D. A., Ayisi-Boateng, N. K., Sulemana, A., Mohammed, A., Osarfo, J., & Hogarh, J. N. (2022). Factors Influencing Turnover Intention among Nurses and Midwives in Ghana. Nursing Research and Practice, 2022. https://doi.org/10.1155/2022/4299702
Chang, Y. P., Lee, D. C., Chang, S. C., Lee, Y. H., & Wang, H. H. (2019). Influence of work excitement and workplace violence on professional commitment and turnover intention among hospital nurses. Journal of Clinical Nursing, 28(11–12), 2171–2180. https://doi.org/10.1111/jocn.14808
Chang, Y. P., Lee, D. C., & Wang, H. H. (2018). Violence-prevention climate in the turnover intention of nurses experiencing workplace violence and work frustration. J Nurs Manag, 26. https://doi.org/10.1111/jonm.12621
Chegini, Z. a. h. r. a., Asghari Jafarabadi, M. o. h. a. m. m. a. d., & Kakemam, E. d. r. i. s. (2019). Occupational stress, quality of working life and turnover intention amongst nurses. Nursing in Critical Care, 24. https://doi.org/10.1111/nicc.12419
Chen, H., Li, G., Li, M., Lyu, L., & Zhang, T. (2018). A cross-sectional study on nurse turnover intention and influencing factors in Jiangsu Province, China. International Journal of Nursing Sciences, 5(4), 396–402. https://doi.org/10.1016/j.ijnss.2018.09.012
Choi, H., & Shin, S. (2022). The Factors That Affect Turnover Intention According to Clinical Experience: A Focus on Organizational Justice and Nursing Core Competency. International Journal of Environmental Research and Public Health, 19(6). https://doi.org/10.3390/ijerph19063515
Christina, V. (2023). Turnover Intention pada Perawat dan Hubungannya dengan Perceived Employability dan Role Ambiguity. Jurnal Ilmiah Psikologi Candrajiwa, 7(2), 86. https://doi.org/10.20961/jip.v7i2.60735
Christopher, S. A., Fethney, J., Chiarella, M., & Waters, D. (2018). Factors influencing turnover in GenX nurses: Results of an Australian survey. Collegian, 25(2), 217–225. https://doi.org/10.1016/j.colegn.2017.06.003
Hou, H., Pei, Y., Yang, Y., Lu, L., Yan, W., & Gao, X. (2021). Factors associated with turnover intention among healthcare workers during the coronavirus disease 2019 (covid-19) pandemic in china. Risk Manage Healthcare Policy, 14. https://doi.org/10.2147/RMHP.S318106
Hu, H., Wang, C., Lan, Y., & Wu, X. (2022). Nurses’ turnover intention, hope and career identity: the mediating role of job satisfaction. BMC Nursing, 21(1), 43. https://doi.org/10.1186/s12912-022-00821-5
Institute, J. B. (2017). Checklist for Systematic Reviews and Research Syntheses. http://joannabriggs.org/research/critical-appraisal-tools.html
Jang, S. J., Son, Y. J., & Lee, H. (2022). Prevalence, associated factors and adverse outcomes of workplace violence towards nurses in psychiatric settings: A systematic review. International Journal of Mental Health Nursing, 31(3), 450–468. https://doi.org/10.1111/inm.12951
Jung, H., Jung, S. Y., Lee, M. H., & Kim, M. S. (2020). Assessing the Presence of Post-Traumatic Stress and Turnover Intention Among Nurses Post-Middle East Respiratory Syndrome Outbreak: The Importance of Supervisor Support. Workplace Health Saf, 68. https://doi.org/10.1177/2165079919897693
Kaddourah, B., Abu-Shaheen, A. K., & Al-Tannir, M. (2018). Quality of nursing work life and turnover intention among nurses of tertiary care hospitals in Riyadh: A cross-sectional survey. BMC Nursing, 17(1), 1–7. https://doi.org/10.1186/s12912-018-0312-0
Kaihlanen, A.-. M., Elovainio, M., Haavisto, E., Salminen, L., & Sinervo, T. (2020). Final clinical practicum, transition experience and turnover intentions among newly graduated nurses: a cross sectional study. Nurse Educ Today, 84.
Kang, J., & Jeong, Y. J. (2019a). Effects of a smartphone application for cognitive rehearsal intervention on workplace bullying and turnover intention among nurses. International Journal of Nursing Practice, 25(6). https://doi.org/10.1111/ijn.12786
Kang, J., & Jeong, Y. J. (2019b). Effects of a smartphone application for cognitive rehearsal intervention on workplace bullying and turnover intention among nurses. International Journal of Nursing Practice, 25(6), 1–10. https://doi.org/10.1111/ijn.12786
Labrague, L. J., Gloe, D. S., McEnroe-Petitte, D. M., Tsaras, K., & Colet, P. C. (2018). Factors influencing turnover intention among registered nurses in Samar Philippines. Applied Nursing Research, 39(September 2017), 200–206. https://doi.org/10.1016/j.apnr.2017.11.027
Labrague, L. J., Nwafor, C. E., & Tsaras, K. (2020). Influence of toxic and transformational leadership practices on nurses’ job satisfaction, job stress, absenteeism and turnover intention: A cross-sectional study. Journal of Nursing Management, 28(5), 1104–1113. https://doi.org/10.1111/jonm.13053
Laeeque, S. H., Bilal, A., Babar, S., Khan, Z., & Rahman, S. U. (2018). How patient-perpetrated workplace violence leads to turnover intention among nurses: The mediating mechanism of occupational stress and burnout, Journal of Aggression. Maltreatment & Trauma, 27. https://doi.org/10.1080/10926771.2017.1410751
Le, H. T. H., Tran, N., & Campbell, M. A. (2020). An Adaptation of the COPE Intervention for Adolescent Bullying Victimization Improved Mental and Physical Health Symptoms. International Journal on Disability and Human Development, 19(4), 197–204. https://doi.org/10.1891/JNM-2021-0088
Liu, Y., Duan, Y., & Guo, M. (2023). Turnover intention and its associated factors among nurses: a multi-center cross-sectional study. Frontiers in Public Health, 11(2). https://doi.org/10.3389/fpubh.2023.1141441
Mansyah, J., & Rojuaniah. (2021). The Effect of Servant Leadership and Compensation on Turnover Intention Through Organizational Commitment. Journal of Multidisciplinary Academic, 4(6), 439–446. https://www.kemalapublisher.com/index.php/JoMA/article/view/522/524
Maryanti, D., Erni, N., & Mutiara, R. (2023). A Qualitative Approach on Nurse Turnover Intention of Private Hospitals in Cileungsi, Indonesia. International Journal of Nursing and Health Services, 6(3), 165–170. https://doi.org/10.35654/ijnhs.v6i3.722
Mirzaei, A., Rezakhani Moghaddam, H., & Habibi, S. A. (2021). Identifying the predictors of turnover intention based on psychosocial factors of nurses during the COVID-19 outbreak. Nurs Open, 8. https://doi.org/10.1002/nop2.896
Na, S. Y., & Park, H. (2019). The effect of nurse’s emotional labor on turnover intention: mediation effect of burnout and moderated mediation effect of authentic leadership. J Korean Acad Nur, 49. https://doi.org/10.4040/jkan.2019.49.3.286
Nantsupawat, A., Kunaviktikul, W., Nantsupawat, R., Wichaikhum, O. A., Thienthong, H., & Poghosyan, L. (2017). Effects of nurse work environment on job dissatisfaction, burnout, intention to leave. International Nursing Review, 64(1), 91–98. https://doi.org/10.1111/inr.12342
Okstoria, M. R. (2022). Kecenderungan Turnover Intention Pada Perawat Sebagai Dampak Dari Beban Kerja. Dohara Publisher Open Access Journal, 1(9), 340–347. http://dohara.or.id/index.php/hsk%7C
Rafiq, M., Shahzad, F., Farrukh, M., & Khan, I. (2022). The psychological mechanism linking life satisfaction and turnover intention among healthcare workers during the COVID-19 pandemic. Work, 71. https://doi.org/10.3233/WOR-210995
Rindu, ., Lukman, S., Dasman, H., Hafizurrahman, ., & Bachtiar, A. (2020). Turnover Intention Factors among Private Hospital Nurses in Indonesia. Journal of Clinical and Diagnostic Research, 3–6. https://doi.org/10.7860/jcdr/2020/44088.13869
Søbstad, J. H., Pallesen, S., Bjorvatn, B., Costa, G., & Hystad, S. W. (2021). Predictors of turnover intention among Norwegian nurses: A cohort study. Health Care Manage Rev, 46. https://doi.org/10.1097/HMR.0000000000000277
Wang, Q. R., & Tan, X. D. (2019). Study on the effects of job satisfaction and occupational burnout on nurses’ turnover intention. Chin Health Resour, 22. https://doi.org/10.13688/j.cnki.chr.2019.18395
Wubetie, A., Taye, B., & Girma, B. (2020). Magnitude of turnover intention and associated factors among nurses working in emergency departments of governmental hospitals in Addis Ababa, Ethiopia: a cross-sectional institutional based study. BMC Nursing, 19(1), 97. https://doi.org/10.1186/s12912-020-00490-2
Yoon, S. J. (2020). The factors affecting on Turnover Intention of Nurses. Medico Legal Update, 20.
Yun, S., & Kang, J. (2018). Influencing Factors and Consequences of Workplace Bullying among Nurses: A Structural Equation Modeling. Asian Nursing Research, 12(1), 26–33. https://doi.org/https://doi.org/10.1016/j.anr.2018.01.004
Zhang, H., Sun, L., & Zhang, Q. (2022). How workplace social capital affects turnover intention: the mediating role of job satisfaction and burnout. Int J Environ Res Public Health, 19. https://doi.org/10.3390/ijerph19159587
Zou, Y., Yang, Y., Qiu, X. H., Yang, X. X., Qiao, Z. X., & Wang, M. (2020). Path analysis of the influence of nurses’ psychological capital, professional identity and organizational commitment on the turnover intention in Harbin hospital. Med Soc, 33.
Copyright (c) 2024 Indonesian Journal of Global Health Research

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.



