Age-dependent relationships between work ability, thinking of quitting the job, and actual leaving among Italian nurses: A longitudinal study

Camerino, D.; Conway, Paul Maurice; Heijden, B.I.J.M. van der; Estryn-Béhar, M.; Costa, Giovanni; Hasselhorn, Hans Martin

doi:10.1016/j.ijnurstu.2008.03.002

Cited by 70 publications

(80 citation statements)

References 31 publications

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“…Although questionnaires have been used in other studies, these were not completely suitable either because of their content or their focus on hospital-based nursing [16,25,32,33]. However European studies of nurses' plans to leave hospital-based practice do confirm that issues such as perceived work ability, working conditions and support are important in nurses' views as to whether they wish to stay in nursing [16,32,33]. …”

Section: Discussionmentioning

confidence: 99%

Practice nurses' workload, career intentions and the impact of professional isolation: A cross-sectional survey

2010

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BackgroundPractice nurses have a key role within UK general practice, especially since the 2004 GMS contract. This study aimed to describe that role, identify how professionally supported they felt and their career intentions. An additional aim was to explore whether they felt isolated and identify contributory factors.MethodsA cross-sectional questionnaire survey in one large urban Scottish Health Board, targeted all practice nurses (n = 329). Domains included demographics, workload, training and professional support. Following univariate descriptive statistics, associations between categorical variables were tested using the chi-square test or chi-square test for trend; associations between dichotomous variables were tested using Fisher's Exact test. Variables significantly associated with isolation were entered into a binary logistic regression model using backwards elimination.ResultsThere were 200 responses (61.0% response rate). Most respondents were aged 40 or over and were practice nurses for a median of 10 years. Commonest clinical activities were coronary heart disease management, cervical cytology, diabetes and the management of chronic obstructive pulmonary disease. Although most had a Personal Development Plan and a recent appraisal, 103 (52.3%) felt isolated at least sometimes; 30 (15.5%) intended leaving practice nursing within 5 years.Isolated nurses worked in practices with smaller list sizes (p = 0.024) and nursing teams (p = 0.003); were less likely to have someone they could discuss a clinical/professional (p = 0.002) or personal (p < 0.001) problem with; used their training and qualifications less (p < 0.001); had less productive appraisals (p < 0.001); and were less likely to intend staying in practice nursing (p = 0.009). Logistic regression analysis showed that nurses working alone or in teams of two were 6-fold and 3.5-fold more likely to feel isolated. Using qualifications and training to the full, having productive appraisals and planning to remain in practice nursing all mitigated against feeling isolated.ConclusionsA significant proportion of practice nurses reported feeling isolated, at least some of the time. They were more likely to be in small practices and more likely to be considering leaving practice nursing. Factors contributing to their isolation were generally located within the practice environment. Providing support to these nurses within their practice setting may help alleviate the feelings of isolation, and could reduce the number considering leaving practice nursing.

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Section: Discussionmentioning

confidence: 99%

Practice nurses' workload, career intentions and the impact of professional isolation: A cross-sectional survey

2010

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“…Previous studies have shown various effects on the intentions of medical professionals to leave their jobs [36,37]. Some reasons found are related to work abilities, personal burnout, job satisfaction, work-family conflicts, or quantitative work demands and overload [14,38].…”

Section: Discussionmentioning

confidence: 99%

Job Stress: Its Relationship to Hospital Pharmacists’ Insomnia and Work Outcomes

Yeh

Lin

Lin³

et al. 2009

Int.J. Behav. Med.

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“…However, the common thread for all of these concepts is that they are generally proposed as the most immediate direct precursor to turnover. Most researchers now accept the premise that intent to stay or leave and similar concepts compose the final cognitive steps in the decision making process of voluntary turnover (Blau, 2007;Brewer et al, 2012;Camerino et al, 2008;Griffeth et al, 2000;Mobley, 1982;Mueller and Price, 1990).…”

Section: Intentmentioning

confidence: 99%

“…The following demographic and work attributes were included as statistical control variables: gender (Estryn-Behar et al, 2010;Nooney et al, 2010), affectivity (Chen et al, 2008;Price, 2001), overtime (Paquet et al, 2013), direct care (Harrington and Swan, 2003;Kash et al, 2007), unit (Staggs and Dunton, 2012), types of health institution (Camerino et al, 2008;Josephson et al, 2008), and perceived availability of alternative job opportunities (Josephson et al, 2008;Kovner et al, 2009), and had left at least one job prior to our first data collection (Suzuki et al, 2008(Suzuki et al, , 2010.…”

Section: Control Variablesmentioning

confidence: 99%

“…We compared and synthesized studies that investigated the relationships between turnover and its four proximal antecedents, and among the antecedents themselves, especially those that had turnover and/or intent as the dependent variable. Among these studies, eight studies (Allen et al, 2003;Blau, 2007;Brewer et al, 2012;Camerino et al, 2008;Felps et al, 2009;Griffeth et al, 2000;Mueller and Price, 1990;Smith et al, 2011) had turnover as a dependent variable and also included the major proximal variables (job satisfaction, organizational commitment, and intent) to turnover. Of these, only two also included search (Blau, 2007;Brewer et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

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A structural equation model of turnover for a longitudinal survey among early career registered nurses

Brewer

Chao

Colder³

et al. 2015

International Journal of Nursing Studies

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Age-dependent relationships between work ability, thinking of quitting the job, and actual leaving among Italian nurses: A longitudinal study

Cited by 70 publications

References 31 publications

Practice nurses' workload, career intentions and the impact of professional isolation: A cross-sectional survey

Practice nurses' workload, career intentions and the impact of professional isolation: A cross-sectional survey

Job Stress: Its Relationship to Hospital Pharmacists’ Insomnia and Work Outcomes

A structural equation model of turnover for a longitudinal survey among early career registered nurses

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