The impact of resilience on turnover among newly graduated nurses: A 1-year follow-up study.
nurses
personnel turnover
psychological resilience
survival analysis
Journal
Journal of nursing management
ISSN: 1365-2834
Titre abrégé: J Nurs Manag
Pays: England
ID NLM: 9306050
Informations de publication
Date de publication:
Jul 2022
Jul 2022
Historique:
revised:
04
04
2022
received:
29
11
2021
accepted:
07
04
2022
pubmed:
12
4
2022
medline:
7
7
2022
entrez:
11
4
2022
Statut:
ppublish
Résumé
This study aimed to analyse the impact of resilience on turnover among newly graduated nurses. Nurse turnover is a major issue in nurse management that results in economic losses and affects patient and nurse outcomes. Newly graduated nurses experience stress and burnout during their transition period, leaving their job due to contextual and personal factors. Nurses' resilience affects turnover directly and indirectly through the mediating effect of stress and burnout. We conducted a 1-year follow-up study to investigate factors influencing the turnover of newly graduated nurses. Survival analysis was used to analyse factors influencing the turnover. Turnover probability increased steadily and was approximately 0.20 within 2 years. Resilience was a significant factor affecting newly graduated nurses leaving their job in a short period of time. Newly graduated nurses' resilience is a significant factor influencing the turnover within a short period of time. Personal resources such as resilience and work environment should be considered for retaining newly graduated nurses. Nurse managers should recognize the impact of resilience on newly graduated nurses' turnover during the transitional period and establish strategies to enhance such resilience to promote a smooth transition and ultimately reduce turnover.
Sections du résumé
AIM
OBJECTIVE
This study aimed to analyse the impact of resilience on turnover among newly graduated nurses.
BACKGROUND
BACKGROUND
Nurse turnover is a major issue in nurse management that results in economic losses and affects patient and nurse outcomes. Newly graduated nurses experience stress and burnout during their transition period, leaving their job due to contextual and personal factors. Nurses' resilience affects turnover directly and indirectly through the mediating effect of stress and burnout.
METHODS
METHODS
We conducted a 1-year follow-up study to investigate factors influencing the turnover of newly graduated nurses. Survival analysis was used to analyse factors influencing the turnover.
RESULTS
RESULTS
Turnover probability increased steadily and was approximately 0.20 within 2 years. Resilience was a significant factor affecting newly graduated nurses leaving their job in a short period of time.
CONCLUSION
CONCLUSIONS
Newly graduated nurses' resilience is a significant factor influencing the turnover within a short period of time. Personal resources such as resilience and work environment should be considered for retaining newly graduated nurses.
IMPLICATIONS FOR NURSING MANAGEMENT
CONCLUSIONS
Nurse managers should recognize the impact of resilience on newly graduated nurses' turnover during the transitional period and establish strategies to enhance such resilience to promote a smooth transition and ultimately reduce turnover.
Types de publication
Journal Article
Langues
eng
Pagination
1295-1302Subventions
Organisme : National Research Foundation of Korea
ID : NRF-2021R1I1A3057648
Informations de copyright
© 2022 John Wiley & Sons Ltd.
Références
Andersen, S., Mintz-Binder, R., Sweatt, L., & Song, H. (2021). Building nurse resilience in the workplace. Applied Nursing Research, 59, 151433. https://doi.org/10.1016/j.apnr.2021.151433
Badu, E., O'Brien, A. P., Mitchell, R., Rubin, M., James, C., McNeil, K., Nguyen, K., & Giles, M. (2020). Workplace stress and resilience in the Australian nursing workforce: A comprehensive integrative review. International Journal of Mental Health Nursing, 29(1), 5-34. https://doi.org/10.1111/inm.12662
Bae, S. H., Mark, B., & Fried, B. (2010). Impact of nursing unit turnover on patient outcomes in hospitals. Journal of Nursing Scholarship, 42(1), 40-49. https://doi.org/10.1111/j.1547-5069.2009.01319.x
Bakker, E. J. M., Kox, J., Boot, C. R. L., Francke, A. L., van der Beek, A. J., & Roelofs, P. (2020). Improving mental health of student and novice nurses to prevent dropout: A systematic review. Journal of Advanced Nursing, 76(10), 2494-2509. https://doi.org/10.1111/jan.14453
Blegen, M. A., Spector, N., Lynn, M. R., Barnsteiner, J., & Ulrich, B. T. (2017). Newly licensed RN retention: Hospital and nurse characteristics. Journal of Nursing Administration, 47(10), 508-514. https://doi.org/10.1097/NNA.0000000000000523
Butler, M., Schultz, T. J., Halligan, P., Sheridan, A., Kinsman, L., Rotter, T., Beaumier, J., Kelly, R. G., & Drennan, J. (2019). Hospital nurse-staffing models and patient- and staff-related outcomes. Cochrane Database of Systematic Reviews, 4, CD007019. https://doi.org/10.1002/14651858.CD007019.pub3
Cao, X., & Chen, L. (2021). Relationships between resilience, empathy, compassion fatigue, work engagement and turnover intention in haemodialysis nurses: A cross-sectional study. Journal of Nursing Management, 29(5), 1054-1063. https://doi.org/10.1111/jonm.13243
Cao, X., Li, J., & Gong, S. (2021). Effects of resilience, social support, and work environment on turnover intention in newly graduated nurses: The mediating role of transition shock. Journal of Nursing Management., 29(8), 2585-2593. https://doi.org/10.1111/jonm.13418
Cho, E., Choi, M., Kim, E. Y., Yoo, I. Y., & Lee, N. J. (2011). Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. Journal of Korean Academy of Nursing, 41(3), 325-332. https://doi.org/10.4040/jkan.2011.41.3.325
Cho, S. H., Lee, J. Y., Mark, B. A., & Yun, S. C. (2012). Turnover of new graduate nurses in their first job using survival analysis. Journal of Nursing Scholarship, 44(1), 63-70. https://doi.org/10.1111/j.1547-5069.2011.01428.x
Cho, Y. J., & Lewis, G. B. (2012). Turnover intention and turnover behavior: Implications for retaining federal employees. Review of Public Personnel Administration, 32(1), 4-23. https://doi.org/10.1177/0734371X11408701
Dall'Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020). Burnout in nursing: A theoretical review. Human Resources for Health, 18(1), 41. https://doi.org/10.1186/s12960-020-00469-9
Dalton, D. R., Johnson, J. L., & Daily, C. M. (1999). On the use of “Intent to…” variables in organizational research: An empirical and cautionary assessment. Human Relations, 52(10), 1337-1350. https://doi.org/10.1177/001872679905201006
Guo, Y. F., Plummer, V., Lam, L., Wang, Y., Cross, W., & Zhang, J. P. (2019). The effects of resilience and turnover intention on nurses' burnout: Findings from a comparative cross-sectional study. Journal of Clinicial Nursing, 28(3-4), 499-508. https://doi.org/10.1111/jocn.14637
Halter, M., Boiko, O., Pelone, F., Beighton, C., Harris, R., Gale, J., Gourlay, S., & Drennan, V. (2017). The determinants and consequences of adult nursing staff turnover: A systematic review of systematic reviews. BMC Health Services Research, 17(1), 824. https://doi.org/10.1186/s12913-017-2707-0
Hsieh, F. Y., & Lavori, P. W. (2000). Sample-size calculations for the Cox proportional hazards regression model with nonbinary covariates. Controlled Clinical Trials, 21(6), 552-560. https://doi.org/10.1016/s0197-2456(00)00104-5
Kelly, L. A., Gee, P. M., & Butler, R. J. (2021). Impact of nurse burnout on organizational and position turnover. Nursing Outlook, 69(1), 96-102. https://doi.org/10.1016/j.outlook.2020.06.008
Kovner, C. T., Brewer, C. S., Fatehi, F., & Jun, J. (2014). What does nurse turnover rate mean and what is the rate? Policy, Politics, & Nursing Practice, 15(3-4), 64-71. https://doi.org/10.1177/1527154414547953
Labrague, L. J., & De los Santos, J. A. A. (2020). Transition shock and newly graduated nurses' job outcomes and select patient outcomes: A cross-sectional study. Journal of Nursing Management, 28(5), 1070-1079. https://doi.org/10.1111/jonm.13033
Labrague, L. J., & De los Santos, J. A. A. (2021). Resilience as a mediator between compassion fatigue, nurses' work outcomes, and quality of care during the COVID-19 pandemic. Applied Nursing Research, 61, 151476. https://doi.org/10.1016/j.apnr.2021.151476
Laflamme, K., Leibing, A., & Lavoie-Tremblay, M. (2019). Operating room culture and interprofessional relations: Impact on nurse's retention. Health Care Manager, 38(4), 301-310. https://doi.org/10.1097/HCM.0000000000000280
Lanz, J. J., & Bruk-Lee, V. (2017). Resilience as a moderator of the indirect effects of conflict and workload on job outcomes among nurses. Journal of Advanced Nursing, 73(12), 2973-2986. https://doi.org/10.1111/jan.13383
Lee, E. (2019). Why newly graduated nurses in South Korea leave their first job in a short time? A survival analysis. Human Resources for Health, 17(1), 61. https://doi.org/10.1186/s12960-019-0397-x
Lee, E., & Jang, I. (2020). Nurses' fatigue, job stress, organizational culture, and turnover intention: A culture-work-health model. Western Journal of Nursing Research, 42(2), 108-116. https://doi.org/10.1177/0193945919839189
MacKay, M., Glynn, D., McVey, C., & Rissmiller, P. (2018). Nurse practitioner residency programs and transition to practice. Nursing Forum, 53(2), 156-160. https://doi.org/10.1111/nuf.12237
McKenna, J., & Jeske, D. (2021). Ethical leadership and decision authority effects on nurses' engagement, exhaustion, and turnover intention. Journal of Advvanced Nursing, 77(1), 198-206. https://doi.org/10.1111/jan.14591
Park, B., & Ko, Y. (2020). Turnover rates and factors influencing turnover of Korean acute care hospital nurses: A retrospective study based on survival analysis. Asian Nursing Research, 14(5), 293-299. https://doi.org/10.1016/j.anr.2020.09.001
Pishgooie, A. H., Atashzadeh-Shoorideh, F., Falco-Pegueroles, A., & Lotfi, Z. (2019). Correlation between nursing managers' leadership styles and nurses' job stress and anticipated turnover. Journal of Nursing Management, 27(3), 527-534. https://doi.org/10.1111/jonm.12707
Rushton, C. H., Batcheller, J., Schroeder, K., & Donohue, P. (2015). Burnout and resilience among nurses practicing in high-intensity settings. American Journal of Critical Care, 24(5), 412-420. https://doi.org/10.4037/ajcc2015291
Shin, W., Kim, M., & Kim, J. (2009). Developing measures of resilience for Korean adolescents and testing cross, convergent, and discriminant validity. National Youth Policy Institute, 20(4), 105-131.
Staggs, V. S., & Dunton, N. (2012). Hospital and unit characteristics associated with nursing turnover include skill mix but not staffing level: An observational cross-sectional study. International Journal of Nursing Studies, 49(9), 1138-1145. https://doi.org/10.1016/j.ijnurstu.2012.03.009
Ten Hoeve, Y., Brouwer, J., & Kunnen, S. (2020). Turnover prevention: The direct and indirect association between organizational job stressors, negative emotions and professional commitment in novice nurses. Journal of Advanced Nursing, 76(3), 836-845. https://doi.org/10.1111/jan.14281
van Camp, J., & Chappy, S. (2017). The effectiveness of nurse residency programs on retention: A systematic review. AORN Journal, 106(2), 128-144. https://doi.org/10.1016/j.aorn.2017.06.003
Wang, L., Lu, H., Dong, X., Huang, X., Li, B., Wan, Q., & Shang, S. (2020). The effect of nurse staffing on patient-safety outcomes: A cross-sectional survey. Journal of Nursing Management, 28(7), 1758-1766. https://doi.org/10.1111/jonm.13138
Wei, H., Roberts, P., Strickler, J., & Corbett, R. W. (2019). Nurse leaders' strategies to foster nurse resilience. Journal of Nursing Management, 27(4), 681-687. https://doi.org/10.1111/jonm.12736
Yu, F., Raphael, D., Mackay, L., Smith, M., & King, A. (2019). Personal and work-related factors associated with nurse resilience: A systematic review. International Journal of Nursing Studies, 93, 129-140. https://doi.org/10.1016/j.ijnurstu.2019.02.014
Yu, M., & Lee, H. (2018). Impact of resilience and job involvement on turnover intention of new graduate nurses using structural equation modeling. Japan Journal of Nursing Science, 15(4), 351-362. https://doi.org/10.1111/jjns.12210
Zhang, X., Bian, L., Bai, X., Kong, D., Liu, L., Chen, Q., & Li, N. (2020). The influence of job satisfaction, resilience and work engagement on turnover intention among village doctors in China: A cross-sectional study. BMC Health Services Research, 20(1), 283. https://doi.org/10.1186/s12913-020-05154-0
Zhao, Y., Wang, H., Sun, D., Ma, D., Li, H., Li, Y., Zhang, X., Xie, Z., & Sun, J. (2021). Job satisfaction, resilience and social support in relation to nurses' turnover intention based on the theory of planned behaviour: A structural equation modelling approach. International Journal of Nursing Practice, 27(6), e12941. https://doi.org/10.1111/ijn.12941
Zhou, L., Kachie Tetgoum, A. D., Quansah, P. E., & Owusu-Marfo, J. (2021). Assessing the effect of nursing stress factors on turnover intention among newly recruited nurses in hospitals in China. Nursing Open. https://doi.org/10.1002/nop2.969