Should I stay or should I go? Nurses' wishes to leave nursing homes and home nursing

J Nurs Manag. 2018 Nov;26(8):1074-1082. doi: 10.1111/jonm.12639. Epub 2018 Apr 30.

Abstract

Aims: This study investigates the prevalence of nurses' wishes to leave work in elderly care services and aims to explain differences between younger and older nurses.

Background: Health-and-care services, and specifically elderly care services, experience problems recruiting and retaining nurses.

Method: A nationwide survey among nurses in Norway with 4,945 nurses aged 20-73 (mean age = 41.8), 95% female. Structural equation modelling was used, analysing the whole sample as well as analysing younger and older nurses as separate groups.

Results: Of the nurses surveyed, 25% wanted to work outside elderly care services and 25% were uncertain. The wish to leave was much more frequent among younger nurses. Reported working conditions were a strong predictor of the wish to leave, and a much stronger predictor among younger nurses than older nurses in nursing homes.

Conclusions: Working conditions are a major predictor of nurses' wishes to leave elderly care services, especially among younger nurses in nursing homes.

Implications for nursing management: Attempts to reduce turnover in elderly care services need to address the working conditions for younger nurses, for instance by reducing the time young nurses work in isolation.

Keywords: home nursing; nurses’ wishes to leave; nursing homes; older patients; retention; structural equation modelling.

MeSH terms

  • Adult
  • Age Factors
  • Choice Behavior*
  • Female
  • Home Nursing / standards
  • Humans
  • Job Satisfaction*
  • Male
  • Middle Aged
  • Norway
  • Nurses / psychology*
  • Nursing Homes / organization & administration
  • Nursing Homes / standards
  • Personnel Turnover
  • Surveys and Questionnaires