Roger Watson, Editor-in-Chief
Registered Nurses (RNs) leaving their job and the profession is a significant issue worldwide. Generally, there is a shortage of RNs and this contributes to it. The more we know about the causes, then the better we can deal with the problem.
This is the subject of an article from New Zealand by Willoughby et al (2017) titled: 'Factors predicting registered nurses’ intentions to leave their organisation and profession? A job demands-resources framework' and published in JAN which aimed to: 'develop a comprehensive model of nursing turnover intention by examining the effects of job demands, job resources, personal demands and personal resources on burnout and work engagement and subsequently on the intention to leave the organization and profession'. Data were collected over two years from nearly 3000 nurses and the results modelled to examine what caused nurses to want to leave.
It was not surprising that burnout incrased the intention to leave and, alternatively, the more engaged nurses felt in their jobs lowered the intention to leave but also the more challenged they were by the job. The extent to which nursing interfered with life increased the intention to leave. Aggressive patients also increased the likelihood to leave.
The authors conclude: 'The results suggest that dealing with death and suffering is not something that turns RNs away from their profession: quite the contrary. What alienates them is a greater exposure to aggressive or troublesome patients' and '...it is important for nursing schools to identify and recruit individuals with a strong desire to offer patient-centred care and then provide appropriate training to enhance their confidence in taking on challenging tasks in their work'.
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Moloney, W., Boxall, P., Parsons, M. and Cheung, G. (2017), Factors predicting registered nurses’ intentions to leave their organisation and profession? A job demands-resources framework. J Adv Nurs. doi:10.1111/jan.13497