Roger Watson, Editor-in-Chief
Nursing turnover, especially in the early days in clinical practice, is of intense interest as this is a period when many nurses are lost to the profession. The aim of this study from The Netherlands by Hoeve et al. (2019) and published in JAN was to gain: 'insight in the most crucial organizational job stressors for novice nurses’ professional commitment and whether the job stressors are mediated through negative emotions.'
Eighteen newly qualified nurses provided nearly 600 diary entries related to their time in practice and this was combined with measures on emotions and commitment. The results showed that: 'lack of support from colleagues, negative experiences with patients and confrontations with existential events were most strongly negatively related to professional commitment through negative emotions.'
The authors concluded: '...in anticipation of growing nursing shortages, it is essential to prevent turnover of novice nurses. Therefore, nurses need a supportive work environment for coping with the most crucial organizational job stressors to enhance professional commitment. In particular, support in the clinical environment is crucial because not feeling supported by colleagues, negative experiences with patients, encountering existential events and conflicting job demands proved to be critical to professional commitment. Retaining novice nurses by creating a supportive work environment for the nursing workforce can be considered a major challenge for nurse managers, organizational management and policy makers.'
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Hoeve, Y.T., Brouwer, J. and Kunnen, S. (2019), Turnover prevention: The direct and indirect association between organizational job stressors, negative emotions and professional commitment in novice nurses. J Adv Nurs. Accepted Author Manuscript. doi:10.1111/jan.14281