Journal of Qualitative Research in Health Sciences

Authors

Abstract

Introduction: The shortage of nurses and nursing turnover are major problems in the most countries of the world and Iran accordingly. Nurses' turnover is taken place during a process. The present study aimed to describe how nurses’ turnover process is carried out. Method: The nurse's turnover was studied from the perspective of 16 nurses with basic grounded theory. The participants were selected through conventional and theoretical sampling method. The data were collected by semi-structured interviews. The data were analyzed simultaneously by continuously comparisons based on Strauss and Corbin 2008 method. Results: Thinking about nursing “turnover” was appeared as the main variable which affects nurses' turnover process. The main variable in this study included six axial codes: professional/managerial challenges, finding a solution, thinking about turnover, job seeking, turnover intention, and conducting turnover. Conclusion: In order to prevent nursing turnover, identifying facilitating factors, removing barriers and promoting the necessary facilities are necessary.

Keywords

1. Hariri G. Correlation between ethical climate and moral sensitivity of turnover in nurses of educational hospitals of Shahid Beheshti University of Medical Sciences. Tehran: Shahid Beheshti University of Medical Sciences; 2012. 2. Maningo-Salinas MJ. Relationship between moral distress, perceivs organizational support and intent to turnover among oncology nurses: Capella University 2010. 3. Farsi Z, Dehghan‐Nayeri N, Negarandeh R, Broomand S. Nursing profession in Iran: an overview of opportunities and challenges. Japan Journal of Nursing Science. 2010;7(1):9-18. 4. Clarke SP, Aiken LH. Failure to rescue: needless deaths are prime examples of the need for more nurses at the bedside. AJN The American Journal of Nursing. 2003;103(1):42-7. 5. Atashzadeh Shoorideh F, Pazargadi M, Zagheri Tafreshi M. The Concept of Nursing Care Quality from the Perspective of Stakeholders: A Phenomenological Study. Journal of Qualitative Research in Health Sciences. 2012;1(3):214-28. 6. Kash BA, Castle NG, Phillips CD. Nursing home spending, staffing, and turnover. Health Care Management Review. 2007;32(3):253. 7. Rivers PA, Tsai KL, Munchus G. The financial impacts of the nursing shortage. Journal of health care finance. 2005;31(3):52. 8. Yeh MC, Yu S. Job stress and intention to quit in newly‐graduated nurses during the first three months of work in Taiwan. Journal of Clinical Nursing. 2009;18(24):3450-60. 9. Jones C, Gates M. The costs and benefits of nurse turnover: A business case for nurse retention. The Online Journal of Issues in Nursing. 2007;12(3). 10. Oulton JA. The global nursing shortage: an overview of issues and actions. Policy, Politics, & Nursing Practice. 2006;7(3 suppl):34S-9S. 11. Liu S, Onwuegbuzie AJ. Chinese teachers’ work stress and their turnover intention. International Journal of Educational Research. 2012. 12. Galletta M, Portoghese I, Battistelli A. Intrinsic motivation, job autonomy and turnover intention in the Italian healthcare: the mediating role of affective commitment. Journal of Management Research. 2011;3(2):E3. 13. Lee H, Kim MS, Yoon JA. Role of internal marketing, organizational commitment, and job stress in discerning the turnover intention of Korean nurses. Japan Journal of Nursing Science. 2011;8(1):87-94. 14. De Gieter S, Hofmans J, Pepermans R. Revisiting the impact of job satisfaction and organizational commitment on nurse turnover intention: an individual differences analysis. International Journal of Nursing studies. 2011;48(12):1562-9. 15. Rhéaume A, Clément L, LeBel N. Understanding intention to leave amongst new graduate Canadian nurses: A repeated cross sectional survey. International Journal of Nursing studies. 2011;48(4):490-500. 16. Labatmediene L, Endriulaitiene A, Gustainiene L. Individual correlates of organizational commitment and intention to leave the organization. Baltic Journal of Management. 2007;2(2):196-212. 17. Senter JL, Martin JE. Factors affecting the turnover of different groups of part-time workers. Journal of Vocational Behavior. 2007;71(1):45-68. 18. Liou SR. Nurses' intention to leave: Critically analyse the theory of reasoned action and organizational commitment model. Journal of Nursing Management. 2009;17(1):92-9. 19. Abbasi SM, Hollman KW, Hayes RD. Bad bosses and how not to be one. INFORMATION MANAGEMENT JOURNAL-PRAIRIE VILLAGE-. 2008;42(1):52. 20. Wagner CM. Predicting nursing turnover with catastrophe theory. Journal of Advanced Nursing. 2010;66(9):2071-84. 21. Bowles C, Candela L. First job experiences of recent RN graduates: improving the work environment. Journal of Nursing Administration. 2005;35(3):130-7. 22. Tourangeau AE, Cranley LA. Nurse intention to remain employed: understanding and strengthening determinants. Journal of Advanced Nursing. 2006;55(4):497-509. 23. Maertz Jr CP, Campion MA. Profiles in quitting: Integrating process and content turnover theory. The Academy of Management Journal2004. p. 566-82. 24. Tourangeau AE, Cummings G, Cranley LA, Ferron EM, Harvey S. Determinants of hospital nurse intention to remain employed: broadening our understanding. Journal of Advanced Nursing. 2009;66(1):22-32. 25. Simon M, Müller BH, Hasselhorn HM. Leaving the organization or the profession–a multilevel analysis of nurses’ intentions. Journal of Advanced Nursing. 2010;66(3):616-26. 26. Corbin J, Strauss A. Basics of qualitative research: Techniques and procedures for developing grounded theory: Sage Publications, Incorporated; 2007. 27. Ongori H. A review of the literature on employee turnover. African Journal of Business Management. 2007;1(3):49-54. 28. Currie EJ, Carr Hill RA. What are the reasons for high turnover in nursing? A discussion of presumed causal factors and remedies. International Journal of Nursing studies. 2012;49(9):1180-9. 29. Ahmadi S MH, AskariNejad M. Assessment of the factors influencing the nurses’ intention to leave their job Scientific Journal of Kurdistan University of Medical Sciences (SJKU). 2012;17(1):99-108. 30. WeiBo Z, Kaur S, Zhi T. A critical review of employee turnover model (1938-2009) and development in perspective of performance. African Journal of Business Management. 2010;4(19):4146-58. 31. Griffeth RW, Hom PW, Gaertner S. A meta-analysis of antecedents and correlates of employee turnover: Update, moderator tests, and research implications for the next millennium. Journal of management. 2000;26(3):463-88. 32. Tominaga MT, Miki A. Factors associated with the intention to leave among newly graduated nurses in advanced‐treatment hospitals in Japan. Japan Journal of Nursing Science. 2011;8(1):33-46. 33. Cowden T, Cummings G, Profetto‐Mcgrath J. Leadership practices and staff nurses’ intent to stay: a systematic review. Journal of Nursing Management. 2011;19(4):461-77. 34. Hayes LJ, O’Brien-Pallas, L., Duffield, C.H., Shamian, J., Buchan, J., Hughes, F., Spence Laschinger, H.K., North, N., Stone, P.W., . Nurse turnover: A literature review. International Journal of Nursing Studies. 2012;43(2):237-63 35. Chen H-C, Chu C-I, Wang Y-H, Lin L-C. Turnover factors revisited: A longitudinal study of Taiwan-based staff nurses. International Journal of Nursing studies. 2008;45(2):277-85. 36. Beecroft PC, Dorey F, Wenten M. Turnover intention in new graduate nurses: a multivariate analysis. Journal of Advanced Nursing. 2008;62(1):41-52. 37. Hoosmand Bahabadi A, Seif, Hadi., Nikbakht Nasrabadi, Alireza.,. Turnover of nurses in a period of ten years. Teb va Tazkieh. 2006;13(4):10-3. 38. Flinkman M, Laine M, Leino-Kilpi H, Hasselhorn HM, Salanterä S. Explaining young registered Finnish nurses' intention to leave the profession: a questionnaire survey. International Journal of Nursing studies. 2008;45(5):727. 39. Zeytinoglu IU, Denton M, Davies S, Baumann A, Blythe J, Boos L. Deteriorated external work environment, heavy workload and nurses' job satisfaction and turnover intention. Canadian Public Policy. 2007;33:S31-S47. 40. Coomber B, Barriball KL. Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: a review of the research literature. International Journal of Nursing studies. 2007;44(2):297-314. 41. Lambert SD, Loiselle CG. Combining individual interviews and focus groups to enhance data richness. Journal of Advanced Nursing. 2008;62(2):228-37. 42. Ajzen I, Fishbein M. Understanding attitudes and predicting social behaviour. 1980. 43. Gnanakkan S. Mediating role of organizational commitment on HR practices and turnover intention among ICT professionals. Journal of Management Research. 2010;10(1):36-91. 44. Hobfoll SES, Arie. Conservation of resources theory: Applications to stress and management in the workplace. In R. T. Golembiewski (Ed.), Handbook of organization behavior. 2nd ed. New York: Dekker; 2000. 45. Golparvar M, Hosseinzadeh, Kheirollah. Model of relation between person-job none fit with emotional exhausion and desire to leave work: Evidence for the stress-unequilibrium-compensation model. Journal of Applied Psychology. 2011;5(1):41-56. 46. Kash BA, Naufal GS, Cortés L, Johnson CE. Exploring factors associated with turnover among registered nurse (RN) supervisors in nursing homes. Journal of Applied Gerontology. 2010;29(1):107-27. 47. Takase M, Yamashita N, Oba K. Nurses’ leaving intentions: antecedents and mediating factors. Journal of Advanced Nursing. 2008;62(3):295-306. 48. Waters LK, Roach D. Job satisfaction, behavioral intention, and absenteeism as predictors of turnover. Personnel Psychology. 1979;32(2):393-7.