Association of Intention to Stay with Teamwork and Job Satisfaction in Mid-Level Nurses in Urban Areas

Abstract

This study aimed to clarify the association of the intention to stay of mid-level nurses with teamwork on the nursing team and job satisfaction. An anonymous questionnaire was distributed to nurses, with 4 to 15 years of clinical experience and employed at 30 mid-sized hospitals in urban areas. The survey included questions on their attributes, intention to stay, a teamwork scale, and a job satisfaction scale. Three models were created, with the intention to stay as the dependent variable, the sub-factors of the two scales as independent variables, and attributes as moderators. Logistic regression analysis was performed. Questionnaires were distributed to 1,183 mid-level nurses, and 263 of them were included in the analysis (valid response rate: 22.2%). The "team orientation" sub-factor of orientation for interpersonal relations (OR 1.20, 95% CI 1.00–1.43) was associated with having an intention to stay on the teamwork scale. Positive feelings about work (OR 1.20, 95% CI 1.09–1.31) and appropriate support from superiors (OR 1.09, 95% CI 1.00–1.20) were associated with having an intention to stay on the job satisfaction scale. Furthermore, a positive correlation between the teamwork and the job satisfaction scales was observed. The results of this study suggest that mid-level nurses stay at their current workplace as long as they are working toward the same team goal, fostering positive interpersonal relationships, viewing their jobs positively, and receiving appropriate support from superiors.