Factors Related to Intention to Leave the Present Employment for Nurses Working in a Pediatric Hospital

Abstract

To identify factors related to the intention to leave employment for nurses working in a pediatric hospital, a cross-sectional study with an anonymous self-rating questionnaire survey was conducted on all 599 nurses working in one pediatric hospital in Japan. The questionnaire is comprised of question items related to intention to leave the present employment, personal factors, workplace factors, burnout (the Japanese version of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS)), and organizational commitment (three-dimensional organizational commitment scale). We collected 407 (67.9%) responses. Responses that had no answers to questions about both the intention to leave the present employment and respondent age and that included two or more choices to these questions were excluded. Further, excluding midwives and assistant nurses because these are regarded as being in different occupation categories, we determined 268 (44.7%) responses to be valid for analysis. The result of the multiple regression analysis showed the following factors as related to the intention to leave the present employment : burnout, salary satisfaction, ‘feeling that it is meaningless to consult with this nurse administrator’, emotional commitment, placement satisfaction, and the number of interviews. The adjusted R² was 55%. Among the factors related to the intention to leave the present employment, burnout was most strongly related to this. The findings suggest that improvements to the intention to leave the present employment would benefit from specific measures to prevent burnout.