Factors associated with the nurses’intent to stay in China,Japan,and Korea:an integrative review

Objective:Nurse’s dimission and attrition are globally considered as a public health issue.However,few studies have focused on the nurse shortage from the perspective of intent to stay,as previous studies have focused only on why they left.The purpose of this study was to conduct an integrative review of the factors connected with why nurses in China,Japan,and Korea stay in their current workplace.Methods:The review was done using three databases namely CNKI,Wanfang,and Web of science.The relevant studies published by Chinese,Japanese,and Koreans from 2010 were also included in this review.Literature screening and data extraction were performed by the two researchers,and the qualitative research methods were used for analysis.Results:A total of 17 studies were analyzed in this review and of these two were qualitative and 15 were quantitative.Three themes and six sub-themes emerged from the synthesization of the data of 17 studies,which will help us to find the factors for nurses’intent to stay.The three aspects such as professional characteristics,nurses’individual characteristics,and organizational factors are the main contributing factors of nurses’intent to stay.Conclusions:This integrated review has thrown some important factors about nurses’intent to stay.It is increasingly clear that when(1)nurses have a good professional status,(2)nurses could enjoy a good working relationship,(3)the workplace could meet the needs of personal development,and(4)nurses have good organizational support and excellent leaders,they are inclined to stay in their current jobs.Managers need to adopt targeted measures to improve nurses’intent to stay and to provide a practical reference for health care institutions and managers in different countries and areas to increase the retention rate of nurses and to alleviate the current situation of nurse shortage.

The effects of colleague solidarity and affective commitment on nurses＇ intent to stay

Objective： The purpose of this paper was to determine the effects of colleague solidarity and affective commit- ment on intent to stay among nurses, and to provide the basis for developing more effective retention strategies. Methods： A cross-sectional survey was carried out and a sample of 346 registered nurses was recruited in convenience sampling method from three tertiary hospitals in Tianjin, China. A self-administrative questionnaire was used in order to collect data. All analyses were performed using SPSS 17.0 software. Results： The mean scores for colleague soli- darity, a_ffective commitment and intent to stay of nurses were 3.61±0.50, 3.26±0.55, and 3.54±0.67, respectively. The nurses＇ colleague solidarity and each dimension, affective commitment and intent to stay showed a positive correlation （r=0.141-0.709, P〈0.01）. Multiple linear regression analysis showed that emotional solidarity, academic solidarity and a_ffective commitment entered intent to stay regression equation （β=0.170-0.437, P〈0.001） and explained 45.3% of the total variation in nurses＇ intent to stay, and emotional solidarity became the strongest predictor （β=0.437, P〈0.001）. Hierarchical regression analysis revealed that affective commitment played a partial moderating role on the relation- ship between colleague solidarity and intent to stay （β=0.174-0.659, P〈0.001）. Conclusion： Hospital administrators and managers should develop effective strategies to enhance colleague solidarity and affective commitment among nurses, which will ultimately increase nurses＇ intent to stay.