Skip to main content

Table 3 Factors affecting newly licensed nurses’ turnover

From: Comprehensive assessment of factors contributing to the actual turnover of newly licensed registered nurses working in acute care hospitals: a systematic review

Variable (reference category)

Studies

Turnover rates for 6 months

Turnover rates for 12 months

Turnover rates for 24 months

Turnover rates for other durations

(+)

(−)

NS

(+)

(−)

NS

(+)

(−)

NS

(+)

(−)

NS

I. Personal factors

             

Demographics

             

 Age

1, 3, 6a

    

3

1

     

6a

 Sex (male)

1, 3, 6a, 7

     

1, 3

 

7

   

6a

 Ethnicity (White)

1, 3

     

1, 3

      

 First language (English)

1

     

1

      

 Married (not)

1, 2b, 3

     

1, 3

   

2b

  

 Spousal income

1

     

1

      

 Income from other sources

1

     

1

      

Presence of dependents

             

 Number of children living at home

1, 3

     

1, 3

      

 Children less than 6 years old

1, 3

     

1, 3

      

Education

             

 Nursing degree (associate)

1, 3

     

1, 3

      

 Highest educational level (vocational nursing school)

8

 

8

          

 Graduation year in 2010 (2008)

7

      

7

     

Times took NCLEX

1

     

1

      

Job status

             

 Whether nursing was a second career

3

     

3

      

Health

             

 Overall health

1

     

1

      

 Positive affectivity

1

     

1

      

 Negative affectivity

1

     

1

      

 Trajectories of sleep disturbance

5

      

5

     

 Unhealthy lifestyle group (discordant group)

4c

         

4c

  

II. Work environment factors

             

Work attributes

             

 Staff·General duty nurse (no)

1

     

1

      

 First RN job: formal orientation (no)

1

     

1

      

 First RN job: reduced workload (no)

1

     

1

      

 Hold more than one job (no)

1

    

1

       

 Income or salary

6a, 7

        

7

 

6a

 

 Imputed wage

1

     

1

      

 RN benefits-formal education (no)

1

     

1

      

 Total number of RN benefits

1

     

1

      

 Importance of benefits from RN job (not important)

1

     

1

      

 Months worked in current job/Organizational tenure

1, 3

     

1, 3

      

 Type of shift/Number of shifts floating

1

     

1

      

 Previous work experience-another healthcare job (no)

1

     

1

      

 Externship/Internship

1

     

1

      

 Job status (permanent)

6a

         

6a

  

 Working full time (part-time status)

1, 3

   

1

 

3

      

 Current position (staff nurse)

3

     

3

      

 Mandatory overtime

1

     

1

      

 Voluntary overtime

1

    

1

       

 Patient load

1

     

1

      

 Typical work schedule (day shift)

1

     

1

      

 Number of times change in supervisor

1

     

1

      

 Part of a union

1

     

1

      

 Length of commute

3

     

3

      

Work attitudes

             

 Intent to stay

1

    

1

       

 Work motivation

1

     

1

      

 Job search behavior

1

     

1

      

 Job satisfaction

1

     

1

      

 Satisfaction

             

 Pay or income

6a

           

6a

 Stability of employment

6a

           

6a

 Potential for personal growth

6a

           

6a

 Advancement system

6a

           

6a

 Social reputation for the job

6a

           

6a

 Autonomy and authority for the job

6a

           

6a

 Work hours

6a

          

6a

 

 Social insurances and fringe benefits

6a

          

6a

 

 Physical work environment

2b, 6a

          

2b, 6a

 

 Interpersonal relationship

2b, 6a

          

2b, 6a

 

 Work content

2b

          

2b

 

 Workplace/Organization

7, 9d, 10

 

10

     

7

  

9d

 

 Profession

7

       

7

    

 Ward assignment preference

8

 

8

          

 Organizational commitment

1

     

1

      

 Organizational embeddedness

3

    

3

       

 Community embeddedness

3

     

3

      

 Organizational and community embeddedness item summed scores

3

     

3

      

 Variety

1

     

1

      

 Autonomy

1

     

1

      

 Mentor support/Supervisory support

1

     

1

      

 Support from peers

8, 9d

 

8

        

9d

 

 Workgroup cohesion/Collegial RN-MD relations

1

     

1

      

 Distributive justice/Procedural justice

1

     

1

      

 Promotional opportunities

1

     

1

      

 Quantitative workload

1

     

1

      

 Organizational constraints

1

     

1

      

 Work family conflict

1

     

1

      

 Family work conflict

1

     

1

      

 Job stress

             

 Psychological demand

4c

           

4c

 Physical demand

4c

           

4c

 Control

4c

           

4c

 Boss support/Peer support

4c

           

4c

 Physical exhaustion/Emotional exhaustion and depersonalization

10

10

           

Shocks

             

 Sprains or strains

1

   

1

        

 Needle sticks/Verbal abuse

1

     

1

      

III. Nursing unit factor

             

 Unit type

1

     

1

      

IV. Hospital factors

             

 Magnet hospital

1

     

1

      

 Hospital size

2b

          

2b

 

 Hospital location (nonmetropolitan)

2b

          

2b

 

 Hospital location in Tokyo

10

10

           

 Presence of union (nonunionized)

2b, 7

       

7

  

2b

 

 Number of employees

6a

           

6a

 Interaction of hospital size and salary (small, <  2.0 million won)

7

       

7

    

V. Community factors

             

 Local job opportunity

1

     

1

      

 Non-local job opportunity

1

     

1

      

 Percent of all persons in HMOs

1

     

1

      

 Beds per 1000 population

1, 6a

     

1

     

6a

 Number of hospitals in region

6a

         

6a

  

 Number of nurses per 100 beds

6a

          

6a

 

 Unemployment rate

1

     

1

      

 MSA

1

     

1

      
  1. HMO (Health Maintenance Organization), MD (medical doctor), MSA (metropolitan statistical area), NCLEX (National Council Licensure Examination), NS (not significant), RN (registered nurse)
  2. Article numbers in Table 3 are according to article numbers in Table 2. Based on the findings of multivariate analysis
  3. Variables that are conceptually similar and of the same type of relationship with turnover in the studies were grouped with slash(/)
  4. aturnover rate for 48 months bturnover rate for 36 months cturnover rate for 6 weeks dturnover rate for 21 months