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J Nurs Manag. 2016 Jan;24(1):21-9. doi: 10.1111/jonm.12266. Epub 2014 Nov 11.

Retaining the nursing workforce: factors contributing to the reduction of nurses' turnover intention in Japan.

Author information

1
Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
2
School of Nursing, Yasuda Women's University, Hiroshima, Japan.
3
Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Abstract

AIM:

The aim of this study was to investigate the effects of psychological contract fulfilment, perceived advancement opportunities and age on reducing the turnover intention of nurses in Japan.

BACKGROUND:

The factors that contribute to and mitigate the intentions of nurses to leave their organisations need to be investigated to understand the determinants of nurse turnover better. However, there is a paucity of studies identifying these mitigating factors.

METHODS:

Potential participants were 1337 registered nurses and midwives, of whom 766 participated in the study (a return rate of 57%). The data were analysed using a moderated regression analysis.

RESULTS:

Fulfilment of the psychological contract and perceived advancement opportunities independently and jointly contributed to a reduction in nurses' turnover intentions. The results also showed that nurses' ages were negatively correlated with their turnover intentions.

CONCLUSIONS:

Fulfilment of the psychological contract and advancement opportunities are important for reducing nurses' turnover intentions, especially among younger nurses.

IMPLICATIONS FOR NURSING MANAGEMENT:

Clear guidelines/evaluations of contributions made by nurses and their organisations are needed to enhance the experience of nurses in terms of psychological contract fulfilment. Moreover, a structured advancement support system needs to be implemented to reduce nurses' turnover intentions.

KEYWORDS:

advancement opportunities; age; psychological contract; retention; turnover intention

PMID:
25385026
DOI:
10.1111/jonm.12266
[Indexed for MEDLINE]

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