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Towards a typology of nursing turnover: the role of shocks in nurses' decisions to leave
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UNSPECIFIED (2005) Towards a typology of nursing turnover: the role of shocks in nurses' decisions to leave. JOURNAL OF ADVANCED NURSING, 49 (3). pp. 315-322. ISSN 0309-2402.
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Abstract
Aims. The paper reports a study to explore the decision process nurses go through before leaving, focusing on leaving decisions that are precipitated by a single, jarring event or shock.
Background. Nursing turnover is a significant problem. Although a range of initiatives has been adopted to improve retention, recent insights from the academic literature on labour turnover have additional implications for how this problem might be managed.
Method. A structured questionnaire, with some open-ended items, was used to collect data. For respondents who reported a shock ( n = 153), responses were cluster analysed ( hierarchical, agglomerative clustering generated a solution and k-means clustering enhanced the solution). Clusters were validated using responses to open items.
Results. There were three broad clusters of nursing turnover: cluster 1 described nurses whose decision to leave was precipitated by a shock that was work-related, negative and unexpected; cluster 2 described those whose decision was precipitated by a shock that was personal, positive and expected; cluster 3 describes those whose decision unfolded more gradually. Cluster 3 described the conventional picture of how turnover occurs (i.e where there is no shock), whereas clusters 1 and 2 were evidence of different types, where a shock prompts the quitting.
Conclusion. In many cases of nurse turnover, a single, jarring event, or shock, initiates thoughts of quitting. Understanding the role of shocks has implications for a range of management activities. Allocation of education, promotion and distribution of other benefits should be managed in such a way as to minimize the likelihood of shocks. Profiling of nurse leavers should be undertaken so that managers have an accurate and detailed picture of turnover.
Item Type: | Journal Article | ||||
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Subjects: | R Medicine > RT Nursing | ||||
Journal or Publication Title: | JOURNAL OF ADVANCED NURSING | ||||
Publisher: | BLACKWELL PUBLISHING LTD | ||||
ISSN: | 0309-2402 | ||||
Official Date: | February 2005 | ||||
Dates: |
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Volume: | 49 | ||||
Number: | 3 | ||||
Number of Pages: | 8 | ||||
Page Range: | pp. 315-322 | ||||
Publication Status: | Published |
Data sourced from Thomson Reuters' Web of Knowledge
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