Objective: To examine factors influencing intention to leave among female hospital nurses in a large Japanese sample, classified into four generations by age considering economic conditions.
Methods: We conducted quantitative research using a cross-sectional survey with convenience sampling. Anonymous self-administered questionnaires were distributed to all nurses in 30 hospitals. To assess intention to leave, basic attributes, life conditions related to female-specific life events (i.e., having children, having family members in need of caregiving other than children), work characteristics and factors of psychosocial work environment were addressed. After classifying data into four generations based on age cohorts, we conducted multivariate logistic regression analysis using the completed data (N=5.074, mean age=36.24).
Results: Regardless of generational characteristics influenced by economic conditions, effort and monetary reward were generation-common factors. Overcommitment, social support and the presence of a role model were generationcommon factors in three generations. While having children increased intention to leave in the generation born 1965-1979, having family members in need of caregiving other than children decreased the risk in the generation born in the 1980s.
Conclusion: Generational countermeasures considering factors of psychosocial work environment and life conditions are needed to avert voluntary turnover among nurses.
Maki Tei-Tominaga, Kyoko Asakura and Takashi Asakura
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