Abstract
BackgroundNurses are essential to the health care delivery system especially to meet the health related millennium development goals. However, despite the significant shortage of nurses in Ethiopia, research in the country regarding nurses’ intent to stay in their profession is lacking. This study assessed intent to stay in the nursing profession and associated factors among nurses working in referral hospitals, Amhara Regional State, Ethiopia.MethodsInstitution-based cross-sectional study was conducted among 389 nurses from April 8 to May 5, 2013. Stratified random sampling technique was used to select the study participants from five referral hospitals. Data were collected using pretested and structured self-administered questionnaires. Descriptive statistics were conducted to summarize the sample characteristics. Backward stepwise logistic regression model was fitted and adjusted odds ratio with 95% confidence interval was calculated to identify associated factors.ResultsThe proportion of nurses who reported intent to stay in the nursing profession was 39.8%. Age 40 to 49 (AOR [95% CI] 4.5 [1.6-12.8]), being married (AOR [95% CI] 2.0 [1.0-3.8]), having a bachelor degree in nursing (AOR [95% CI] 2.2 [1.2-4.1]), satisfaction with: autonomy and professional opportunities (AOR [95% CI] 2.6 [1.2-5.9]), scheduling (AOR [95% CI] 3.4 [1.6-7.5]), and pay and benefits (AOR [95% CI] 8.8 [4.5-17.1]); high continuance commitment (AOR [95% CI] 2.4 [1.3-4.8]) and high normative commitment (AOR [95% CI] 3.7 [1.9-7.2]) were the significant predictors of intent to stay in the nursing profession.ConclusionsIntent to stay in the nursing profession was low among nurses working in Amhara Regional State referral hospitals. Interventions aimed at increasing the professional autonomy of nurses and revising the current salary and other duty payments are vital.
Highlights
Nurses are essential to the health care delivery system especially to meet the health related millennium development goals
The assumption to use this method was the potential difference in organizational factors which could affect intent to stay in the nursing profession
In the multivariate analysis; only age 40–49, marital status, having BSc degree in nursing, satisfaction with autonomy and professional opportunities, satisfaction with schedule, satisfaction with pay and benefit, having high normative commitment and having high continuance commitment were yielded as significantly associated factors of intent to stay in the nursing profession
Summary
Nurses are essential to the health care delivery system especially to meet the health related millennium development goals. By delivering holistic patient care around the clock [1,2], are the keystones at each step in the health care delivery system [3], and their contribution is essential to meet the health related Millennium Development Goals [4]. Tourangeau and Cranley hypothesized the following six predictors of nurses’ intent to stay (ITS) in their profession: job satisfaction (JS), personal characteristics of nurses, work group cohesion and collaboration, manager ability and support, burnout, and organizational commitment (OC) of nurses. In their research only four were significantly associated with nurses’ ITS: job satisfaction, socio-demographic characteristics, work group cohesion and collaboration, and organizational commitment [11]
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