Abstract
BackgroundTurnover intention is a probability of an employee to leave the current institution within a certain period due to various factors. It is the strongest predictor of actual turnover expected to increase as the intention increases. Emergency Department (ED) nurses are especially vulnerable to high turnover because of their increased risk of developing burnout and compassion fatigue associated with the work environment. This study is aimed to assess nurses’ intention to leave emergency departments and associated factors at selected governmental hospitals in Addis Ababa, Ethiopia.MethodsInstitutional based cross-sectional study was conducted on 102 nurses in three selected governmental hospitals, Addis Ababa from February 19 to March 31, 2018, using a structured pre-tested self-administered questionnaire. The logistic regression model was used and an adjusted odds ratio with a 95% confidence interval was calculated to identify associated factors.ResultA total of 102 respondents were involved with a response rate of 91.1%. Among them, 79 (77.5%) respondents had the intention to leave the current working unit of the emergency department or hospital. Significant predictive factors of nurses’ intention to leave their institutions are educational status (adjusted odds ratio (OR) =4.700, 95% confidence interval (CI) = 1.033–50.772; p < 0.048), monthly income of less than 3145 Birr (adjusted OR = 6.05, 95% CI = 1.056–34.641; p < 0.043) and professional autonomy (adjusted OR = 0.191, 95% CI = 0.040–0.908; p < 0.037).ConclusionMore than 77% of the respondents have the intention to leave their current working place of the emergency unit. Educational status, monthly income, and autonomy were significantly associated with emergency nurses’ turnover intention in three governmental hospitals. Emergency leaders and hospital managers should have made efforts to enhance nurses’ decision making for patient care activities and shared decision overwork or unit related activities.
Highlights
Turnover intention is a probability of an employee to leave the current institution within a certain period due to various factors
Socio-demographic characteristics of nurses working in the emergency unit Of the total 112 eligible nurses working in the emergency department, 102 were volunteered to participate in the study making a response rate of 91.1%
Factors related to job satisfaction The results indicated that most of the participants were unsatisfied with all assessment factors related to job satisfaction
Summary
Turnover intention is a probability of an employee to leave the current institution within a certain period due to various factors. It is the strongest predictor of actual turnover expected to increase as the intention increases. The turnover of nursing job or professional resigning remains a serious problem associated with the crisis It resulted in a loss of a trained and qualified employee as transfer, termination, or resignation [3]. Turnover intention is the best actual turnover predictor as expectation increase with intention increases [4] It is associated with multiple factors including psychological, cognitive, and behavioral components. The withdrawal behavior is acted to leave from the current job or actions oriented to future opportunities [5]
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