- About this Journal ·
- Abstracting and Indexing ·
- Aims and Scope ·
- Article Processing Charges ·
- Articles in Press ·
- Author Guidelines ·
- Bibliographic Information ·
- Citations to this Journal ·
- Contact Information ·
- Editorial Board ·
- Editorial Workflow ·
- Free eTOC Alerts ·
- Publication Ethics ·
- Submit a Manuscript ·
- Subscription Information ·
- Table of Contents
Volume 2013 (2013), Article ID 916061, 12 pages
Young Registered Nurses' Intention to Leave the Profession and Professional Turnover in Early Career: A Qualitative Case Study
1Department of Nursing Science, University of Turku, 20014 Turku, Finland
2Faculty of Behavioural Sciences, University of Helsinki, P.O. Box 9, 00014 Helsinki, Finland
3Hospital District of Southwest Finland, Bureau of Administration, Turku University Hospital, P.O. Box 52, 20521 Turku, Finland
Received 8 June 2013; Accepted 9 July 2013
Academic Editors: S. Keeney and J. Scholes
Copyright © 2013 Mervi Flinkman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
- World Health Organization, World Health Statistics 2011, WHO, 2011, http://www.who.int/whosis/whostat/2011/en/index.html.
- J. Buchan and L. H. Aiken, “Solving nursing shortages: a common priority,” Journal of Clinical Nursing, vol. 17, no. 24, pp. 3262–3268, 2008.
- S. P. Juraschek, X. Zhang, V. K. Ranganathan, and V. W. Lin, “United States Registered Nurse Workforce Report Card and Shortage Forecast,” American Journal of Medical Quality, vol. 27, no. 3, pp. 241–249, 2012.
- W. Sermeus and L. Bruyneel, “Investing in Europe’s health workforce of tomorrow: scope for innovation and collaboration,” Summary Report of the Three Policy Dialogues, 2010, http://www.healthworkforce4europe.eu/downloads/Report_PD_Leuven_FINAL.pdf.
- Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2011, http://www.bls.gov/ooh/healthcare/registered-nurses.htm.
- S. Simoens, M. Villeneuve, and J. Hurst, “Tackling nurse shortages in OECD countries,” OECD Health Working Papers 19, 2005, http://www.oecd.org/health/health-systems/34571365.pdf.
- World Health Organization, “Working together for health,” The World Health Report, WHO, 2006, http://www.who.int/whr/2006/whr06_en.pdf.
- J. Needleman, P. Buerhaus, V. S. Pankratz, C. L. Leibson, S. R. Stevens, and M. Harris, “Nurse staffing and inpatient hospital mortality,” The New England Journal of Medicine, vol. 364, no. 11, pp. 1037–1045, 2011.
- X. W. Zhu, L. M. You, J. Zheng, et al., “Nurse staffing levels make a difference on patient outcomes: a multisite study in Chinese hospitals,” Journal of Nursing Scholarship, vol. 44, no. 3, pp. 266–273, 2012.
- A. M. Rafferty, S. P. Clarke, J. Coles et al., “Outcomes of variation in hospital nurse staffing in English hospitals: cross-sectional analysis of survey data and discharge records,” International Journal of Nursing Studies, vol. 44, no. 2, pp. 175–182, 2007.
- M. Flinkman, H. Leino-Kilpi, and S. Salanterä, “Nurses' intention to leave the profession: integrative review,” Journal of Advanced Nursing, vol. 66, no. 7, pp. 1422–1434, 2010.
- H.-M. Hasselhorn, B. H. Müller, and P. Tackenberg, “Nursing in Europe: intention to leave the nursing profession,” in NEXT Scientific Report, H. M. Hasselhorn, B. H. Mueller, and P. Tackenberg, Eds., pp. 17–24, 2005, http://www.next.uni-wuppertal.de/EN/index.php?articles-and-reports.
- L. H. Aiken, W. Sermeus, K. Van den Heede et al., “Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States,” British Medical Journal, vol. 344, no. 7851, Article ID e1717, 2012.
- M. M. Heinen, T. van Achterberg, R. Schwendimann et al., “Nurses' intention to leave their profession: a cross sectional observational study in 10 European countries,” International Journal of Nursing Studies, vol. 50, no. 2, pp. 174–184, 2013.
- H. Salminen, “Turning the tide: registered nurses' job withdrawal intentions in a Finnish university hospital,” SA Journal of Human Resource Management, vol. 10, no. 2, pp. 1–11, 2012.
- A. Rudman, M. Omne-Pontén, L. Wallin, and P. J. Gustavsson, “Monitoring the newly qualified nurses in Sweden: The Longitudinal Analysis of Nursing Education (LANE) Study,” Human Resources for Health, vol. 8, article 10, 2010.
- HRSA, U.S. Department of Health and Human Services, Registered Nurse Population. Findings From the 2008 National Sample Survey of Registered Nurses, 2010, http://bhpr.hrsa.gov/healthworkforce/rnsurveys/rnsurveyfinal.pdf.
- M. Takase, “A concept analysis of turnover intention: implications for nursing management,” Collegian, vol. 17, no. 1, pp. 3–12, 2010.
- M. Krausz, M. Koslowsky, N. Shalom, and N. Elyakim, “Predictors of intentions to leave the ward, the hospital, and the nursing profession: a longitudinal study,” Journal of Organizational Behavior, vol. 16, no. 3, pp. 277–288, 1995.
- I. M. Lane, R. C. Mathews, and P. H. Presholdt, “Determinants of nurses' intentions to leave their profession,” Journal of Organizational Behavior, vol. 9, no. 4, pp. 367–372, 1998.
- S. A. Carless and J. L. Arnup, “A longitudinal study of the determinants and outcomes of career change,” Journal of Vocational Behavior, vol. 78, no. 1, pp. 80–91, 2011.
- C. Duffield, L. O'Brien Pallas, and L. M. Aitken, “Nurses who work outside nursing,” Journal of Advanced Nursing, vol. 47, no. 6, pp. 664–671, 2004.
- M. Laine, B. I. J. M. van der Heijden, G. Wickstrom, H.-M. Hasselhorn, and P. Tackenberg, “Job insecurity and intent to leave the nursing profession in Europe,” International Journal of Human Resource Management, vol. 20, no. 2, pp. 420–438, 2009.
- K. D. Carson, P. P. Carson, and A. G. Bedeian, “Development and construct validation of a career entrenchment measure,” Journal of Occupational and Organizational Psychology, vol. 68, no. 4, pp. 273–368, 1995.
- M. Simon, B. H. Müller, and H. M. Hasselhorn, “Leaving the organization or the profession—a multilevel analysis of nurses' intentions,” Journal of Advanced Nursing, vol. 66, no. 3, pp. 616–626, 2010.
- Y. Li and C. B. Jones, “A literature review of nursing turnover costs,” Journal of Nursing Management, vol. 21, no. 3, pp. 405–418, 2013.
- L. J. Hayes, L. O'Brien-Pallas, C. Duffield et al., “Nurse turnover: a literature review—an update,” International Journal of Nursing Studies, vol. 49, no. 7, pp. 887–905, 2012.
- J. Blythe, A. Baumann, I. U. Zeytinoglu et al., “Nursing generations in the contemporary workplace,” Public Personnel Management, vol. 37, no. 2, pp. 137–159, 2008.
- C. T. Kovner and M. Djukic, “The nursing career process from application through the first 2 years of employment,” Journal of Professional Nursing, vol. 25, no. 4, pp. 197–203, 2009.
- S. Robinson, T. Murrells, and P. Griffiths, “Investigating the dynamics of nurse migration in early career: a longitudinal questionnaire survey of variation in regional retention of diploma qualifiers in England,” International Journal of Nursing Studies, vol. 45, no. 7, pp. 1064–1080, 2008.
- D. Barron and E. West, “Leaving nursing: an event-history analysis of nurses' careers,” Journal of Health Services Research & Policy, vol. 10, no. 3, pp. 150–157, 2005.
- M. Lavoie-Tremblay, L. O'Brien-Pallas, C. Gélinas, N. Desforges, and C. Marchionni, “Addressing the turnover issue among new nurses from a generational viewpoint,” Journal of Nursing Management, vol. 16, no. 6, pp. 724–733, 2008.
- M. Flinkman, M. Laine, H. Leino-Kilpi, H.-M. Hasselhorn, and S. Salanterä, “Explaining young registered Finnish nurses' intention to leave the profession: a questionnaire survey,” International Journal of Nursing Studies, vol. 45, no. 5, pp. 727–739, 2008.
- J. E. B. Duchscher, “Transition shock: the initial stage of role adaptation for newly graduated registered nurses,” Journal of Advanced Nursing, vol. 65, no. 5, pp. 1103–1113, 2009.
- L. B. Zinsmeister and D. Schafer, “The exploration of the lived experience of the graduate nurse making the transition to registered nurse during the first year of practice,” Journal for Nurses in Staff Development, vol. 25, no. 1, pp. 28–34, 2009.
- Y. T. Teoh, L. H. Pua, and M. F. Chan, “Lost in transition—a review of qualitative literature of newly qualified Registered Nurses' experiences in their transition to practice journey,” Nurse Education Today, vol. 33, no. 2, pp. 143–147, 2013.
- E. S. Scott, M. Keehner Engelke, and M. Swanson, “New graduate nurse transitioning: necessary or nice?” Applied Nursing Research, vol. 21, no. 2, pp. 75–83, 2008.
- M. Lavoie-Tremblay, E. Leclerc, C. Marchionni, and U. Drevniok, “The needs and expectations of generation Y nurses in the workplace,” Journal for Nurses in Staff Development, vol. 26, no. 1, pp. 2–8, 2010.
- Z. C. Chan, W. S. Tam, M. K. Lung, W. Y. Wong, and C. W. Chau, “A systematic literature review of nurse shortage and the intention to leave,” Journal of Nursing Management, vol. 21, no. 4, pp. 605–613, 2013.
- B. C. Holtom, T. R. Mitchell, T. W. Lee, and M. B. Eberly, “Turnover and retention research: a glance at the past, a closer review of the present, and a venture into the future,” The Academy of Management Annals, vol. 2, no. 1, pp. 231–274, 2008.
- S. Anthony and S. Jack, “Qualitative case study methodology in nursing research: an integrative review,” Journal of Advanced Nursing, vol. 65, no. 6, pp. 1171–1181, 2009.
- D. E. Polkinghorne, “Narrative configuration in qualitative analysis,” Qualitative Studies in Education, vol. 8, no. 1, pp. 5–23, 1995.
- C. K. Riessman, Narrative Analysis, vol. 30 of Qualitative Research Methods, Sage, Thousand Oaks, Calif, USA, 1993.
- B. Flyvbjerg, “Five misunderstandings about case-study research,” Qualitative Inquiry, vol. 12, no. 2, pp. 219–245, 2006.
- L. Luck, D. Jackson, and K. Usher, “Case study: a bridge across the paradigms,” Nursing Inquiry, vol. 13, no. 2, pp. 103–109, 2006.
- K. LaPointe, “Narrating career, positioning identity: career identity as a narrative practice,” Journal of Vocational Behavior, vol. 77, no. 1, pp. 1–9, 2010.
- K. Sharp, “The case for case studies in nursing research: the problem of generalization,” Journal of Advanced Nursing, vol. 27, no. 4, pp. 785–789, 1998.
- C. Jones and C. Lyons, “Case study: design? Method? Or comprehensive strategy?” Nurse researcher, vol. 11, no. 3, pp. 70–76, 2004.
- J. Bruner, “Life as narrative,” Social Research, vol. 54, no. 1, pp. 11–32, 1987.
- A. Lieblich, R. Tuval-Mashiach, and T. Zilber, Narrative Research: Reading, Analysis, and Interpretation, vol. 47, Sage, Thousand Oaks, Calif, USA, 1998.
- C. K. Riessman, “Narrative analysis,” in The Qualitative Researcher’s Companion, A. M. Huberman and B. M. Miles, Eds., pp. 217–270, Sage, Thousand Oaks, Calif, USA, 2002.
- H. Heikkinen, “Whatever is narrative research?” in Narrative Research: Voices of Teachers and Philosophers, R. Huttunen, H. Heikkinen, and L. Syrjälä, Eds., pp. 13–28, Jyväskylä, Finland, SoPhi, 2002.
- C. K. Riessman, Narrative Methods for the Human Sciences, Sage, Thousand Oaks, Calif, USA, 2008.
- J. F. Gubrium and J. A. Holstein, Analyzing Narrative Reality, Sage, Thousand Oaks, Calif, USA, 2009.
- L. R. Cochran, “Narrative as a paradigm for career research,” in Methodological Approaches to the Study of Career, R. A. Young and W. A. Borger, Eds., pp. 71–86, Praeger, New York, NY, USA, 1990.
- U. Isopahkala-Bouret, Joy and struggle for renewal: a narrative inquiry into expertise in job transitions [Ph.D. thesis], Helsinki University Press, Helsinki, Finland, 2005, http://ethesis.helsinki.fi/julkaisut/kay/kasva/vk/isopahkala-bouret/joyandst.pdf.
- H. Ibarra, “Career transition and change,” Insead Faculty & Research, Working paper series 2004/97/OB, 2004, http://www.insead.edu/facultyresearch/research/doc.cfm?did=1477.
- A. De Fina, “Narratives in interview—the case of accounts for an interactional approach to narrative genres,” Narrative Inquiry, vol. 19, no. 2, pp. 233–258, 2009.
- E. Mischler, Research Interviewing: Context and Narrative, Harvard University Press, Cambridge, Mass, USA, 1986.
- M. Sandelowski and J. Leeman, “Writing usable qualitative health research findings,” Qualitative Health Research, vol. 22, no. 10, pp. 1404–1413, 2012.
- D. E. Polkinghorne, “Validity issues in narrative research,” Qualitative Inquiry, vol. 13, no. 4, pp. 471–486, 2007.
- The Finnish Advisory Board on Research Integrity (TENK), “Responsible conduct of research and procedures for handling allegations of misconduct in Finland,” 2012, http://www.tenk.fi/sites/tenk.fi/files/HTK_ohje_2012.pdf.
- J. Cheung, “The decision process of leaving nursing,” Australian Health Review, vol. 28, no. 3, pp. 340–348, 2004.
- H. M. Trice and D. A. Morand, “Rites of passage in work careers,” in Handbook of Career Theory, M. B. Arthur, D. T. Hall, and B. S. Laurence, Eds., pp. 397–416, Cambridge University Press, New York, NY, United States, 1989.
- N. A. Fouad and J. Bynner, “Work transitions,” American Psychologist, vol. 63, no. 4, pp. 241–251, 2008.
- K. Morrell, “Towards a typology of nursing turnover: the role of shocks in nurses' decisions to leave,” Journal of Advanced Nursing, vol. 49, no. 3, pp. 315–322, 2005.
- K. Louise Barriball and A. E. While, “The similarities and differences between nurses with different career choice profiles: findings of an interview survey,” Journal of Advanced Nursing, vol. 23, no. 2, pp. 380–388, 1996.
- B. Enberg, H. Stenlund, G. Sundelin, and A. Öhman, “Work satisfaction, career preferences and unpaid household work among recently graduated health-care professionals—a gender perspective,” Scandinavian Journal of Caring Sciences, vol. 21, no. 2, pp. 169–177, 2007.
- K. Santamäki, T. Kankaanranta, L. Henriksson, and P. Rissanen, “Sairaanhoitaja 2005. Perusraportti. Työraportteja 83/2009,” Tampereen yliopisto, yhteiskuntatieteen yksikkö, Työelämän tutkimuskeskus, Finnish, 2009, http://tampub.uta.fi/handle/10024/65551.
- S. Price, “Future directions for career choice research in nursing: a discussion paper,” International Journal of Nursing Studies, vol. 46, no. 2, pp. 268–276, 2009.
- L. McGillis Hall and D. Kiesners, “A narrative approach to understanding the nursing work environment in Canada,” Social Science & Medicine, vol. 61, no. 12, pp. 2482–2491, 2005.
- J. S. Bell, “Narrative inquiry: more than just telling stories,” TESOL Quarterly, vol. 36, no. 2, pp. 207–213, 2002.
- S. Gordon and S. Nelson, “An end to angels,” American Journal of Nursing, vol. 105, no. 5, pp. 62–69, 2005.
- K. Fletcher, “Image: changing how women nurses think about themselves. Literature review,” Journal of Advanced Nursing, vol. 58, no. 3, pp. 207–215, 2007.
- J. A. Seago, J. Spetz, A. Alvarado, D. Keane, and K. Grumbach, “The nursing shortage: is it really about image?” Journal of Healthcare Management, vol. 51, no. 2, pp. 96–108, 2006.
- K. White, “Nursing as vocation,” Nursing Ethics, vol. 9, no. 3, pp. 279–290, 2002.
- P. Darbyshire and S. Gordon, “Exploring popular images and representations of nurses and nursing,” in Professional Nursing: Concepts, Issues, and Challenges, J. Daly, S. Speedy, D. Jackson, V. Lambert, and C. Lambert, Eds., pp. 69–93, Springer, New York, NY, USA, 2005.
- M. Takase, P. Maude, and E. Manias, “Impact of the perceived public image of nursing on nurses' work behaviour,” Journal of Advanced Nursing, vol. 53, no. 3, pp. 333–343, 2006.
- H. Janiszewski Goodin, “The nursing shortage in the United States of America: an integrative review of the literature,” Journal of Advanced Nursing, vol. 43, no. 4, pp. 335–343, 2003.
- J. M. Bridges, “Literature review on the images of the nurse and nursing in the media,” Journal of Advanced Nursing, vol. 15, no. 7, pp. 850–854, 1990.
- G. Fochsen, K. Sjögren, M. Josephson, and M. Lagerström, “Factors contributing to the decision to leave nursing care: a study among Swedish nursing personnel,” Journal of Nursing Management, vol. 13, no. 4, pp. 338–344, 2005.
- K. Gillett, “A critical discourse analysis of British national newspaper representations of the academic level of nurse education: too clever for our own good?” Nursing Inquiry, vol. 19, no. 4, pp. 297–307, 2012.