Nursing theory and concept development: A theoretical model of clinical nurses' intentions to stay in their current positions

Journal of Advanced Nursing

Volumn 68, Issue 7, 2012, Pages 1646-1657

  Cowden, Tracy L ^a   Cummings, Greta G ^b  

^a ALBERTA HEALTH SERVICES   (Canada)

^b UNIVERSITY OF ALBERTA   (Canada)

Author keywords

Concept analysis; Desire to stay; Empowerment; Intent to stay; Leadership; Theoretical model

Indexed keywords

ARTICLE; BEHAVIOR; HUMAN; JOB SATISFACTION; LEADERSHIP; MENTAL STRESS; NURSING METHODOLOGY RESEARCH; NURSING STAFF; NURSING THEORY; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PERSONNEL MANAGEMENT; PSYCHOLOGICAL ASPECT; THEORETICAL MODEL; WORKPLACE;

HUMANS; INTENTION; JOB SATISFACTION; LEADERSHIP; MODELS, THEORETICAL; NURSING METHODOLOGY RESEARCH; NURSING STAFF; NURSING THEORY; ORGANIZATIONAL CULTURE; PERSONNEL LOYALTY; PERSONNEL TURNOVER; STRESS, PSYCHOLOGICAL; WORKPLACE;

EID: 84862647355     PISSN: 03092402     EISSN: 13652648     Source Type: Journal    
DOI: 10.1111/j.1365-2648.2011.05927.x     Document Type: Article

References (78)

1. AbuAlRub R.F. (2010) Work and non-work social support and intent to stay among Jordanian nurses. International Nursing Review57, 195-201.
2. Allen N.J. & Meyer J.P. (1990) The measurement and antecedents of affective, continuance, and normative commitment to the organization. Journal of Occupational Psychology63, 1-18.
3. Allen D.G., Griffeth R.W., Vardaman J.M., Aquino K., Gaertner S. & Lee M. (2009) Structural validity and generalizability of a referent cognitions model of turnover intentions. Applied Psychology58(4), 709-728.
4. Borda R.G. & Norman I.J. (1997) Factors influencing turnover and absence of nurses a research review. International Journal of Nursing Studies34(6), 385-394.
5. Boswell C. (1992) Work stress and job satisfaction for the community health nurse. Journal of Community Health Nursing9(4), 221-227.
6. Boyle D.K., Bott M.J., Hansen H.E., Woods C.Q. & Taunton R.L. (1999) Managers' leadership and critical care nurses' intent to stay. American Journal of Critical Care8(6), 361-371.
7. Brewer C.S., Kovner C.T., Greene W. & Cheng Y. (2009) Predictors of RNs' intent to work and work decisions one year later in a U.S. national sample. International Journal of Nursing Studies46, 940-956.
8. Buchan J. (1999) Still attractive after all these years? Magnet hospitals in a changing health care environmentJournal of Advanced Nursing30(1), 100-108.
9. Center for Reviews and Dissemination, University of York (2009) CRD's guidance for undertaking reviews in healthcare. York: CRD, University of York. Retrieved from on 14 May 2009.
10. Chen H.-C., Chu C-I., Wang Y.-H. & Lin L.-C. (2008) Turnover factors revisited: a longitudinal study of Taiwan-based staff nurses. International Journal of Nursing Studies45, 277-285.
11. Cho S., Johanson M.M. & Guchait P. (2009) Employee's intent to leave: a comparison of determinants of intent to leave versus intent to stay. International Journal of Hospitality Management28, 374-381.
12. Cohen J. & Stuenkel D. (2009) Providing a healthy work environment for nurses. The influence on retention. Journal of Nursing Quality24(4), 308-315.
13. Coomber B. & Barriball K.L. (2007) Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: a review of the research literature. International Journal of Nursing Studies44, 297-314.
14. Cowden T., Cummings G. & Profetto-McGrath J. (2011) Leadership practices and staff nurses' intent to stay: a systematic review. Journal of Nursing Management19, 461-477.
15. El-Jardali F., Merhi M., Jamal D. & Dumit N. (2009) Assessment of nurse retention challenges and strategies in Lebanese hospitals: the perspective of nursing directors. Journal of Nursing Management17, 453-462.
16. Ellenbecker C.H., Samia L., Cushman M.J. & Porell F.W. (2007) Employer retention strategies and their effect on nurses' job satisfaction and intent to stay. Home Health Care Services Quarterly26(1), 43-58.
17. Flinkman M., Laine M., Leino-Kilpi H., Hasselhorn H.M. & Salentera S. (2008) Explaining young registered Finnish nurses; intentions to leave the profession: a questionnaire survey. International Journal of Nursing Studies45, 727-739.
18. Greco P., Laschinger H.K.S. & Wong C. (2006) Leader empowering behaviours, staff nurse empowerment and work engagement/burnout. Canadian Journal of Nursing Leadership19(4), 41-56.
19. Gregory D.M., Way C.Y., LeFort S., Barrett B.J. & Parfrey P.S. (2007) Predictors of registered nurses' organizational commitment and intent to stay. Health Care Management Review32(2), 119-127.
20. Griffeth R.W., Hom P.W. & Gaertner S. (2000) A meta-analysis of antecedents and correlates of employee turnover: update, moderator tests, and research implications for the next millennium. Journal of Management26(3), 463-488.
21. Griffeth R.W., Steel R.P., Allen D.G. & Bryan N. (2005) The development of a multidimensional measure of job market cognitions: the employment opportunity index. Journal of Applied Psychology90, 335-349.
22. Hart S.E. (2005) Hospital ethical climates and registered nurses turnover intentions. Journal of Nursing Scholarship37(2), 173-177.
23. Hayduk L. (1987) Structural Equation Modeling with LISREL. John Hopkins University Press, Baltimore, Maryland.
24. Hayes L.J., O'Brien-Pallas L., Duffield C., Shamian J., Buchan J., Hughes F., Laschinger H.K.S., North N. & Stone P.W. (2006) Nursing turnover: a literature review. International Journal of Nursing Studies43, 237-263.
25. Hayhurst A., Saylor C. & Stuenkel D. (2005) Work environmental factors and retention of nurses. Journal of Nursing Care Quality20(3), 283-288.
26. Hegney D., McCarthy A., Rogers-Clark C. & Gorman D. (2002) Retaining rural and remote area nurses. Journal of Nursing Administration32(3), 128-135.
27. Hibberd J.M. & Smith D.L. (2006)Nursing Leadership and Management in Canada (3rd edn). Elsevier Mosby, Toronto, ON.
28. Hom P.W., Caranikas-Walker F. & Prussia G.E. (1992) A meta-analytical structural equation analysis of a model of employee turnover. Journal of Applied Psychology77(6), 890-909.
29. Ingersoll G.L., Olsan T., Drew-Cates J., DeVinney B.C. & Davies J. (2002) Nurses' job satisfaction, organizational commitment and career intent. Journal of Nursing Administration32(5), 250-263.
30. Kanter R.M. (1977) Men and Women of the Corporation. Basic Books, New York, NY.
31. Keys Y. (2009) Perspectives on autonomy. Journal of Nursing Administration39(9), 357-359.
32. Knol J. & van Linge R. (2009) Innovative behavior: the effect of structural and psychological empowerment on nurses. Journal of Advanced Nursing65(2), 359-370.
33. Kovner C.T., Brewer C.S., Greene W. & Fairchild S. (2009) Understanding new registered nurses' intent to stay at their jobs. Nursing Economics27(2), 81-98.
34. Larrabee J.H., Janney M.A., Ostrow C.L., Withrow M.L., Hobbs J.R. & Burant C. (2003) Predicting registered nurse job satisfaction and intent to leave. Journal of Nursing Administration33(5), 271-283.
35. Larrabee J.H., Wu Y., Persily C.A., Simoni P.S., Johnston P.A., Marcishak Y.L., Mott C.L. & Gladden S.D. (2010) Influence of stress resiliency on RN job satisfaction and intent to stay. Western Journal of Nursing Research32(1), 81-102.
36. Laschinger H.K.S. (2008) Effect of empowerment on professional practices environments, work satisfaction and patient care quality; Further testing of the nursing worklife model. Journal of Nursing Care Quality23(4), 322-330.
37. Laschinger H.K.S., Finegan J., Shamian J. & Wilk P. (2004) A longitudinal analysis of the impact of workplace empowerment on job satisfaction. Journal of Organizational Behavior25, 527-565.
38. Laschinger H.K.S., Gilbert S., Smith L.M. & Leslie K. (2010) Towards a comprehensive theory of nurse empowerment: applying Kanter's empowerment theory to patient care. Journal of Nursing Management18, 4-13.
39. Lavoie-Tremblay M., O'Brien-Pallas L., Gelinas C., Desforges N. & Marchionni C. (2008) Addressing the turnover issues among new nurses from a generational viewpoint. Journal of Nursing Management16(6), 724-733.
40. Lu H., While A.E. & Barriball L. (2005) Job satisfaction among nurses: a literature review. International Journal of Nursing Studies42, 211-227.
41. Lum L., Kervin J., Clark K., Reid F. & Sirola W. (1998) Explaining nursing turnover intent: job satisfaction, pay satisfaction, or organizational commitment?Journal of Organizational Behaviour19, 305-320.
42. Lynn M.R. & Redman R.W. (2005) Faces of the nursing shortage: influences on staff nurses' intentions to leave their positions or nursing. Journal of Nursing Administration35(5), 264-270.
43. Ma J.-C., Yang Y.-C., Lee P.-H. & Chang W.-Y. (2009) Predicting factors related to nurses' intentions to leave, job satisfaction and perceptions of quality of care in acute care hospitals. Nursing Economics27(3), 178-202.
44. Manion J. (2003) Joy at work!Journal of Nursing Administration23(12), 652-659.
45. Marquis B.L. & Huston C.J. (2009) Leadership Roles and Management Functions in Nursing: Theory and Application. Lippincott Williams & Wilkins, Philadelphia, PA.
46. McCarthy G., Tyrrell M.P. & Lehane E. (2007) Intention to leave or stay in nursing. Journal of Nursing Management15, 248-255.
47. McNeese-Smith D.K. & van Servellen G. (2000) Age, developmental and job stage influences on outcomes. Outcomes Management for Nursing4(2), 97-104.
48. Mowday R.T., Steers R.M. & Porter L.M. (1979) The measurement of organizational commitment. Journal of Vocational Behavior14, 224-247.
49. Mrayyan M.Y. (2008) Predictors of hospitals' organizational climate and nurse's intent to stay in Jordanian hospitals. Journal of Nursing Research13(3), 220-223.
50. Ning S., Zhong H., Libo W. & Qiujie L. (2009) The impact of nurse empowerment on job satisfaction. Journal of Nursing Administration65(12), 2642-2648.
51. Oztunc G. (2006) Examination of incidents of workplace verbal abuse against nurses. Journal of Nursing Quality21(4), 360-365.
52. Pauly B., Varcoe C., Storch J. & Newton l. (2009) Registered nurses' perception of moral distress and ethical climate. Nursing Ethics16(5), 561-573.
53. Price J.L. (2001) Reflections on the determinants of voluntary turnover. International Journal of Manpower22(7), 600-624.
54. Rice E.M., Rady M.Y., Hamrick A., Verheijde J.L. & Pendergast D.K. (2008) Determinants of moral distress in medical and surgical nurses at an adult acute tertiary care hospital. Journal of Nursing Management16, 360-373.
55. Roche M., Diers D., Duffield C. & Catling-Paull C. (2010) Violence toward nurses, the work environment and patient outcomes. Journal of Nursing Scholarship42(1), 13-22.
56. Rosen C.C., Harris K.J. & Kacmar K.M. (2009) The emotional implications of organizational politics: a process model. Human Relations62(1), 27-57.
57. Shader K., Broome M.E., Broome C.D., West M.E. & Nash M. (2001) Factors influencing satisfaction and anticipated turnover for nurses in an academic medical center. Journal of Nursing Administration31(4), 210-216.
58. Shields M.A. & Ward M. (2001) Improving nurse retention in the National Health Service in England: the impact of job satisfaction on intention to quit. Journal of Health Economics20, 677-701.
59. Sofield L. & Salmond S.W. (2003) A focus on verbal abuse and intent to leave the organization. Orthopedic Nursing22(4), 274-283.
60. Sourdif J. (2004) Predictors of nurses' intent to stay at work in a university health center. Nursing and Health Science6(1), 59-68.
61. Spreitzer G.M. (1995) Psychological empowerment in the workplace: dimensions and validation. Academy of Management Journal38(5), 1442-1465.
62. Storey C., Cheater F., Ford J. & Leese B. (2009) Retention of nurses in the primary and community care workforce after the age of 50years: database analysis and literature review. Journal of Advanced Nursing65(8), 1596-1605.
63. Stone P.W., Mooney-Kane C., Larson E.L., Pastor D.K., Zwanziger J. & Dick A.W. (2007) Nurse working conditions, organizational climate, and intent to leave in ICUs: an instrumental variable approach. Health services research42(3 Pt 1), 1085-1104.
64. Strachota E., Normandin P., O'Brien N. & Krukow B. (2003) Reasons registered nursed leave or change employment status. Journal of Nursing Administration33(2), 111-117.
65. Tabachnick B.G. & Fidell L.S. (2007)Using Multivariate Statistics (5th edn). Pearson Education Inc., Boston, MA.
66. Tai T.W.C., Bame S.I. & Robinson C.D. (1998) Review of nursing turnover research, 1977-1996. Social Sciences and Medicine47(12), 1905-1924.
67. Tallman R. & Bruning N.S. (2005) Hospital nurses' intentions to remain; exploring a northern context. The Health Care Manager24(1), 32-43.
68. Taunton R.L., Boyle D.K., Woods C.Q., Hansen H.E. & Bott M.J. (1997) Manager leadership and retention of hospital staff nurses. Western Journal of Nursing Research19(2), 205-226.
69. Tomblin Murphy G.T., Birch S., Alder R., MacKenzie A., Lethbridge L., Little L. & Cook A. (2009) Tested Solutions for Eliminating Canada's Registered Nurse Shortage. Canadian Nurses Association, Ottawa.
70. Tourangeau A.E. & Cranley L.A. (2006) Nurse intention to remain employed: understanding and strengthening determinants. Journal of Advanced Nursing55(4), 497-509.
71. Tourangeau A.E., Cummings G.G., Cranley L.A., Ferron E.M. & Harvey S. (2010) Determinants of hospital nurse intention to remain employed: broadening our understanding. Journal of Advanced Nursing66(1), 22-32.
72. Trafimow D., Sheeran P., Lombardo B. & Finlay K.A. (2004) Affective and cognitive control of persons and behaviors. British Journal of Social Psychology43, 207-224.
73. Violato C. & Hecker K.G. (2007) How to use structural equation modeling in medical education research: a brief guide. Teaching and Learning in Medicine19(4), 362-371.
74. Wagner C.M. (2007) Organizational commitment as a predictor variable in nursing turnover research: literature review. Journal of Advanced Nursing60(3), 235-247.
75. Wagner J.I.J., Cummings G., Smith D.L., Olson J., Anderson L. & Warren S. (2010) The relationship between structural empowerment and psychological empowerment for nurses: a systematic review. Journal of Nursing Management18, 448-462.
76. Wilson C. (2006) Why stay in nursing. Nursing Management12(9), 24-32.
77. Yildiz Z., Ayhan S. & Erdogmus S. (2009) The impact of nurses' motivation to work, job satisfaction and sociodemographic characteristics on intention to quit their current job: an empirical study in Turkey. Applied Nursing Research22, 113-118.
78. Zurmehly J., Martin P.A. & Fitzpatrick J.J. (2009) Registered nurse empowerment and intent to leave current position and/or profession. Journal of nursing management17(3), 383-391.