Determinants of nurse absenteeism and intent to leave: An international study
AimTo determine factors associated with nurses’ intent to leave their positions and absenteeism.BackgroundThere is a recognized global shortage of nurses but limited data describing and determining factors associated with nurse absenteeism and intent to leave.MethodsThis study involved a secondary a...
| Published in: | Journal of Nursing Management |
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| Main Authors: | , , , , , , , |
| Format: | Article in Journal/Newspaper |
| Language: | unknown |
| Published: |
Sigma Theta Tau International
2019
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| Subjects: | |
| Online Access: | https://hdl.handle.net/2027.42/147841 https://doi.org/10.1111/jonm.12659 |
| _version_ | 1835016519486013440 |
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| author | Burmeister, Elizabeth A. Kalisch, Beatrice J. Xie, Boqin Doumit, Myrna A. A. Lee, Eunjoo Ferraresion, Annamaria Terzioglu, Fusun Bragadóttir, Helga |
| author_facet | Burmeister, Elizabeth A. Kalisch, Beatrice J. Xie, Boqin Doumit, Myrna A. A. Lee, Eunjoo Ferraresion, Annamaria Terzioglu, Fusun Bragadóttir, Helga |
| author_sort | Burmeister, Elizabeth A. |
| collection | Unknown |
| container_issue | 1 |
| container_start_page | 143 |
| container_title | Journal of Nursing Management |
| container_volume | 27 |
| description | AimTo determine factors associated with nurses’ intent to leave their positions and absenteeism.BackgroundThere is a recognized global shortage of nurses but limited data describing and determining factors associated with nurse absenteeism and intent to leave.MethodsThis study involved a secondary analysis of the results from direct‐care registered nurses’ responses to the MISSCARE Survey, with data from seven countries included. Multi‐level modelling was used to determine nurse characteristics and working environment factors associated with nurse absenteeism and intent to leave.ResultsThe level of absenteeism and intent to leave varied significantly across countries, with registered nurses in Lebanon reporting the highest intention to leave within 12 months (43%) and registered nurses in Iceland and Australia the highest level of absenteeism (74% and 73%, respectively). Factors associated with outcomes included perceived staffing adequacy of unit, job satisfaction, and age of the nurse.ConclusionsA significant difference between countries was identified in nurse absenteeism and intent to leave. Increased perception of unit staffing inadequacy, lower job satisfaction, less nurse experience, and younger age were significant contributors to nurse absenteeism and intent to leave.Implications for Nursing ManagementThese findings suggest that regardless of country and hospital, by ensuring that units are adequately staffed and increasing job satisfaction, younger, less experienced nurses can be retained and absenteeism reduced. Peer Reviewed https://deepblue.lib.umich.edu/bitstream/2027.42/147841/1/jonm12659_am.pdf https://deepblue.lib.umich.edu/bitstream/2027.42/147841/2/jonm12659.pdf |
| format | Article in Journal/Newspaper |
| genre | Iceland |
| genre_facet | Iceland |
| id | ftumdeepblue:oai:deepblue.lib.umich.edu:2027.42/147841 |
| institution | Open Polar |
| language | unknown |
| op_collection_id | ftumdeepblue |
| op_container_end_page | 153 |
| op_relation | https://hdl.handle.net/2027.42/147841 doi:10.1111/jonm.12659 Journal of Nursing Management Eisler, R., & Potter, T. M. ( 2014 ). Transforming interprofessional partnerships. Indianapolis, IN: Sigma Theta Tau International. Estryn‐Behar, M., Van derHeijden, B. I., Oginska, H., Camerino, D., LeNezet, O., Conway, P. M., … NEXT Study Group ( 2007 ). The impact of social work environment, teamwork characteristics, burnout, and personal factors upon intent to leave among European nurses. Medical Care, 45 ( 10 ), 939 – 950. https://doi.org/10.1097/MLR.0b013e31806728d8 Griffiths, P., & Dall’Ora, C., Simon, M., Ball, … RN4CAST Consortium ( 2014 ). Nurses’ shift length and overtime working in 12 European countries: The association with perceived quality of care and patient safety. Medical Care, 52 ( 11 ), 975 – 981. https://doi.org/10.1097/MLR.0000000000000233 Griffiths, P., Recio‐Saucedo, A., Dall’Ora, C., Briggs, J., Maruotti, A., Meredith, P. … Missed Care Study Group ( 2018 ). The association between nurse staffing and omissions in nursing care: A systematic review. Journal of Advanced Nursing, https://doi.org/10.1111/jan.13564. Gunnarsdóttir, S., Clarke, S. P., Rafferty, A. M., & Nutbeam, D. ( 2009 ). Front‐line management, staffing and nurse–doctor relationships as predictors of nurse and patient outcomes. A survey of Icelandic hospital nurses. International Journal of Nursing Studies, 46 ( 7 ), 920 – 927. Hairr, D. C., Salisbury, H., Johannsson, M., & Redfern‐Vance, N. ( 2014 ). Nurse staffing and the relationship to job satisfaction and retention. Nursing Economics, 32 ( 3 ), 142. Han, K., Trinkoff, A. M., & Gurses, A. P. ( 2015 ). Work‐related factors, job satisfaction and intent to leave the current job among United States nurses. Journal of Clinical Nursing, 24 ( 21–22 ), 3224 – 3232. https://doi.org/10.1111/jocn.12987 Heinen, M. M., van Achterberg, T., Schwendimann, R., Zander, B., Matthews, A., Kózka, M., & Schoonhoven, L. ( 2013 ). Nurses’ intention to leave their profession: A cross sectional observational study in 10 European countries. International Journal of Nursing Studies, 50 ( 2 ), 174 – 184. https://doi.org/10.1016/j.ijnurstu.2012.09.019 Hughes, R. G., Bobay, K. L., Jolly, N. A., & Suby, C. ( 2015 ). Comparison of nurse staffing based on changes in unit‐level workload associated with patient churn. Journal of Nursing Management, 23 ( 3 ), 390 – 400. https://doi.org/10.1111/jonm.12147 Institute of Medicine ( 2010 ). The future of nursing: Leading change, advancing health. Washington, DC: The National Academies Press. International Council of Nurses ( 2007 ). Position statement. Geneva, Switzerland: International Council of Nurses. International Council of Nurses ( 2014 ). Members. Retrieved from https://www.icn.ch/members/members Kærnested, B., & Bragadóttir, H. ( 2012 ). Delegation of registered nurses revisited: Attitudes towards delegation and preparedness to delegate effectively. Nordic Journal of Nursing Research, 32 ( 1 ), 10 – 15. https://doi.org/10.1177/010740831203200103 Kalisch, B. J. ( 2015 ). Errors of omission: How missed nursing care imperils patients. Silver Spring, MD: American Nurses Association. Kwak, C., Chung, B. Y., Xu, Y., & Eun‐Jung, C. ( 2010 ). Relationship of job satisfaction with perceived organizational support and quality of care among South Korean nurses: A questionnaire survey. International Journal of Nursing Studies, 47 ( 10 ), 1292 – 1298. https://doi.org/10.1016/j.ijnurstu.2010.02.014 Oulton, J. A. ( 2006 ). The global nursing shortage: An overview of issues and actions. Policy Politics and Nursing Practice, 7 ( 3 Suppl. ), 34S – 39S. https://doi.org/10.1177/1527154406293968 Pineau Stam, L. M., Spence Laschinger, H. K., Regan, S., & Wong, C. A. ( 2015 ). The influence of personal and workplace resources on new graduate nurses’ job satisfaction. Journal of Nursing Management, 23 ( 2 ), 190 – 199. https://doi.org/10.1111/jonm.12113 Roelen, C. A. M., Magerøy, N., Van Rhenen, W., Groothoff, J. W., van der Klink, J. J. L., Pallesen, S., … Moen, B. E. ( 2013 ). Low job satisfaction does not identify nurses at risk of future sickness absence: Results from a Norwegian cohort study. International Journal of Nursing Studies, 50 ( 3 ), 366 – 373. https://doi.org/10.1016/j.ijnurstu.2012.09.012 Rosenkoetter, M. M., & Nardi, D. A. ( 2007 ). American Academy of Nursing Expert Panel on Global Nursing and Health: White paper on Global Nursing and Health. Journal of Transcultural Nursing, 18 ( 4 ), 305 – 315. https://doi.org/10.1177/1043659607305188 Sabanciogullari, S., & Dogan, S. ( 2015 ). Relationship between job satisfaction, professional identity and intention to leave the profession among nurses in Turkey. Journal of Nursing Management, 23 ( 8 ), 1076 – 1085. https://doi.org/10.1111/jonm.12256 Yurumezoglu, H. A., & Kocaman, G. ( 2015 ). Predictors of nurses’ intentions to leave the organisation and the profession in Turkey. Journal of Nursing Management, 24 ( 2 ), 235 – 243. Aiken, L. H., Sloane, D. M., Bruyneel, L., Van den Heede, K., Griffiths, P., Busse, R., … McHugh, M. D. ( 2014 ). Nurse staffing and education and hospital mortality in nine European countries: A retrospective observational study. Lancet, 383 ( 9931 ), 1824 – 1830. Aiken, L. H., Sloane, D. M., Clarke, S., Poghosyan, L., Cho, E., You, L., … Aungsuroch, Y. ( 2011 ). Importance of work environments on hospital outcomes in nine countries. International Journal for Quality in Health Care, 23 ( 4 ), 357 – 364. https://doi.org/10.1093/intqhc/mzr022 Baydoun, M., Dumit, M., & Daouk‐Öyry, L. ( 2016 ). What do nurse managers say about nurses’ sickness absenteeism? A new perspective. Journal of Nursing Management, 24, 97 – 104. https://doi.org/10.1111/jonm.12277 Bragadóttir, H., Kalisch, B. J., Smáradóttir, S. B., & Jónsdóttir, H. H. ( 2015 ). Translation and psychometric testing of the Icelandic version of the MISSCARE Survey. Scandinavian Journal of Caring Sciences, 29 ( 3 ), 563 – 572. |
| op_rights | IndexNoFollow |
| publishDate | 2019 |
| publisher | Sigma Theta Tau International |
| record_format | openpolar |
| spelling | ftumdeepblue:oai:deepblue.lib.umich.edu:2027.42/147841 2025-06-15T14:30:38+00:00 Determinants of nurse absenteeism and intent to leave: An international study Burmeister, Elizabeth A. Kalisch, Beatrice J. Xie, Boqin Doumit, Myrna A. A. Lee, Eunjoo Ferraresion, Annamaria Terzioglu, Fusun Bragadóttir, Helga 2019-01 application/pdf https://hdl.handle.net/2027.42/147841 https://doi.org/10.1111/jonm.12659 unknown Sigma Theta Tau International Wiley Periodicals, Inc. https://hdl.handle.net/2027.42/147841 doi:10.1111/jonm.12659 Journal of Nursing Management Eisler, R., & Potter, T. M. ( 2014 ). Transforming interprofessional partnerships. Indianapolis, IN: Sigma Theta Tau International. Estryn‐Behar, M., Van derHeijden, B. I., Oginska, H., Camerino, D., LeNezet, O., Conway, P. M., … NEXT Study Group ( 2007 ). The impact of social work environment, teamwork characteristics, burnout, and personal factors upon intent to leave among European nurses. Medical Care, 45 ( 10 ), 939 – 950. https://doi.org/10.1097/MLR.0b013e31806728d8 Griffiths, P., & Dall’Ora, C., Simon, M., Ball, … RN4CAST Consortium ( 2014 ). Nurses’ shift length and overtime working in 12 European countries: The association with perceived quality of care and patient safety. Medical Care, 52 ( 11 ), 975 – 981. https://doi.org/10.1097/MLR.0000000000000233 Griffiths, P., Recio‐Saucedo, A., Dall’Ora, C., Briggs, J., Maruotti, A., Meredith, P. … Missed Care Study Group ( 2018 ). The association between nurse staffing and omissions in nursing care: A systematic review. Journal of Advanced Nursing, https://doi.org/10.1111/jan.13564. Gunnarsdóttir, S., Clarke, S. P., Rafferty, A. M., & Nutbeam, D. ( 2009 ). Front‐line management, staffing and nurse–doctor relationships as predictors of nurse and patient outcomes. A survey of Icelandic hospital nurses. International Journal of Nursing Studies, 46 ( 7 ), 920 – 927. Hairr, D. C., Salisbury, H., Johannsson, M., & Redfern‐Vance, N. ( 2014 ). Nurse staffing and the relationship to job satisfaction and retention. Nursing Economics, 32 ( 3 ), 142. Han, K., Trinkoff, A. M., & Gurses, A. P. ( 2015 ). Work‐related factors, job satisfaction and intent to leave the current job among United States nurses. Journal of Clinical Nursing, 24 ( 21–22 ), 3224 – 3232. https://doi.org/10.1111/jocn.12987 Heinen, M. M., van Achterberg, T., Schwendimann, R., Zander, B., Matthews, A., Kózka, M., & Schoonhoven, L. ( 2013 ). Nurses’ intention to leave their profession: A cross sectional observational study in 10 European countries. International Journal of Nursing Studies, 50 ( 2 ), 174 – 184. https://doi.org/10.1016/j.ijnurstu.2012.09.019 Hughes, R. G., Bobay, K. L., Jolly, N. A., & Suby, C. ( 2015 ). Comparison of nurse staffing based on changes in unit‐level workload associated with patient churn. Journal of Nursing Management, 23 ( 3 ), 390 – 400. https://doi.org/10.1111/jonm.12147 Institute of Medicine ( 2010 ). The future of nursing: Leading change, advancing health. Washington, DC: The National Academies Press. International Council of Nurses ( 2007 ). Position statement. Geneva, Switzerland: International Council of Nurses. International Council of Nurses ( 2014 ). Members. Retrieved from https://www.icn.ch/members/members Kærnested, B., & Bragadóttir, H. ( 2012 ). Delegation of registered nurses revisited: Attitudes towards delegation and preparedness to delegate effectively. Nordic Journal of Nursing Research, 32 ( 1 ), 10 – 15. https://doi.org/10.1177/010740831203200103 Kalisch, B. J. ( 2015 ). Errors of omission: How missed nursing care imperils patients. Silver Spring, MD: American Nurses Association. Kwak, C., Chung, B. Y., Xu, Y., & Eun‐Jung, C. ( 2010 ). Relationship of job satisfaction with perceived organizational support and quality of care among South Korean nurses: A questionnaire survey. International Journal of Nursing Studies, 47 ( 10 ), 1292 – 1298. https://doi.org/10.1016/j.ijnurstu.2010.02.014 Oulton, J. A. ( 2006 ). The global nursing shortage: An overview of issues and actions. Policy Politics and Nursing Practice, 7 ( 3 Suppl. ), 34S – 39S. https://doi.org/10.1177/1527154406293968 Pineau Stam, L. M., Spence Laschinger, H. K., Regan, S., & Wong, C. A. ( 2015 ). The influence of personal and workplace resources on new graduate nurses’ job satisfaction. Journal of Nursing Management, 23 ( 2 ), 190 – 199. https://doi.org/10.1111/jonm.12113 Roelen, C. A. M., Magerøy, N., Van Rhenen, W., Groothoff, J. W., van der Klink, J. J. L., Pallesen, S., … Moen, B. E. ( 2013 ). Low job satisfaction does not identify nurses at risk of future sickness absence: Results from a Norwegian cohort study. International Journal of Nursing Studies, 50 ( 3 ), 366 – 373. https://doi.org/10.1016/j.ijnurstu.2012.09.012 Rosenkoetter, M. M., & Nardi, D. A. ( 2007 ). American Academy of Nursing Expert Panel on Global Nursing and Health: White paper on Global Nursing and Health. Journal of Transcultural Nursing, 18 ( 4 ), 305 – 315. https://doi.org/10.1177/1043659607305188 Sabanciogullari, S., & Dogan, S. ( 2015 ). Relationship between job satisfaction, professional identity and intention to leave the profession among nurses in Turkey. Journal of Nursing Management, 23 ( 8 ), 1076 – 1085. https://doi.org/10.1111/jonm.12256 Yurumezoglu, H. A., & Kocaman, G. ( 2015 ). Predictors of nurses’ intentions to leave the organisation and the profession in Turkey. Journal of Nursing Management, 24 ( 2 ), 235 – 243. Aiken, L. H., Sloane, D. M., Bruyneel, L., Van den Heede, K., Griffiths, P., Busse, R., … McHugh, M. D. ( 2014 ). Nurse staffing and education and hospital mortality in nine European countries: A retrospective observational study. Lancet, 383 ( 9931 ), 1824 – 1830. Aiken, L. H., Sloane, D. M., Clarke, S., Poghosyan, L., Cho, E., You, L., … Aungsuroch, Y. ( 2011 ). Importance of work environments on hospital outcomes in nine countries. International Journal for Quality in Health Care, 23 ( 4 ), 357 – 364. https://doi.org/10.1093/intqhc/mzr022 Baydoun, M., Dumit, M., & Daouk‐Öyry, L. ( 2016 ). What do nurse managers say about nurses’ sickness absenteeism? A new perspective. Journal of Nursing Management, 24, 97 – 104. https://doi.org/10.1111/jonm.12277 Bragadóttir, H., Kalisch, B. J., Smáradóttir, S. B., & Jónsdóttir, H. H. ( 2015 ). Translation and psychometric testing of the Icelandic version of the MISSCARE Survey. Scandinavian Journal of Caring Sciences, 29 ( 3 ), 563 – 572. IndexNoFollow nursing job satisfaction staffing absenteeism intent‐to‐leave Health Sciences Article 2019 ftumdeepblue 2025-06-04T05:59:24Z AimTo determine factors associated with nurses’ intent to leave their positions and absenteeism.BackgroundThere is a recognized global shortage of nurses but limited data describing and determining factors associated with nurse absenteeism and intent to leave.MethodsThis study involved a secondary analysis of the results from direct‐care registered nurses’ responses to the MISSCARE Survey, with data from seven countries included. Multi‐level modelling was used to determine nurse characteristics and working environment factors associated with nurse absenteeism and intent to leave.ResultsThe level of absenteeism and intent to leave varied significantly across countries, with registered nurses in Lebanon reporting the highest intention to leave within 12 months (43%) and registered nurses in Iceland and Australia the highest level of absenteeism (74% and 73%, respectively). Factors associated with outcomes included perceived staffing adequacy of unit, job satisfaction, and age of the nurse.ConclusionsA significant difference between countries was identified in nurse absenteeism and intent to leave. Increased perception of unit staffing inadequacy, lower job satisfaction, less nurse experience, and younger age were significant contributors to nurse absenteeism and intent to leave.Implications for Nursing ManagementThese findings suggest that regardless of country and hospital, by ensuring that units are adequately staffed and increasing job satisfaction, younger, less experienced nurses can be retained and absenteeism reduced. Peer Reviewed https://deepblue.lib.umich.edu/bitstream/2027.42/147841/1/jonm12659_am.pdf https://deepblue.lib.umich.edu/bitstream/2027.42/147841/2/jonm12659.pdf Article in Journal/Newspaper Iceland Unknown Journal of Nursing Management 27 1 143 153 |
| spellingShingle | nursing job satisfaction staffing absenteeism intent‐to‐leave Health Sciences Burmeister, Elizabeth A. Kalisch, Beatrice J. Xie, Boqin Doumit, Myrna A. A. Lee, Eunjoo Ferraresion, Annamaria Terzioglu, Fusun Bragadóttir, Helga Determinants of nurse absenteeism and intent to leave: An international study |
| title | Determinants of nurse absenteeism and intent to leave: An international study |
| title_full | Determinants of nurse absenteeism and intent to leave: An international study |
| title_fullStr | Determinants of nurse absenteeism and intent to leave: An international study |
| title_full_unstemmed | Determinants of nurse absenteeism and intent to leave: An international study |
| title_short | Determinants of nurse absenteeism and intent to leave: An international study |
| title_sort | determinants of nurse absenteeism and intent to leave: an international study |
| topic | nursing job satisfaction staffing absenteeism intent‐to‐leave Health Sciences |
| topic_facet | nursing job satisfaction staffing absenteeism intent‐to‐leave Health Sciences |
| url | https://hdl.handle.net/2027.42/147841 https://doi.org/10.1111/jonm.12659 |