Moving on? Predictors of intent to leave among rural and remote RNs in Canada

Stewart, Norma J, D'Arcy, Carl, Kosteniuk, Julie, Andrews, Mary Ellen, Morgan, Debra, Forbes, Dorothy, MacLeod, Martha L P, Kulig, Judith and Pitblado, Roger (2011) Moving on? Predictors of intent to leave among rural and remote RNs in Canada. The Journal of Rural Health, 27 1: 103-113. doi:10.1111/j.1748-0361.2010.00308.x

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Author Stewart, Norma J
D'Arcy, Carl
Kosteniuk, Julie
Andrews, Mary Ellen
Morgan, Debra
Forbes, Dorothy
MacLeod, Martha L P
Kulig, Judith
Pitblado, Roger
Title Moving on? Predictors of intent to leave among rural and remote RNs in Canada
Journal name The Journal of Rural Health   Check publisher's open access policy
ISSN 0890-765X
Publication date 2011-12-01
Year available 2010
Sub-type Article (original research)
DOI 10.1111/j.1748-0361.2010.00308.x
Volume 27
Issue 1
Start page 103
End page 113
Total pages 11
Place of publication Hoboken, NJ, United States
Publisher Wiley-Blackwell Publishing
Language eng
Formatted abstract
Context: Examination of factors related to the retention or voluntary turnover of Registered Nurses (RNs) has mainly focused on urban, acute care settings. Purpose: This paper explored predictors of intent to leave (ITL) a nursing position in all rural and remote practice settings in Canada. Based on the conceptual framework developed for this project, potential predictors of ITL were related to the individual RN worker, the workplace, the community context, and satisfaction related to both the workplace and the community(s) within which the RN lived and worked. Methods: A national cross-sectional mail survey of RNs in rural and remote Canada provided the data (n = 3,051) for the logistic regression analysis of predictors of ITL. Findings: We found that RNs were more likely to plan to leave their nursing position within the next 12 months if they: were male, reported higher perceived stress, did not have dependent children or relatives, had higher education, were employed by their primary agency for a shorter time, had lower community satisfaction, had greater dissatisfaction with job scheduling, had lower satisfaction with their autonomy in the workplace, were required to be on call, performed advanced decisions or practice, and worked in a remote setting. Conclusions: The statistical evidence for predictors of ITL supported our framework with determinants related to the individual, the workplace, the community, and satisfaction levels. The importance of community makes this framework uniquely relevant to the rural health context. Our findings should guide policy makers and employers in developing retention strategies. © 2010 National Rural Health Association.
Keyword Health services research
Intent to leave
Remote nursing
Rural nursing
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article first published online: 13 JUL 2010

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Nursing, Midwifery and Social Work Publications
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Citation counts: TR Web of Science Citation Count  Cited 19 times in Thomson Reuters Web of Science Article | Citations
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Created: Mon, 11 Apr 2011, 19:45:49 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work