Influence of Striving for Work–Life Balance and Sense of Coherence on Intention to Leave Among Nurses: A 6-Month Prospective Survey
Open Access
- 1 January 2021
- journal article
- research article
- Published by SAGE Publications in INQUIRY: The Journal of Health Care Organization, Provision, and Financing
Abstract
The increase in the elderly population in need of healthcare services has led to a serious shortage in the nursing workforce. To retain a large nursing workforce, a strong work–life balance among nurses is needed along with a healthy work environment. This prospective study investigates the influence of work–life balance and sense of coherence on intention to leave among hospital nurses. A questionnaire survey was conducted with 2239 nurses as a baseline. The explanatory variables included striving for work–life balance behavior, a sense of coherence in terms of personal resources, and work-, organizational-, and individual-related factors. Using a cohort of 1368 valid responses, we measured intention to leave among 975 nurses with whom we were able to follow up 6 months after the baseline survey. We then performed multiple regression analysis. The behavior striving for work–life balance was shown to influence nurses’ intention to leave. Nurses who exhibited less striving for work–life balance behavior showed higher intentions to leave. The sense of coherence was not identified as a factor affecting intention to leave. Securing a comfortable work–life balance would reduce the nurses’ desire to quit the hospital. To reduce nurse turnover, nurse managers should develop support programs that can help nurses achieve a better work–life balance.Keywords
Funding Information
- JSPS KAKENHI (JP18K10248)
This publication has 24 references indexed in Scilit:
- Multimorbidity—older adults need health care that can count past oneThe Lancet, 2015
- A prospective study of nurses’ intentions to leave the profession during their first five years of practice in SwedenInternational Journal of Nursing Studies, 2014
- Causes and consequences of occupational stress in emergency nurses, a longitudinal studyJournal of Nursing Management, 2013
- Nurse turnover: A literature review – An updateInternational Journal of Nursing Studies, 2012
- Sense of coherence is associated with reduced psychological responses to job stressors among Japanese factory workersBMC Research Notes, 2012
- Reward frustration at work and intention to leave the nursing profession—Prospective results from the European longitudinal NEXT studyInternational Journal of Nursing Studies, 2011
- Longitudinal Analysis of Personal and Work-Related Factors Associated With Turnover Among NursesNursing Research, 2010
- Burnout and job stress in a local government: The moderating effect of sense of coherenceSA Journal of Industrial Psychology, 2003
- Job Satisfaction and Turnover Among NursesNursing Research, 1995
- Risk for reduced sperm quality among metal workers, with special reference to welders.Scandinavian Journal of Work, Environment & Health, 1988