Factors that influence nurses’ intention to leave adult critical care areas: A mixed-method sequential explanatory study
type: CreativeWork
description: Background: The shortage of critical care nurses is a global concern. Although all areas of nursing are affected, critical care areas are especially vulnerable to retention problems. Nurse retention in critical care areas impacts nursing shortages, staff morale, productivity, patient safety, and quality patient outcomes. The issue of nurse retention in critical care areas is evident; however, research into the factors that influence nurses’ intention to leave adult critical care areas is limited. Exploring factors that influence nurses' intention to leave adult critical care areas is therefore important and may help in the development of strategies to improve nurse retention, reduce critical care nursing shortages, and thus improve the quality of patient care. Aim: To examine factors that may influence nurses' intention to leave adult critical care areas and to explore critical care nurses' views and experiences about their working conditions. Method: A sequential explanatory mixed-method design was used. The main purpose was to use qualitative data to expand on the findings generated using a quantitative approach. Data were collected in two phases from November 2017 to April 2018. An adapted version of the Nursing Work Index-Revised (NWI-R) tool was used in phase one to survey all nurses currently working in adult critical care areas across England; 345 surveys were returned. Data were analysed using chi-square tests, t-tests, factor analysis and logistic regression analysis to determine factors that were associated with nurses’ intention to leave. Content analysis was carried out to analyse qualitative comments collected in phase one in response to the three intentions to leave questions. Semi-structured telephone interviews were carried out with a purposive sample of critical care nurses in phase 2 to gain in-depth accounts of the factors identified in phase 1 and to explore possible solutions to retain nurses. Qualitative data were collected from 15 participants…
abstract: Background: The shortage of critical care nurses is a global concern. Although all areas of nursing are affected, critical care areas are especially vulnerable to retention problems. Nurse retention in critical care areas impacts nursing shortages, staff morale, productivity, patient safety, and quality patient outcomes. The issue of nurse retention in critical care areas is evident; however, research into the factors that influence nurses’ intention to leave adult critical care areas is limited. Exploring factors that influence nurses' intention to leave adult critical care areas is therefore important and may help in the development of strategies to improve nurse retention, reduce critical care nursing shortages, and thus improve the quality of patient care. Aim: To examine factors that may influence nurses' intention to leave adult critical care areas and to explore critical care nurses' views and experiences about their working conditions. Method: A sequential explanatory mixed-method design was used. The main purpose was to use qualitative data to expand on the findings generated using a quantitative approach. Data were collected in two phases from November 2017 to April 2018. An adapted version of the Nursing Work Index-Revised (NWI-R) tool was used in phase one to survey all nurses currently working in adult critical care areas across England; 345 surveys were returned. Data were analysed using chi-square tests, t-tests, factor analysis and logistic regression analysis to determine factors that were associated with nurses’ intention to leave. Content analysis was carried out to analyse qualitative comments collected in phase one in response to the three intentions to leave questions. Semi-structured telephone interviews were carried out with a purposive sample of critical care nurses in phase 2 to gain in-depth accounts of the factors identified in phase 1 and to explore possible solutions to retain nurses. Qualitative data were collected from 15 participants…
author: Khan, Nadeem
language: en
date published: 2021
date modified: 2026-07-24T03:43:13Z
provider: Oxford Brookes University
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: Oxford Brookes University

PropertyValue
property ID: DOI
value: 10.24384/766g-mz19