Vol. 3 No. 4 (2024): caring for nurses
Articles

Exploring the Impact of Organizational Well-Being on Intention to Leave the Nursing Profession: a Scoping Review

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  • Rossella Roberta Basso,
  • Valerio Della Bella,
  • Jacopo Fiorini,
  • Alessandro Sili
Rossella Roberta Basso
Department of Biomedicine and Prevention, University of Tor Vergata, Rome, Italy
Valerio Della Bella
Department of Biomedicine and Prevention, University of Tor Vergata, Rome, Italy
Jacopo Fiorini
Department of Nursing Professions, University Hospital of Tor Vergata, Rome, Italy
Alessandro Sili
Department of Nursing Professions, University Hospital of Tor Vergata, Rome, Italy
DOI: https://doi.org/10.36253/if-3122

Published 2024-12-31

Keywords

  • Occupational Health,
  • Psychological Well-Being,
  • Working Conditions,
  • Nurses,
  • Personnel Turnover,
  • Intention,
  • Job Satisfaction,
  • Health Resources
    • ...More
    Less

Copyright (c) 2024 Rossella Roberta Basso, Valerio Della Bella, Jacopo Fiorini, Alessandro Sili

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Introduction. In several countries, the desire among nurses to leave their profession is a significant concern. Recent studies highlight a relationship between the nursing working context and the intention to leave the profession, indicating that suboptimal working conditions significantly influence the willingness to remain a nurse. This literature review aims to define the relationship between nurses' organizational well-being and intention to leave the profession, analyzing which organizational well-being variables influence this decision.

Materials and methods. A scoping review was conducted on PubMed, Scopus, CINAHL, and Cochrane. The Joanna Briggs Institute’s (JBI) methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines have been followed. Critical appraisal and data extraction were conducted using the JBI tools. Data were extracted and analyzed according to narrative synthesis.

Results. The search yielded 3,224 references. Following the review process, twelve articles were included in the review. Four main categories of variables were identified: job satisfaction, working conditions, physical-psychosocial health, and economic and professional recognition. Balanced workloads and organizational demands, adequate resources, and positive relationships between colleagues and patients characterized a supportive work environment where nurses lived in a condition of well-being and their intention to leave the profession decreased. In contrast, high workloads, overtime, insufficient resources, and lack of managerial support increased the intention to leave the profession.

Discussion. The relationship between nurses' well-being and their intention to leave the profession has been identified. Healthcare organizations should improve the individual and organizational well-being of nurses as strategies to promote their retention. Understanding turnover drivers enabled healthcare managers to address critical issues that promoted retention by fostering sustainable work environments. Future multicenter studies should implement interventions to promote organizational well-being and evaluate the nurses' turnover intentions.

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