Assessment of the magnitude and associated factors ofturnover intention among nurses working in emergency departments of three selected governmental hospitals in Addis Ababa, Ethiopia, 2018
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Date
2018-06
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Addis Ababa Universty
Abstract
Back ground: Nurses’ turnover is defined as resignation of a licensed nurse from a hospital due
to various factors. However Nurses’ turnover from Emergency department can be nurses’
preference of working in other departments within the same hospital or totally to leave the
hospital. Actual turnover is expected to increase as the intention increases. Emergency
Department nurses are especially vulnerable to turnover because of their increased potential for
developing burnout and compassion fatigue in which work environment has a great role.
Objective: To assess the magnitude and associated factors of turnover intention among nurses
working in emergency departments of selected governmental hospitals in Addis Ababa, Ethiopia.
Methods: Institution based cross-sectional study was carried out on 102 nurses conveniently in
three selected governmental hospitals, Addis Ababa from February 19 to march 31 2018, using
structured pre tested self-administered questionnaire. Logistic regression model was fitted and
adjusted odds ratio with 95% confidence interval was calculated to identify associated factors.
Result: A total of 102 respondents were involved with a response rate of 91.1%. Among them,
46(45.1%) respondents had intention to leave the hospital. three significant predictors of nurses
working in emergency departments ’ intention to leave their jobs: holding diploma rather than
master (adjusted Odds ratio (OR) =4.700, 95% confidence interval (CI)=1.033, 590.772;
p<0.048), having Less than 3145 ETB monthly income more highly (adjusted OR=6.049, 95%
CI=1.056,34.641; p<0.043) and professional autonomy (adjusted OR=0.191, 95% CI=0.040,
0.908; p<0.037).
Conclusion and recommendation: Nearly half of the respondents had been intention to leave
the organization. Educational status; monthly income and autonomy were significantly
associated with nurses‟ turnover intention in three governmental hospitals. Ward managers,
ENA and MOH might have made efforts to enhance nurses‟ independent decision making for
patient care activities and shared decision over work or unit related activities.
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Keywords
Addis Ababa, emergency department, Ethiopia, nurse, Turnover intention,