The impact of the COVID-19 pandemic on future nursing career turnover intention among nursing students

Introduction: A shortage of nurses has been a major global concern, particularly during pandemics. Nursing students turning away from the nursing profession upon graduation may exacerbate nursing workforce shortfalls. The main objective of this study was to assess perceived occupational turnover int...

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Main Authors: Lin, Yulan, Hu, Zhijian, Danaee, Mahmoud, Alias, Haridah, Wong, Li Ping
Format: Article
Published: Dove Medical Press Ltd. PO Box 300-008, Albany, Auckland 0752, New ZealandAND 2021
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Online Access:http://eprints.um.edu.my/28154/
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spelling my.um.eprints.281542022-07-25T06:37:21Z http://eprints.um.edu.my/28154/ The impact of the COVID-19 pandemic on future nursing career turnover intention among nursing students Lin, Yulan Hu, Zhijian Danaee, Mahmoud Alias, Haridah Wong, Li Ping R Medicine (General) Introduction: A shortage of nurses has been a major global concern, particularly during pandemics. Nursing students turning away from the nursing profession upon graduation may exacerbate nursing workforce shortfalls. The main objective of this study was to assess perceived occupational turnover intention among nursing students and associated factors (fear of COVID-19 and life satisfaction). Students were also asked to provide suggestions that could enhance their intention to join the nursing profession. Methods: An online survey was sent to all registered undergraduate nursing students at Fujian Medical University, China. The partial least squares structural equation model (PLSSEM) was used to investigate key factors influencing turnover intention. Results: A total of 1020 complete responses were received (response rate: 86.2%). Nearly half (49.1%) reported that they would choose not to be on a nursing course if given a choice, 45.4% often think of not going into the nursing profession in the future, and 23.7% would consider entering a healthcare industry that has zero contact with patients. The total turnover intention score range was 3 to 15, and the mean +/- standard deviation (SD) was 9.2 (SD +/- 2.5). PLS-SEM path analysis revealed that fear of COVID-19 (13 = 0.226, p < 0.001) had a positive effect on turnover intention. Satisfaction with life (13 = -0.212, p < 0.001) had a negative effect on turnover intention. Analysis of open-ended survey data on students' perspectives on how to encourage nursing students to enter the nursing workforce revealed five central themes: 1) professional role, respect, and recognition; 2) higher wages; 3) reduce workload; 4) enhance occupational health and safety; and 5) career advancement opportunities. Conclusion: Factors influencing turnover intention and suggestions to reduce students' apprehension towards joining the nursing profession found in this study should be seriously taken into consideration in initiatives to address the nurse shortages. Dove Medical Press Ltd. PO Box 300-008, Albany, Auckland 0752, New ZealandAND 2021 Article PeerReviewed Lin, Yulan and Hu, Zhijian and Danaee, Mahmoud and Alias, Haridah and Wong, Li Ping (2021) The impact of the COVID-19 pandemic on future nursing career turnover intention among nursing students. Risk Management and Healthcare Policy, 14. pp. 3605-3615. ISSN 1179-1594, DOI https://doi.org/10.2147/RMHP.S322764 <https://doi.org/10.2147/RMHP.S322764>. 10.2147/RMHP.S322764
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine (General)
spellingShingle R Medicine (General)
Lin, Yulan
Hu, Zhijian
Danaee, Mahmoud
Alias, Haridah
Wong, Li Ping
The impact of the COVID-19 pandemic on future nursing career turnover intention among nursing students
description Introduction: A shortage of nurses has been a major global concern, particularly during pandemics. Nursing students turning away from the nursing profession upon graduation may exacerbate nursing workforce shortfalls. The main objective of this study was to assess perceived occupational turnover intention among nursing students and associated factors (fear of COVID-19 and life satisfaction). Students were also asked to provide suggestions that could enhance their intention to join the nursing profession. Methods: An online survey was sent to all registered undergraduate nursing students at Fujian Medical University, China. The partial least squares structural equation model (PLSSEM) was used to investigate key factors influencing turnover intention. Results: A total of 1020 complete responses were received (response rate: 86.2%). Nearly half (49.1%) reported that they would choose not to be on a nursing course if given a choice, 45.4% often think of not going into the nursing profession in the future, and 23.7% would consider entering a healthcare industry that has zero contact with patients. The total turnover intention score range was 3 to 15, and the mean +/- standard deviation (SD) was 9.2 (SD +/- 2.5). PLS-SEM path analysis revealed that fear of COVID-19 (13 = 0.226, p < 0.001) had a positive effect on turnover intention. Satisfaction with life (13 = -0.212, p < 0.001) had a negative effect on turnover intention. Analysis of open-ended survey data on students' perspectives on how to encourage nursing students to enter the nursing workforce revealed five central themes: 1) professional role, respect, and recognition; 2) higher wages; 3) reduce workload; 4) enhance occupational health and safety; and 5) career advancement opportunities. Conclusion: Factors influencing turnover intention and suggestions to reduce students' apprehension towards joining the nursing profession found in this study should be seriously taken into consideration in initiatives to address the nurse shortages.
format Article
author Lin, Yulan
Hu, Zhijian
Danaee, Mahmoud
Alias, Haridah
Wong, Li Ping
author_facet Lin, Yulan
Hu, Zhijian
Danaee, Mahmoud
Alias, Haridah
Wong, Li Ping
author_sort Lin, Yulan
title The impact of the COVID-19 pandemic on future nursing career turnover intention among nursing students
title_short The impact of the COVID-19 pandemic on future nursing career turnover intention among nursing students
title_full The impact of the COVID-19 pandemic on future nursing career turnover intention among nursing students
title_fullStr The impact of the COVID-19 pandemic on future nursing career turnover intention among nursing students
title_full_unstemmed The impact of the COVID-19 pandemic on future nursing career turnover intention among nursing students
title_sort impact of the covid-19 pandemic on future nursing career turnover intention among nursing students
publisher Dove Medical Press Ltd. PO Box 300-008, Albany, Auckland 0752, New ZealandAND
publishDate 2021
url http://eprints.um.edu.my/28154/
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score 13.211869