Tohoku J. Exp. Med., 2018 November, 246(3)

Determinants Strengthening Japanese Nurses' Intention to Stay at Their Current Hospital


1Department of Fundamental Nursing, School of Medicine, Yokohama City University, Yokohama, Kanagawa, Japan
2Department of Nursing, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan
3Department of Nursing, Faculty of Health Sciences, Tohoku Fukushi University, Sendai, Miyagi, Japan

In order to retain nursing staff, it is crucial to have a comprehensive understanding of the factors that motivate nurses to stay at an institution. Toward this aim, we identified a variety of factors that strengthen nurses' intention to stay at their current hospital. A cross-sectional questionnaire survey was conducted at 12 hospitals in the Tohoku and Kanto regions of Japan. Of the 1,034 nurses workingin those hospitals, 713 returned the questionnaire (response rate: 69.0%). Of these, we analysed the data of 485 nurses (17.42 ± 9.83 years of clinical experience, 95.3% female) (valid response rate: 46.9%) who met the inclusion criteria of planning to stay at their current hospital and completing all questionnaire items. An exploratory factor analysis indicated that variables strengthening intention to stay at the current hospital could be grouped into five factors: “comfortable workplace environment,” “passive motivational factors,” “convenience of hospital location,” “favorable work-life balance,” and “fulfilment in nursing.” Nurses who were married or had children placed a higher priority on a “favorable work-life balance” in remaining at their current workplace. Regular employees or nurses working in the smaller cities tended to display higher “passive motivational factors,” which comprised various extrinsic factors. Though extrinsic factors are considered to make only short-term contributions to employee retention, they could generate positive synergistic effects when combined with intrinsic motivations such as “fulfilment in nursing.” Effective nurse-retention strategies should be developed by capitalizing on the interaction among the five factors that strengthen nurses to stay at their current hospital.

Key words —— favorable work-life balance; intention to stay; nurse; passive motivational factor; psychological fulfilment


Tohoku J. Exp. Med., 2018, 246, 175-182

Correspondence: Miho Satoh, Department of Fundamental Nursing, School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa 236-0004, Japan.