Skip to main content

Push and pull factors of nurses' intention to leave

Sasso, Loredana; Bagnasco, Annamaria; Catania, Gianluca; Zanini, Milko; Aleo, Giuseppe; Watson, Roger; the RN4CAST@IT Working Group


Loredana Sasso

Annamaria Bagnasco

Gianluca Catania

Milko Zanini

Giuseppe Aleo

the RN4CAST@IT Working Group


Expand knowledge about the predictive factors of nurses’ intention to leave their job, and consequently to turnover.
Nurse turnover is costly and negatively influences quality of care. Understanding the association between intention to leave and modifiable features of hospital organization may inform strategies to reduce turnover.
A cross-sectional survey of 3667 medical and surgical nurses was conducted in Italy. Measures included intention to leave; work environment; burnout; job satisfaction and missed care using the RN4CAST instruments. Descriptive, logistic regression analysis was used.
Due to job dissatisfaction, 35.5% of the nurses intended to leave their current job, and of these, 33.1% the nursing profession. Push factors included: understaffing, emotional exhaustion, poor patient safety, performing non-nursing care, being male. Pull factors included: positive perception of quality and safety of care, performing core nursing activities.
The present study expands knowledge about the predictive factors of nurses’ intention to leave their job, and consequently to turnover, which is one of today’s major issues contributing to the shortage of nurses.
Implications for Nursing Management
Nurses’ intention to leave their job is the consequence of a poor work environment, characterized by factors such as understaffing and performance of non-nursing activities.

Journal Article Type Article
Publication Date 2019-07
Journal Journal of Nursing Management
Print ISSN 0966-0429
Electronic ISSN 1365-2834
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 27
Issue 5
Pages 946-954
Series ISSN 1365-2834
APA6 Citation Sasso, L., Bagnasco, A., Catania, G., Zanini, M., Aleo, G., Watson, R., & the RN4CAST@IT Working Group, . (2019). Push and pull factors of nurses' intention to leave. Journal of nursing management, 27(5), 946-954.
Keywords Emotional exhaustion; Intention to leave; Job dissatisfaction; Non-nursing activities; Work environment
Publisher URL


You might also like

Downloadable Citations