Organizational climate and intensive care unit nurses' intention to leave.
OBJECTIVE
The purposes of this study were to a) estimate the incidence of intensive care units nurses' intention to leave due to working conditions; and b) identify factors predicting this phenomenon.


METHODS
Cross-sectional design.


METHODS
Hospitals and critical care units.


METHODS
Registered nurses (RNs) employed in adult intensive care units.


METHODS
Organizational climate, nurse demographics, intention to leave, and reason for intending to leave were collected using a self-report survey.


RESULTS
Nurses were categorized into two groups: a) those intending to leave due to working conditions; and b) others (e.g., those not leaving or retirees). The measure of organizational climate had seven subscales: professional practice, staffing/resource adequacy, nurse management, nursing process, nurse/physician collaboration, nurse competence, and positive scheduling climate. Setting characteristics came from American Hospital Association data and a survey of chief nursing officers.


RESULTS
A total of 2,323 RNs from 66 hospitals and 110 critical care units were surveyed across the nation. On average, the RN was 39.5 yrs old (SD = 9.40), had 15.6 yrs (SD = 9.20) experience in health care, and had worked in his or her current position for 8.0 yrs (SD = 7.50). Seventeen percent (n = 391) of the respondents indicated intending to leave their position in the coming year. Of those, 52% (n = 202) reported that the reason was due to working conditions. Organizational climate factors that had an independent effect on intensive care unit nurse intention to leave due to working conditions were professional practice, nurse competence, and tenure (p < .05).


CONCLUSIONS
Improving professional practice in the work environment and clinical competence of the nurses as well as supporting new hires may reduce turnover and help ensure a stable and qualified workforce.
Stone
Patricia W
PW
Columbia University School of Nursing, New York, NY, USA.
Larson
Elaine L
EL
Mooney-Kane
Cathy
C
Smolowitz
Janice
J
Lin
Susan X
SX
Dick
Andrew W
AW
D000328:Adult; D003430:Cross-Sectional Studies; D006801:Humans; D007362:Intensive Care Units; D009726:Nurses / Q000523:psychology*; D009736:Nursing Process / Q000592:standards; D010549:Personal Satisfaction; D010559:Personnel Management / Q000592:standards; D010561:Personnel Staffing and Scheduling / Q000592:standards; D010563:Personnel Turnover; D019555:Physician-Nurse Relations; D011361:Professional Competence / Q000592:standards; D011364:Professional Practice / Q000592:standards; D014481:United States; D000078329:Workforce; D017132:Workplace