Retaining the nursing workforce: factors contributing to the reduction of nurses' turnover intention in Japan.
OBJECTIVE
The aim of this study was to investigate the effects of psychological contract fulfilment, perceived advancement opportunities and age on reducing the turnover intention of nurses in Japan.


BACKGROUND
The factors that contribute to and mitigate the intentions of nurses to leave their organisations need to be investigated to understand the determinants of nurse turnover better. However, there is a paucity of studies identifying these mitigating factors.


METHODS
Potential participants were 1337 registered nurses and midwives, of whom 766 participated in the study (a return rate of 57%). The data were analysed using a moderated regression analysis.


RESULTS
Fulfilment of the psychological contract and perceived advancement opportunities independently and jointly contributed to a reduction in nurses' turnover intentions. The results also showed that nurses' ages were negatively correlated with their turnover intentions.


CONCLUSIONS
Fulfilment of the psychological contract and advancement opportunities are important for reducing nurses' turnover intentions, especially among younger nurses.


CONCLUSIONS
Clear guidelines/evaluations of contributions made by nurses and their organisations are needed to enhance the experience of nurses in terms of psychological contract fulfilment. Moreover, a structured advancement support system needs to be implemented to reduce nurses' turnover intentions.
Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Miyuki
M
Takase
School of Nursing, Yasuda Women's University, Hiroshima, Japan.
Sachiko
S
Teraoka
Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Kousuke
K
Yabase
D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D033182:Intention; D007564:Japan; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009726:Nurses / Q000523:psychology*; D010563:Personnel Turnover / Q000706:statistics & numerical data*; D012044:Regression Analysis; D011795:Surveys and Questionnaires
advancement opportunities; age; psychological contract; retention; turnover intention