title: Factors influencing nurse managers' intent to stay or leave: a quantitative analysis.
abstract: OBJECTIVE
  To identify and report on the relative importance of factors influencing nurse managers' intentions to stay in or leave their current position.
  
  
  BACKGROUND
  Effective nurse managers play an important role in staff nurse retention and in the quality of patient care. The advancing age of nurse managers, multiple job opportunities within nursing and the generally negative perceptions of the manager role can contribute to difficulties in retaining nurse managers.
  
  
  METHODS
  Ninety-five Canadian nurse managers participated in a web survey. Respondents rated the importance of factors related to their intent to leave or stay in their current position for another 2 years. Descriptive, t-test and mancova statistics were used to assess differences between managers intending to stay or leave.
  
  
  RESULTS
  For managers intending to leave (n = 28), the most important factors were work overload, inability to ensure quality patient care, insufficient resources, and lack of empowerment and recognition. Managers intending to leave reported significantly lower job satisfaction, perceptions of their supervisor's resonant leadership and higher burnout levels.
  
  
  CONCLUSIONS
  Organisations wishing to retain existing nurse managers and to attract front-line staff into leadership positions must create and foster an environment that supports nurse managers.
authors.affiliation: Faculty of Nursing, University of Alberta, Edmonton, AB, Canada.
authors.forename: Sarah J
authors.initials: SJ
authors.lastname: Hewko
authors.affiliation: Alberta Health Services, Edmonton, AB, Canada.
authors.forename: Pamela
authors.initials: P
authors.lastname: Brown
authors.affiliation: Faculty of Nursing, University of Alberta, Edmonton, AB, Canada.
authors.forename: Kimberly D
authors.initials: KD
authors.lastname: Fraser
authors.affiliation: Arthur Labatt Family School of Nursing, Western University, London, ON, Canada.
authors.forename: Carol A
authors.initials: CA
authors.lastname: Wong
authors.affiliation: Faculty of Nursing, University of Alberta, Edmonton, AB, Canada.
authors.forename: Greta G
authors.initials: GG
authors.lastname: Cummings
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001291:Attitude of Health Personnel; D002055:Burnout, Professional / Q000523:psychology; D002170:Canada; D004777:Environment; D005260:Female; D006801:Humans; D033182:Intention; D007588:Job Satisfaction; D007857:Leadership; D008297:Male; D008875:Middle Aged; D009718:Nurse Administrators / Q000523:psychology*; D010563:Personnel Turnover; D011209:Power, Psychological; D011787:Quality of Health Care / Q000458:organization & administration; D012737:Sex Factors; D016526:Workload / Q000523:psychology
keywords: empowerment; health human resources; leadership; nurse manager; retention