title: Turnover intention among intensive care unit nurses in Alexandria, Egypt.
abstract: BACKGROUND
  Given the difficulty in recruiting new nurses, it is imperative to retain those already in the profession. This cross-sectional study explored the relationship of demographic and work-related factors, burnout, conflict management and relationship between nurses and physicians on turnover intentions among ICU nurses in eight major hospitals in Alexandria, Egypt.
  
  
  METHODS
  Data on burnout, conflict management, nurse-physician communication, and turnover intention were collected by surveying 100 nurses in eight hospitals in Alexandria governorate. All nurses at the ICU of selected hospitals were approached (n=100) and a 47-item Likert scale questionnaire was administered to explore the factors affecting the turnover intention of ICU nurses in Alexandria.
  
  
  RESULTS
  ICU nurses exhibited a mean score for turnover intention of 3.23 (mean score percentage 65.0%). There was a moderately positive statistically significant correlation between turnover intention and emotional exhaustion (r=0.29, P<0.05), nurse-physician communication (r=0.25, P<0.05), and age (r=0.21, P<0.05). The predicting factors for turnover intention were emotional exhaustion and age.
  
  
  CONCLUSIONS
  Nurses turnover intention at the ICU of the selected hospitals is high and is significantly associated with nurses' emotional exhaustion, poor nurse-physician communication, and nurses age.
authors.affiliation: aDepartment of Health Administration and Behavioral Sciences, High Institute of Public Health bFaculty of Nursing, Alexandria University Student Hospital, Intensive Care Unit, Alexandria, Egypt cSchool of Health and Environmental Studies, Hamdan Bin Mohammed Smart University, Dubai, UAE.
authors.forename: Rasha
authors.initials: R
authors.lastname: Mosallam
authors.forename: Samer
authors.initials: S
authors.lastname: Hamidi
authors.forename: Manal
authors.initials: M
authors.lastname: Elrefaay
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000453:epidemiology / Q000523:psychology*; D003430:Cross-Sectional Studies; D004534:Egypt; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role / Q000523:psychology*; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000523:psychology* / Q000706:statistics & numerical data; D010563:Personnel Turnover / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D055815:Young Adult