title: Which Aspects of Professional Commitment Can Effectively Retain Nurses in the Nursing Profession?
abstract: OBJECTIVE
  This study examined which aspects of professional commitment can effectively retain nurses in the nursing profession.
  
  
  METHODS
  This study used a longitudinal design, simple random sampling, and two-wave data collection to survey and follow up a representative sample of 579 nurses for 1 year in a major medical center in northern Taiwan.
  
  
  METHODS
  Items measuring each aspect of professional commitment came from Meyer et al.'s scale. In the second wave, administrative data were culled to determine whether these nurses remain employed as nurses. Structural equation modeling is used to analyze the data.
  
  
  RESULTS
  Analytical results indicate that continuance commitment predicts nurse retention in the nursing profession (path coefficient = 0.34, p < .01).
  
  
  CONCLUSIONS
  Institutional efforts to improve continuance commitment (e.g., improved salary structures and enhanced professional development opportunities) likely retain nurses in the nursing profession.
  
  
  CONCLUSIONS
  The findings of this study indicate the importance of continuance intention in retaining nurses. Nursing managers who face staff retention issues may consider making efforts to improve nurse salary and employer-sponsored benefits.
authors.affiliation: Lambda Beta Chapter-At-Large, Assistant Professor, School of Nursing, College of Medicine, National Taiwan University, Taiwan.
authors.forename: Hao-Yuan
authors.initials: HY
authors.lastname: Chang
authors.affiliation: Professor, Department of Nursing, Chang Gung University, Taiwan.
authors.forename: Yea-Ing Lotus
authors.initials: YI
authors.lastname: Shyu
authors.affiliation: Chairman, Taoyuan Branch, Chang Gung Memorial Hospital, Taiwan.
authors.forename: May-Kuen
authors.initials: MK
authors.lastname: Wong
authors.affiliation: Professor and Associate Dean, College of Pharmacy, Nursing and Allied Sciences, North Dakota State University, Fargo, ND, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Friesner
authors.affiliation: Director, Department of Nursing, Chang Gung Memorial Hospital, Taiwan.
authors.forename: Tsung-Lan
authors.initials: TL
authors.lastname: Chu
authors.affiliation: Professor and the Director of Graduate Institute of Business and Management, Chang Gung University, Taiwan.
authors.forename: Ching-I
authors.initials: CI
authors.lastname: Teng
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009741:Nursing Staff, Hospital / Q000523:psychology* / Q000600:supply & distribution; D010558:Personnel Loyalty; D010563:Personnel Turnover; D011361:Professional Competence; D011594:Psychometrics; D011795:Surveys and Questionnaires; D013624:Taiwan; D055815:Young Adult
keywords: Affective commitment; continuance commitment; normative commitment; nurse retention; professional commitment