Home nurses' turnover intentions: the impact of informal supervisory feedback and self-efficacy.
OBJECTIVE
To examine how home nurses' turnover intentions are affected by the quality and frequency of supervisory feedback and by their own self-efficacy.


BACKGROUND
Little is known about effective retention strategies for the growing home healthcare sector that struggles to retain an adequate workforce. While the work environment and supervisors have been found to play a key-role in nurses' turnover intentions, home nurses mostly work autonomously and apart from their supervisors. These circumstances require a customized approach and need to be understood to ensure high-quality home health care.


METHODS
We used a correlational, cross-sectional survey design.


METHODS
A convenience sample of 312 home nurses was selected from a division of a large home health care organization in Flanders, Belgium. Data were collected in 2013 using structured questionnaires and analysed using descriptive statistics, structural equation modelling and relative weight analysis.


RESULTS
The quality of feedback was related to lower levels of turnover intentions. This relationship was fully mediated by home nurses' self-efficacy. Frequent favourable feedback was directly related to lower turnover intentions while the relationship between frequent unfavourable feedback and turnover intentions was conditional on home nurses' level of self-efficacy.


CONCLUSIONS
This study contributes to our understanding of home nurses' turnover intentions and the role of informal supervisory feedback and home nurses' self-efficacy.
Department of HRM and Organizational Behavior, Ghent University, Belgium.
Thomas
T
Van Waeyenberg
Department of HRM and Organizational Behavior, Ghent University, Belgium.
Adelien
A
Decramer
Department of Personnel Management, Work and Organizational Psychology, Ghent University, Belgium.
Frederik
F
Anseel
D000328:Adult; D001291:Attitude of Health Personnel; D001530:Belgium; D003430:Cross-Sectional Studies; D005246:Feedback; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009718:Nurse Administrators / Q000523:psychology*; D064691:Nurses, Community Health / Q000523:psychology*; D009741:Nursing Staff, Hospital / Q000458:organization & administration* / Q000523:psychology*; D010563:Personnel Turnover / Q000706:statistics & numerical data*; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D055815:Young Adult
favourable feedback; frequency of feedback; home health care; nursing; quality of feedback; retention; self-efficacy; supervisory feedback; turnover intentions; unfavourable feedback