title: Work-related factors influencing home care nurse intent to remain employed.
abstract: Health care is shifting out of hospitals into community settings. In Ontario, Canada, home care organizations continue to experience challenges recruiting and retaining nurses. However, factors influencing home care nurse retention that can be modified remain largely unexplored. Several groups of factors have been identified as influencing home care nurse intent to remain employed including job characteristics, work structures, relationships and communication, work environment, responses to work, and conditions of employment.
  
  
  
  The aim of this study was to test and refine a model that identifies which factors are related to home care nurse intentions to remain employed for the next 5 years with their current home care employer organization.
  
  
  
  A cross-sectional survey design was implemented to test and refine a hypothesized model of home care nurse intent to remain employed. Logistic regression was used to determine which factors influence home care nurse intent to remain employed.
  
  
  
  Home care nurse intent to remain employed for the next 5 years was associated with increasing age, higher nurse-evaluated quality of care, having greater variety of patients, experiencing greater meaningfulness of work, having greater income stability, having greater continuity of client care, experiencing more positive relationships with supervisors, experiencing higher work-life balance, and being more satisfied with salary and benefits.
  
  
  
  Home care organizations can promote home care nurse intent to remain employed by (a) ensuring nurses have adequate training and resources to provide quality client care, (b) improving employment conditions to increase income stability and satisfaction with pay and benefits,
authors.affiliation: Ann E. Tourangeau, RN, PhD, is Associate Professor and Associate Dean Academic, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Ontario, Canada. E-mail: ann.tourangeau@utoronto.ca. Erin Patterson, RN, MN, is PhD Candidate, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Ontario, Canada. Margaret Saari, RN, MT, is PhD Candidate, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Ontario, Canada. Heather Thomson, RN, PhD, is Manager, Strategic Partnerships, Health Quality Ontario, Toronto, Canada. Lisa Cranley, RN, PhD, is Assistant Professor, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Ontario, Canada.
authors.forename: Ann E
authors.initials: AE
authors.lastname: Tourangeau
authors.forename: Erin
authors.initials: E
authors.lastname: Patterson
authors.forename: Margaret
authors.initials: M
authors.lastname: Saari
authors.forename: Heather
authors.initials: H
authors.lastname: Thomson
authors.forename: Lisa
authors.initials: L
authors.lastname: Cranley
mesh_terms: D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D006699:Home Care Services; D064650:Home Health Nursing; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009864:Ontario; D010563:Personnel Turnover; D011787:Quality of Health Care; D011795:Surveys and Questionnaires; D000078329:Workforce; D017132:Workplace / Q000523:psychology*