title: Factors Affecting Turnover Intention among Nurses in Ethiopia.
abstract: BACKGROUND
  Reducing turnover is essential to address health worker shortages in the public sector and improve the quality of services. This study examines factors associated with Ethiopian nurses' intention to leave their jobs.
  
  
  METHODS
  Survey respondents (a sample of 425 nurses at 122 facilities) rated the importance of 20 items in decisions to leave their jobs and reported whether they intended to leave their jobs in the next year. Descriptive and inferential statistical analyses were used to identify predictors of nurses' intentions to leave their jobs.
  
  
  RESULTS
  Half (50.2%) the nurses said they intended to leave their jobs in the next year. A multivariate analysis identified three significant predictors of nurses' intention to leave their jobs: holding a university degree rather than a diploma (adjusted odds ratio (OR)=2.246, 95% confidence interval (CI)=1.212, 4.163; p<0.01), having worked fewer years in the public health system (adjusted OR=0.948, 95% CI=0.914, 0.982; p<0.01) and rating the importance of limited opportunities for professional development more highly (adjusted OR=1.398, 95% CI=1.056, 1.850; p<0.02).
  
  
  CONCLUSIONS
  Interventions to increase the retention of nurses at public health facilities in Ethiopia should target young nurses who are completing their compulsory service obligation and nurses with a university degree. They should include both non-financial and financial incentives.
authors: Research Team Leader, Jhpiego, Addis Ababa, Ethiopia.
authors: Firew
authors: F
authors: Ayalew
authors: Senior Technical Advisor, Jhpiego, Baltimore, MD, USA.
authors: Adrienne
authors: A
authors: Kols
authors: Senior Research and Evaluation Associate, Jhpiego, Baltimore, MD, USA.
authors: Young-Mi
authors: YM
authors: Kim
authors: Program Officer, Jhpiego, Baltimore, MD, USA.
authors: Anne
authors: A
authors: Schuster
authors: Senior Research Associate, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors: Mark R
authors: MR
authors: Emerson
authors: Professor, VU University Amsterdam, The Netherlands.
authors: J van
authors: Jv
authors: Roosmalen
authors: Medical Centre Leeuwarden and University of Groningen, The Netherlands.
authors: Jelle
authors: J
authors: Stekelenburg
authors: Chief of Party, S-HRH Project, Jhpiego, Addis Ababa, Ethiopia.
authors: Damtew
authors: D
authors: Woldemariam
authors: Jhpiego Ethiopia Country Director, Addis Ababa, Ethiopia.
authors: Hannah
authors: H
authors: Gibson