The authors acknowledge funding from the Canadian Health Services Research Foundation, Canadian Institutes of Health Research, The Nursing Research Fund, Alberta Heritage Foundation for Medical Research, Michael Smith Foundation for Health Research, Nova Scotia Health Research Foundation, Ontario Ministry of Health and Long-Term Care, Saskatchewan Industry and Resources, British Columbia Rural and Remote Health Research Institute of the University of Northern British Columbia, Canadian Institute for Health Information, Government of Nunavut, and in-kind funding from the 12 provincial and territorial professional registered nurses’ associations and colleges. Our thanks go to the nurses who responded to the national survey and to other coinvestigators and decision-making team members. There are no known conflicts of interest. Information on the multimethod study The Nature of Nursing Practice in Rural and Remote Canada is available on its Web site: http://ruralnursing.unbc.ca. For further information, contact: Norma J. Stewart, PhD, RN, College of Nursing, University of Saskatchewan, 107 Wiggins Road, Saskatoon, SK S7N 5E5 Canada; e-mail email@example.com.
Moving On? Predictors of Intent to Leave Among Rural and Remote RNs in Canada
Article first published online: 13 JUL 2010
© 2010 National Rural Health Association
The Journal of Rural Health
Volume 27, Issue 1, pages 103–113, Winter 2011
How to Cite
Stewart, N. J., D’Arcy, C., Kosteniuk, J., Andrews, M. E., Morgan, D., Forbes, D., MacLeod, M. L. P., Kulig, J. C. and Pitblado, J. R. (2011), Moving On? Predictors of Intent to Leave Among Rural and Remote RNs in Canada. The Journal of Rural Health, 27: 103–113. doi: 10.1111/j.1748-0361.2010.00308.x
- Issue published online: 4 JAN 2011
- Article first published online: 13 JUL 2010
- health services research;
- intent to leave;
- remote nursing;
- rural nursing;
Context: Examination of factors related to the retention or voluntary turnover of Registered Nurses (RNs) has mainly focused on urban, acute care settings.
Purpose: This paper explored predictors of intent to leave (ITL) a nursing position in all rural and remote practice settings in Canada. Based on the conceptual framework developed for this project, potential predictors of ITL were related to the individual RN worker, the workplace, the community context, and satisfaction related to both the workplace and the community(s) within which the RN lived and worked.
Methods: A national cross-sectional mail survey of RNs in rural and remote Canada provided the data (n = 3,051) for the logistic regression analysis of predictors of ITL.
Findings: We found that RNs were more likely to plan to leave their nursing position within the next 12 months if they: were male, reported higher perceived stress, did not have dependent children or relatives, had higher education, were employed by their primary agency for a shorter time, had lower community satisfaction, had greater dissatisfaction with job scheduling, had lower satisfaction with their autonomy in the workplace, were required to be on call, performed advanced decisions or practice, and worked in a remote setting.
Conclusions: The statistical evidence for predictors of ITL supported our framework with determinants related to the individual, the workplace, the community, and satisfaction levels. The importance of community makes this framework uniquely relevant to the rural health context. Our findings should guide policy makers and employers in developing retention strategies.