Predictors of Intention to Stay as Perceived by Nurses Working at Community Hospitals, Ministry of Public Health, Thailand

Authors

Rata Srisa-art, Faculty of Nursing, Chulalongkorn University, Bangkok, ThailandFollow
Jintana Yunibhand, Faculty of Nursing, Chulalongkorn University, Bangkok, ThailandFollow
Chanokporn Jitpanya, Faculty of Nursing, Chulalongkorn University, Bangkok, ThailandFollow
Areewan Oumtanee, Faculty of Nursing, Chulalongkorn University, Bangkok, ThailandFollow

Abstract

Background: To understand how nurses perceive the intention to stay in the profession (ITSP) is a priority concern to combat the nursing shortage crisis. In Thailand, few studies have investigated and clarified ITSP in community hospitals (CHs). The purpose of this study is to examine and identify the predictors of ITSP at CHs functioning under the Ministry of Public Health, Thailand.

Method: A cross-sectional study was conducted in 47 CHs in 8 different provinces, utilizing multi-stage sampling. A total of 955 participants completed a set of e-questionnaires to measure personal factors, managerial characteristics (MCs), work characteristics (WCs), and the relationship of different factors with ITSP. Descriptive statistics, Pearson’s correlation (r), and multiple regression analysis were undertaken.

Results: The study showed a moderate level of ITSP (M = 3.38, SD = 0.70). The nurses’ characteristics did not have a statistically significant association with ITSP. Overall, the MCs were positively correlated to ITSP (r = 0.379, p < 0.05). Similarly, overall WCs were positively associated with ITSP (r = 0.370, p < 0.05). Some domains of MCs and WCs were significant influences upon ITSP. Human capital, work happiness, autonomy, skill variety, and work-life balance together accounted for 21.4% of the variance in ITSP.

Conclusion: ITSP was affected by human capital, work happiness, autonomy, skilled variety, and work-life balance. Notably, nursing administrators and policymakers should develop strategies to support nurses in CHs that strengthen their career prospects to persuade them to stay in the profession longer.

Keywords: Intention to stay in profession, community hospital, Thailand

Recommended Citation

Srisa-art R, Yunibhand J, Jitpanya C, Oumtanee A. Predictors of Intention to Stay as Perceived by Nurses Working at Community Hospitals, Ministry of Public Health, Thailand. J Health Res. 2023; 37(3):169-177. DOI: https://doi.org/10.56808/2586-940X.1014

References

[1] World Health Organization [WHO]. State of the world's nursing 2020: investing in education, jobs and leadership. Geneva: WHO; 2020.

[2] Thailand, Ministry of Public Health, Office of Permanent Secretary. People excellence strategy in 2017. Nonthaburi: Ministry of Public Health; 2017.

[3] Thailand, Ministry of Public Health, Office of Permanent Secretary. Health data center in 17 November 2019. Available from: https://ops.moph.go.th/public/index.php/hdcservice.

[4] Buchan J, Charlesworth A, Gershlick B, Seccombe I. A critical moment: NHS staffing trends, retention and attrition. London: The Health Foundation; 2019.

[5] Cowden TL, Cummings GG. Testing a theoretical model of clinical nurses' intent to stay. Health Care Manag Rev 2015;40(2):169-81. https://doi.org/10.1097/HMR.0000000000000008.

[6] Sawaengdee K. Crisis of nursing shortage in health service facilities under the Office of permanent secretary, Ministry of public health: policy recommendations. J Health Sci 2017;26(2):456-68.

[7] Nasornjai W, Nuysri M, Lemsawasdikul W. Factors influencing the job retention of professional nurses at community hospitals in Phetchabun Province. J Royal Thai Army Nurse 2016;17(2):43-50.

[8] Pongsuwan K, Noimuenwai P, Maruo SJ. Factors predicting intention to stay of professional nurses in community hospitals, Nakhonratchasima province. Baromarajonani College of Nusing. Nakhonratchasima 2019;25(1):123-41.

[9] Thongniran N, Intaraprasong B, Pattara-archachai J. Intention to stay in occupation of registered nurse at a community hospital region 1 central, Thailand. J Nurs Div 2015;42(3):69-83.

[10] Alilu L, Zamanzadeh V, Valizadeh L, Habibzadeh H, Gillespie M. A Grounded theory study of the intention of nurses to leave the profession. Rev Lat Am Enfermagem 2017;25(2894):e2894. https://doi.org/10.1590/1518-8345.1638.2894.

[11] Sathira-Angkura T, Wongsuvansiri S, Kladjompong P. Development of guideline for nursing service development according to service plan policy: a report of the project implementation. J Health Sci 2019;28(5):874-84.

[12] Engeda EH, Birhanu AM, Alene KA. Intent to stay in the nursing profession and associated factors among nurses working in Amhara Regional State Referral Hospitals, Ethiopia. BMC Nurs 2014;13:24. https://doi.org/10.1186/1472-6955-13-24.

[13] Sharififard F, Asayesh H, Rahmani-Anark H, Qorbani M, Akbari V, Jafarizadeh H. Intention to leave the nursing profession and its relation with work climate and demographic characteristics. Iran J Nurs Midwifer Res 2019;24(6):457-61. https://doi.org/10.4103/ijnmr.IJNMR_209_18.

[14] Sofia P, Olga S, Maria S, Mamas T. Factors influencing nurses' intention to leave their profession in the midst of the economic crisis in Greece. Adv Prac Nurs 2019;4(1):2-7. https://doi.org/10.4172/2573-0347.1000154.

[15] Chupan S, Khumyu A, Vatanasin S, Vatanasin D. Factors influencing intention to stay in career among professional nurses. J Factor Nurs Burapha Univ 2017;25(4):1-10.

[16] Chutchawanchanchanakij K. Management factors affecting the retention of scarce professional nurse in regional hospitals under the supervision of the public health permanent secretary office. Bangkok: Graduate School, Siam University; 2017.

[17] Gilbert JH. Social capital and human capital of nurse managers and registered nurses. Bloomington: University Graduate School, Indiana University; 2017.

[18] Li X, Zhang Y, Yan D, Wen F, Zhang Y. Nurses' intention to stay: the impact of perceived organizational support, job control and job satisfaction. J Adv Nurs 2020;76(5):1141-50. https://doi.org/10.1111/jan.14305.

[19] den Boer H, van Vuuren T, de Jong J. Job design to extend working time: work characteristics to enable sustainable employment of older employees in different job types. Sustainability 2021;13(9). https://doi.org/10.3390/su13094719.

[20] McCloskey JC. Two requirements for job contentment: autonomy and social Integration. Image J Nurs Sch Fall 1990;22(3):140-3. https://doi.org/10.1111/j.1547-5069.1990.tb00196.x.

[21] Silamom B, Deoisres W, Khumyu A. Factor influencing the retention of generation Y professional nurse at a hospital. J Nurs Health Care 2018;36(1):1-10.

[22] Othman N, Nasurdin AM. Job characteristics and staying engaged in work of nurses: empirical evidence from Malaysia. Int J Nurs Sci 2019;6(4):432-8. https://doi.org/10.1016/j.ijnss.2019.09.010.

[23] Kongbunyapong B, Pinchaleaw D. Factors influencing happiness in work place of professional nurses, community hospital, Surat Thani province. J Police Nurse 2016;8(2):151-60.