Evidence map›Paper›PMID 33048386›Full record

ArticleJournal of advanced nursing2020

The importance of organizational commitment in rural nurses' intent to leave.

Norma J Stewart, Martha L P MacLeod, Julie G Kosteniuk, Janna Olynick, Kelly L Penz, Chandima P Karunanayake, Judith C Kulig, Mary Ellen Labrecque, Debra G Morgan

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Rural perinatal nursing in Canada: A hermeneutic literature review.International journal of nursing studies advances · 2025
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Model of Organizational Commitment Applied to Health Management Systems.International journal of environmental research and public health · 2021
    Review
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Norma J StewartCollege of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Martha L P MacLeodSchool of Nursing, University of Northern British Columbia, Prince George, British Columbia, Canada.ORCID https://orcid.org/0000-0002-4174-6381
Julie G KosteniukCanadian Centre for Health and Safety in Agriculture, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Janna OlynickSchool of Nursing, University of Northern British Columbia, Prince George, British Columbia, Canada.
Kelly L PenzCollege of Nursing, University of Saskatchewan, Regina, Saskatchewan, Canada.ORCID https://orcid.org/0000-0002-8079-6031
Chandima P KarunanayakeCanadian Centre for Health and Safety in Agriculture, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Judith C KuligFaculty of Health Sciences, University of Lethbridge, Lethbridge, Alberta, Canada.
Mary Ellen LabrecqueCollege of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Debra G MorganRural Health Delivery, Canadian Centre for Health and Safety in Agriculture, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

Funding

CIHR MOP 130260
6 · The paper itself

Abstract

aimsTo examine determinants of intention to leave a nursing position in rural and remote areas within the next year, for Registered Nurses or Nurse Practitioners (RNs/NPs) and Licensed Practical Nurses (LPNs).

designA pan-Canadian cross-sectional survey.

methodsThe Nursing Practice in Rural and Remote Canada II survey (2014-2015) used stratified, systematic sampling and obtained two samples of questionnaire responses on intent to leave from 1,932 RNs/NPs and 1,133 LPNs. Separate logistic regression analyses were conducted for RNs/NPs and LPNs.

resultsFor RNs/NPs, 19.8% of the variance on intent to leave was explained by 11 variables; and for LPNs, 16.9% of the variance was explained by seven variables. Organizational commitment was the only variable associated with intent to leave for both RNs/NPs and LPNs.

conclusionsEnhancement of organizational commitment is important in reducing intent to leave and turnover. Since most variables associated with intent to leave differ between RNs/NPs and LPNs, the distinction of nurse type is critical for the development of rural-specific turnover reduction strategies. Comparison of determinants of intent to leave in the current RNs/NPs analysis with the first pan-Canadian study of rural and remote nurses (2001-2002) showed similarity of issues for RNs/NPs over time, suggesting that some issues addressing turnover remain unresolved. IMPACT: The geographic maldistribution of nurses requires focused attention on nurses' intent to leave. This research shows that healthcare organizations would do well to develop policies targeting specific variables associated with intent to leave for each type of nurse in the rural and remote context. Practical strategies could include specific continuing education initiatives, tailored mentoring programs, and the creation of career pathways for nurses in rural and remote settings. They would also include place-based actions designed to enhance nurses' integration with their communities and which would be planned together with communities and nurses themselves.

Indexed as

IntentionNursesCanadaCross-Sectional StudiesHumansJob SatisfactionPersonnel TurnoverSurveys and Questionnairesintent to leavelicensed practical nursesnurse practitionersnursesnursingorganizational commitmentregistered nursesremoteruralturnover

Identifiers

PMID33048386
PMCPMC7702146

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.