ArticlePloS one2022
Health problems, turnover intention, and actual turnover among shift work female nurses: Analyzing data from a prospective longitudinal study.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.
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Who cites it
42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 70 citations in OpenAlex.
- Inadequate sleep increases stroke risk: evidence from a comprehensive meta-analysis of incidence and mortality.GeroScience · 2025Pooled it
- Sleep disorders increase the risk of dementia, Alzheimer's disease, and cognitive decline: a meta-analysis.GeroScience · 2025Pooled it
- Improving the Psychosocial Work Environment to Prevent Sickness Absence and Turnover in Nurses: A Systematic Review.Journal of nursing management · 2025Pooled it
- The effect of a self-help book for shift work disorder - a randomized controlled trial.Frontiers in psychiatry · 2026Trial
- Intention to Leave Among Quality Nurses in Public Hospitals in Kuwait: A Sequential Explanatory Mixed-Methods Study.Healthcare (Basel, Switzerland) · 2026Article
- Attrition of the Midwifery Workforce: Understanding Factors Associated With Leaving the Profession.Health services research · 2026Article
- Too Demanding to Stay? Fatigue and Depressive Symptoms as Mediators of Turnover Intention in Romanian Anaesthesia and Intensive Care Nurses: A Cross-Sectional Study.Nursing reports (Pavia, Italy) · 2026Article
- Healthcare workforce mobility and organisational turnover in Sweden, 2014-2024: a multi-method analysis across occupations and sectors.BMC health services research · 2026Article
- Key factors associated with nurse retention and how they work: A mixed-methods study.International journal of nursing studies advances · 2026Article
- When Drivers Step Off the Bus: Well-Being and Turnover Intention in the Public Transport Sector.International journal of environmental research and public health · 2026Article
- Effects of Reducing the Number of Quick Returns (< 11 h off Between Shifts) on Turnover Intention and Job Satisfaction: a Cluster-Randomized Controlled Trial Among Healthcare Workers.Journal of occupational rehabilitation · 2026Article
- A nationwide cross-sectional survey on factors affecting turnover intention among hospital pharmacists.Human resources for health · 2026Article
- Low Interest Among Young People in Becoming Nurses in Greece: Contributing Factors According to Academic Staff.Nursing reports (Pavia, Italy) · 2026Article
- Occupational burnout and depression among emergency medical service providers in Switzerland and Liechtenstein: a cross-sectional nationwide web-based study.BMC public health · 2026Article
- The Mediating Role of Job Satisfaction in the Relationship Between Perceived Organizational Support and Nurses' Turnover Intentions.Journal of nursing management · 2026Article
- Sleep-inducing algorithms: can artificial intelligence help shiftworkers and those working nonstandard hours sleep better?Sleep advances : a journal of the Sleep Research Society · 2026Article
- Turnover prevalence and the relationship between transition shock and turnover intention among new nurses: A meta-analysis.International journal of nursing studies advances · 2025Review
- Investigation of job stability and influencing factors for graduates of public health-related majors in Jiangxi Province, China.BMC public health · 2025Article
- Predicting turnover intention among newly graduated nurses in South Korea: a decision tree analysis.BMC nursing · 2025Article
- Job Satisfaction, Quality of Life, and Turnover Intention Among Nurses: A Comparative Study of Pattern-Based and Rotating Shift Schedules.Healthcare (Basel, Switzerland) · 2025Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThis study investigated health problems, turnover intention, and actual turnover among shift work nurses. While turnover intention is often used as a proxy variable for turnover, the relationship between these variables requires clarification. This study tested for relevant associations using prospective longitudinal data with a time lag of 12 months. We also tested for associations between health problems (sleep disturbance, fatigue, and depression) and turnover intentions/turnover, with a focus on the mediating role of turnover intention.
methodsThis study conducted a secondary analysis of data from the Shift Work Nurses' Health and Turnover project, which is a prospective longitudinal cohort study. We analyzed health problems, turnover intention, and actual turnover. The data were analyzed via descriptive statistics, the Pearson's chi-squared test, independent t-test, univariable logistic regression, multiple logistic regression, and causal mediation.
resultsParticipants included 491 shift work female nurses. Of these, 112 (22.8%) had turnover intention, while 38 (7.7%) left their jobs within the 12-month period of investigation. Of the 112 with turnover intention, 22 left their jobs (OR 5.68. 95% CI 2.84-11.36). The logistic regression analysis showed that sleep disturbance and fatigue were associated with turnover intentions and actual turnover, while depression was only associated with turnover intention. The causal mediation analysis showed that turnover intention mediated the relationship between health problems (sleep disturbance and fatigue) and actual turnover (sleep disturbance OR 1.31, 95%CI = 1.02-1.60; fatigue OR 2.11, 95%CI = 1.50-2.68); sleep disturbance had a natural direct effect on actual turnover (OR 2.66, 95%CI,2.07-3.21).
conclusionTurnover intention strongly predicted actual turnover. Sleep disturbances may result in turnover, even in cases without existing turnover intention. These findings highlight the need for early interventions aimed at preventing and alleviating sleep disturbances for shift work female nurses.
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