SynthesisPloS one2024
Determinants of intention to leave among nurses and physicians in a hospital setting during the COVID-19 pandemic: A systematic review and meta-analysis.
Synthesis in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A global prevalence of turnover intention among doctors: a systematic review and meta-analysis.Scientific reports · 2025Pooled it
- Effects of a smartphone-based stress management program on work performance, sick leave, and intention to leave among nurses during COVID-19 in Vietnam and Thailand: an analysis of secondary outcomes of a randomized controlled trial.Journal of occupational health · 2025Trial
- From Crisis Response to Recovery: A Two-Wave Qualitative Study of Nursing Leadership Trajectories in Italy (2020-2025).Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2026Article
- Personal fulfilment, sustainable working conditions and flexible employment prospects as resources for nurses' well-being at work: a qualitative study.Journal of research in nursing : JRN · 2026Article
- A longitudinal cross-sectional study of changes in working attitude among primary healthcare workers across the major COVID-19 outbreaks in China.Communications medicine · 2026Article
- Burnout Syndrome Among Critical Care Nurses After COVID-19 Pandemic: An International Single-Centre Study in Croatia and Poland.Healthcare (Basel, Switzerland) · 2026Article
- Ranking retention factors and exploring preferred actions for retention across nursing subgroups: a cross-sectional study in two university hospitals.BMC nursing · 2026Article
- Article
- Factors associated with the chronicization of psychological responses and intention to stay among nurses 18 months after the 2024 Noto Peninsula earthquake: a cross-sectional study.BMC public health · 2026Article
- Post-traumatic growth and professional fulfillment among health care workers after the COVID-19 pandemic: a 2-wave longitudinal study in Japan.Journal of occupational health · 2026Article
- Intention to leave work among nursing professionals at three university hospitals in Brazil.Revista brasileira de enfermagem · 2026Article
- Burnout in Gastrointestinal Endoscopy.Endoscopy international open · 2026Article
- Investigating the Relationship Between Moral Resilience and Turnover Intention in Nurses.Journal of healthcare leadership · 2026Article
- First Line Managers' Experiences of Shaping Organisational and Relational Preconditions for Patient Safety in Swedish Intensive Care Units During the COVID-19 Pandemic: A Qualitative Study.Journal of nursing management · 2026Article
- Effects of the COVID-19 pandemic on working conditions and mental health among employees in health and social services.Frontiers in public health · 2026Article
- Examining wage drivers for nurses and physicians in Swiss hospitals: a retrospective observational study with repeated measurements.BMC health services research · 2025Observational
- Applying Meta-Analytic Structural Equation Modeling to Examine the Relationships Among Work Stress, Job Burnout, and Turnover Intention in Taiwanese Nurses.Healthcare (Basel, Switzerland) · 2025Review
- Health Workforce Attrition in Lithuania: Migration and Career Exit Intentions.Healthcare (Basel, Switzerland) · 2025Article
- Reasons for the Intention to Leave among Nurses Working in Internal Medicine and Surgery Departments of Slovenian Hospitals - A Cross Sectional Study.Zdravstveno varstvo · 2025Article
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe global outbreak of COVID-19 has brought to light the profound impact that large-scale disease outbreaks can have on healthcare systems and the dedicated professionals who serve within them. It becomes increasingly important to explore strategies for retaining nurses and physicians within hospital settings during such challenging times. This paper aims to investigate the determinants of retention among nurses and physicians during the COVID-19 pandemic.
methodA systematic review of other potential determinants impacting retention rates during the pandemic was carried out. Secondly, a meta-analysis on the prevalence of intention to leave for nurses and physicians during the COVID-19 pandemic.
findingsA comprehensive search was performed within four electronic databases on March 17 2023. Fifty-five papers were included in the systematic review, whereas thirty-three papers fulfilled the eligibility criteria for the meta-analysis. The systematic review resulted in six themes of determinants impacting intention to leave: personal characteristics, job demands, employment services, working conditions, work relationships, and organisational culture. The main determinants impacting the intention to leave are the fear of COVID-19, age, experience, burnout symptoms and support. Meta-analysis showed a prevalence of intent to leave the current job of 38% for nurses (95% CI: 26%-51%) and 29% for physicians (95% CI: 21%-39%), whereas intention to leave the profession for nurses 28% (95% CI: 21%-34%) and 24% for physicians (95% CI: 23%-25%).
conclusionThe findings of this paper showed the critical need for hospital managers to address the concerning increase in nurses' and physicians' intentions to leave during the COVID-19 pandemic. This intention to leave is affected by a complex conjunction of multiple determinants, including the fear of COVID-19 and the confidence in and availability of personal protective equipment. Moreover, individual factors like age, experience, burnout symptoms, and support are maintained in this review. Understanding the influence of determinants on retention during the COVID-19 pandemic offers an opportunity to formulate prospective strategies for retaining nurses and physicians within hospital settings.
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