Evidence map›Paper›PMID 39923025›Full record

ArticleBMC nursing2025

Nurses retention: the impact of transformational leadership, career growth, work well-being, and work-life Balance.

Eman Sameh AbdELhay, Samah Mohamed Taha, Mona Metwally El-Sayed, Sahar Hassan Helaly, Islam Sameh AbdELhay

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Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
–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

45 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  8. Key factors associated with nurse retention and how they work: A mixed-methods study.International journal of nursing studies advances · 2026
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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

5 authors.

Eman Sameh AbdELhayAssistant Professor of Psychiatric and Mental Health Nursing, Faculty of Nursing, Mansoura University, Mansoura, Egypt. eman_2004@mans.edu.eg.
Samah Mohamed TahaAssistant Professor of Psychiatric and Mental Health Nursing, Faculty of Nursing, Mansoura University, Mansoura, Egypt.
Mona Metwally El-SayedAssistant Professor of Psychiatric Nursing and Mental Health, Faculty of Nursing, Alexandria University, Alexanderia, Egypt.
Sahar Hassan HelalyAssistant Professor of Nursing Administration, Faculty of Nursing, Mansoura University, Mansoura, Egypt.
Islam Sameh AbdELhayLecturer of Nursing Administration, Faculty of Nursing, Mansoura University, Mansoura, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNurse retention is critical for healthcare systems worldwide, as high turnover rates adversely affect patient care and organizational stability.

aimExamines the impact of transformational leadership, career growth opportunities, work well-being, and work-life balance on nurse retention.

methodsA cross-sectional study was conducted with 297 nurses employed in inpatient wards at Mansoura University Hospital. The study measured variables using the Nursing Retention Index, Global Transformational Leadership Scale, Career Growth Scale, Work Well-Being Scale, and Work-Life Balance Scale.

resultsA linear regression analysis identified significant predictors of nurse retention. Work-life balance was found to be a strong predictor, with an unstandardized coefficient (B) of 0.255 (p < 0.001) and a standardized coefficient (β) of 0.426, indicating a positive relationship with retention, transformational leadership also significantly influenced retention, with a B of 0.082 (p = 0.002) and a β of 0.171. In contrast, Career Growth and Work-Life Balance did not significantly predict retention, showing coefficients of -0.082 (p = 0.154) and -0.042 (p = 0.482). The model explained 23.4% of the variance in nurse retention (R-squared = 0.234) and demonstrated statistical significance (F = 22.294, p < 0.001).

conclusionThis study highlights the critical role of transformational leadership and work-life balance in enhancing nurse retention. However, career growth and work well-being did not significantly predict retention in this study. Healthcare institutions should focus on transformational leadership and work-life balance to enhance nurse retention. Future studies should explore factors related to career growth and work well-being to determine their potential impact on retention.

Indexed as

Career growthNurses retentionTransformational leadershipWork-life balanceWork well-being

Identifiers

PMID39923025
PMCPMC11807322

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.