Evidence map›Paper›PMID 40001113›Full record

ArticleBMC nursing2025

What is behind the high turnover intention among hospital nurses during the full liberalization of COVID-19 and the postpandemic era in China: a 2-wave multicentre cross-sectional comparison study.

Julan Xiao, Lili Liu, Yueming Peng, Xia Lyu, Chunfeng Xing, Yanling Tao, Shening Zhu, Aihuan Mai, Lijun Liang, Hongying Hu and 5 more

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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 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Julan XiaoDepartment of Thoracic Surgery, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, 518020, Guangdong, China.
Lili LiuSchool of physical education, Yunnan Minzu University, Kunming, 650504, Yunnan, China.
Yueming PengDepartment of Nursing, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, 518020, Guangdong, China.
Xia LyuDepartment of Nursing, Shenzhen People's Hospital Longhua Branch (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, 518000, Guangdong, China.
Chunfeng XingDepartment of Nursing, Shenzhen Guangming Distract People's Hospital, Shenzhen, 518000, Guangdong, China.
Yanling TaoDepartment of Nursing, Longgang Central Hospital of Shenzhen, Shenzhen, 518116, Guangdong, China.
Shening ZhuDepartment of Nursing, Shenzhen Maternity &Child Healthcare Hospital, Shenzhen, 518028, Guangdong, China.
Aihuan MaiDepartment of Cardiovascular Medicine, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, 518020, Guangdong, China.
Lijun LiangDepartment of Nursing, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, 518020, Guangdong, China.
Hongying HuDepartment of Nursing, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, 518020, Guangdong, China.
Yi FanDepartment of Nursing, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, 518020, Guangdong, China.
Weisi PengDepartment of Nursing, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, 518020, Guangdong, China.
Haishan XieDepartment of Nursing, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, 518020, Guangdong, China.
Jun RenDepartment of Thyroid surgery, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, 518020, Guangdong, China.
Weixiang LuoDepartment of Nursing, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, 518020, Guangdong, China. luoweixiang688@126.com.

Funding

Nursing discipline research topic of Chinese Medical Association journal CMAPH-NRG2022042the Shenzhen People's Hospital Nursing Research Fund Internal Project SYHL2024-N0005Wellcome Trust 202336
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has posed unprecedented challenges to the nursing profession, exacerbating occupational stress, attrition rates, and staffing shortages. Although prior studies have examined factors influencing nursing turnover intention, no research has compared turnover intention among Chinese hospital nurses during the full liberalization of COVID-19 and the postpandemic era. The aim of this study was to investigate the prevalence and associated factors of turnover intention during these two critical periods.

methodA 2-wave multicentre cross-sectional online survey was conducted in 25 hospitals in Guangdong, China. Data were collected during the full liberalization of COVID-19 (T1: 27 December 2022 to 7 January 2023, N = 1,766) and the postpandemic era (T2: 11 May to 23 May 2023, N = 2,643). A structured questionnaire was used to assess sociodemographic and work-related factors, such as perceived stress (10-item Perceived Stress Scale), depression (9-item Patient Health Questionnaire), anxiety (7-item Generalized Anxiety Disorder), insomnia (Insomnia Severity Index), intolerance of uncertainty (Intolerance of Uncertainty Scale), life satisfaction (Satisfaction with Life Scale), and turnover intention (Turnover Intention Scale). Statistical analyses, including descriptive statistics, chi-square tests, Pearson correlation, binary and multiple logistic regression, and hierarchical regression, were performed using SPSS 26.0.

resultsThe prevalence rates of turnover intention were 73.33% and 72.34% at T1 and T2, respectively. Dissatisfaction with nursing work (aOR: 2.393-8.659, Ps < 0.001), lack of interest in nursing (aOR: 2.713-3.077, Ps < 0.001) and depression (aOR: 1.437-2.113, Ps < 0.05) were associated with an increased risk of turnover intention. In addition, life satisfaction (aOR: 0.282-0.687, Ps < 0.05) was associated with a reduced risk of turnover intention.

conclusionsTurnover intention among hospital nurses remained alarmingly high during both the full liberalization of COVID-19 and the postpandemic era. Dissatisfaction with work, lack of interest in nursing, and depression were significant risk factors, whereas life satisfaction served as a protective factor. Early identification of turnover intention and targeted interventions are essential to address these challenges and improve nurse retention during and after public health crises. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Full liberalization of COVID-19NursesPostpandemic eraPrevalenceRisk factorsTurnover intention

Identifiers

PMID40001113
PMCPMC11863468

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LicenceCC BY-NC-ND
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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.