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Cited by 253Nursing education and managementHealthcare Education and Workforce IssuesOccupational Health and Burnout

The Impact of Social Work Environment, Teamwork Characteristics, Burnout, and Personal Factors Upon Intent to Leave Among European Nurses

Estryn-Béhar, Madeleine, Van der Heijden, Beatrice I. J. M., Ogińska, Halszka, Camerino, Donatella, Le Nézet, Olivier, Conway, Paul Maurice, Fry, Clementine, Hasselhorn, Hans-Martin·2007·Medical Care
DOI 10.1097/mlr.0b013e31806728d8
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Abstract

OBJECTIVES: Europe's nursing shortage calls for more effective ways to recruit and retain nurses. This contribution aims to clarify whether and how social work environment, teamwork characteristics, burnout, and personal factors are associated with nurses' intent to leave (ITL). METHODS: Our sample comprises 28,561 hospital-based nurses from 10 European countries. Different occupational levels have been taken into account: qualified registered nurses (n = 18,594), specialized nurses (n = 3957), head nurses (n = 3256), and nursing aides and ancillary staff (n = 2754). RESULTS: Our outcomes indicate that ITL is quite prevalent across Europe, although we have found some differences across the countries depending on working conditions and economic situation. Quality of teamwork, interpersonal relationships, career development possibilities, uncertainty regarding treatment, and influence at work are associated with nurses' decision to leave the profession across Europe, notwithstanding some country-specific outcomes. A serious lack of quality of teamwork seems to be associated with a 5-fold risk of ITL in 7 countries. As far as personal factors are concerned, our data support the hypothesized importance of work-family conflicts, satisfaction with pay, and burnout. A high burnout score seems to be associated with 3 times the risk of ITL in 5 countries. CONCLUSIONS: To prevent premature leaving, it is important to expand nurses' expertise, to improve working processes through collaboration and multidisciplinary teamwork, and to develop team training approaches and ward design facilitating teamwork.

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  • High burnout measured with CBI is associated with higher intention to leave in all countries except Slovakia.

    “Estryn-Behar et al. used the same scale to measure burnout and found that high burnout was associated with higher intention to leave in all countries, except for Slovakia [102]”

    From Burnout in nursing: a theoretical review. (2020) · cites this paper as [102]

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Authors
Estryn-Béhar, M., Van der Heijden, B. I. J. M., Ogińska, H., Camerino, D., Le Nézet, O., Conway, P. M., Fry, C., & Hasselhorn, H.-M.
Affiliations
  • Jagiellonian University (PL)
  • University of Milan (IT)
  • University of Wuppertal (DE)
ORCID
Venue
Medical Care
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2007-10
Volume
45
Issue
10
Pages
939-950
ISSN
0025-7079 (ISSN-L)
DOI
10.1097/mlr.0b013e31806728d8
OpenAlex
W2017257683
Cited by
253
References
49
Citations by year
2026: 7 · 2025: 2 · 2024: 8 · 2023: 9 · 2022: 17 · 2021: 14 · 2020: 14 · 2019: 12 · 2018: 9 · 2017: 14 · 2016: 19 · 2015: 20 · 2014: 15 · 2013: 28 · 2012: 18
FWCI
26.74
Type
journal article
Language
en
Open access
closed
Locations
  • Medical Care (publishedVersion)
  • PubMed (publishedVersion)
  • University of Twente Research Information (publishedVersion)
  • Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
  • Radboud Repository (Radboud University) (submittedVersion)
  • University of Twente Research Information (submittedVersion)
Topics
  • Health Sciences › Nursing › Research and Theory › Nursing education and management
  • Health Sciences › Nursing › Leadership and Management › Healthcare Education and Workforce Issues
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
Keywords
nurse turnover, turnover intention, burnout, teamwork, social work environment, work-family conflict, pay satisfaction, nursing shortage, nurse retention, hospital nurses, career development, interpersonal relationships, multidisciplinary teamwork, team training, hospital ward design
MeSH terms
Adult, Burnout, Professional, Career Mobility, Conflict, Psychological, Cross-Cultural Comparison, Europe, Family, Female, Humans, Interpersonal Relations, Male, Middle Aged, Nurses, Patient Care Team, Quality of Health Care, Salaries and Fringe Benefits, Social Environment, Workplace

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