Missed Nursing Care as a Mediator in the Relationship between Career Calling and Turnover Intention

Abstract

AbstractAimTo explore the role of missed nursing care in mediating the relationship between career calling and intention to leave among nurses.IntroductionIncreasing nurse turnover is still a major concern in the global healthcare system. The most reliable indicator of turnover is turnover intention. It is crucial to understand its affecting elements to suggest measures to lower nurses’ turnover intention.BackgroundTurnover intention has been linked to career calling and missed nursing care. Little empirical research has investigated the possibility that missed nursing care mediates between career calling and turnover intention.MethodsA cross‐sectional survey of 347 nurses was conducted. The survey instruments included the General Information Questionnaire, Calling Scale, Missed Nursing Care Scale and Turnover Intention Questionnaire. Structural equation models were used to build the model. This study made use of the STROBE checklist.ResultsFor 43.8% of nurses, turnover intention was high or very high. Missed nursing care and turnover intention were negatively correlated with career calling. Missed nursing care and turnover intention were positively related. Missed nursing care mediated the relationship between career calling and turnover intention.DiscussionCareer calling and missed nursing care can both influence turnover intention. Career calling can reduce the likelihood of turnover by preventing missed nursing care.ConclusionMissed nursing care mediated the relationship between career calling and intention to leave.Implications for nursing and nursing policyNursing managers should improve nurses’ career calling through professional education and minimize missed nursing care by using electronic nursing reminder devices to reduce turnover intention.