Factors related to voluntary external turnover of nursing professionals

Balabanian, Yvete Carvalho Chaves; Monteiro, Maria Inês

doi:10.1590/S1980-220X2017033403427

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ORIGINAL ARTICLE • Rev. esc. enferm. USP 53 • 2019 • https://doi.org/10.1590/S1980-220X2017033403427 copy

Factors related to voluntary external turnover of nursing professionals^* * Extracted from the dissertation: “Rotatividade dos profissionais de enfermagem de um hospital universitário público”, Faculdade de Enfermagem, Universidade Estadual de Campinas, 2014.

Factores relacionados con la rotatividad externa voluntaria de profesionales enfermeros

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To analyze the factors related to the turnover of nursing professionals of a public teaching hospital.

Method:

Descriptive, exploratory, retrospective study with quantitative analysis conducted with workers from a public teaching hospital. The analysis used a data collection instrument from the service, applied at the time of the voluntary resignation of the professional.

Results:

223 nursing professionals participated in the study. The factors that led to voluntary turnover were the employment bond, age and the association of both. The majority of professionals were young adults, in a high productivity phase, which increases willingness to seek challenges in the labor market and professional improvements.

Conclusion:

Turnover is multifactorial and influenced by economic, social and political aspects. Reducing inequalities in working conditions, which generate dissatisfaction, such as different employment bonds for professionals who have the same function and perform the same activities, is fundamental to reduce turnover.

DESCRIPTORS:
Nursing; Personnel Turnover; Job Satisfaction; Nursing Staff, Hospital; Health Management

Variable	n	(%)
Gender
Female	199	89.2
Male	24	10.8
Type of course/institution of professional training
Public	88	42.7
Private	118	57.3
Notinformed	17
Category
Nurse	47	21.1
Nursing technician	168	75.3
Assistant	8	3.6
Employment bond
University	96	43.0
Foundation	127	57.0
Area/Allocation
Adult Hospitalization Unit	112	50.2
Intensive Care Unit	28	12.5
Referral Emergency Unit	27	12.1
Pediatric Hospitalization Unit	24	10.8
Outpatient clinics	10	4.5
Surgery and Material Center Sterilization	22	9.9
Work shift
Morning	68	31.6
Afternoon	89	41.4
Night	53	24.7
Administrative	5	2.3
Not informed	8	-
Time working in the institution (in years)
Up to 1 and fractions	123	55.2
2 to 4	53	23.8
5 to 9	37	16.6
10 to 14	4	1.8
15 to 19	3	1.3
20 or more	3	1.3

Salaries of nursing categories according to employment bond by the university and by the foundation
	University	Foundation	Salary Difference Value of in %	Value of salary difference
Nurses	R$ 4,972.01	R$ 3,305.05	33.5	R$ 1,666.96
Nursing Technicians	R$ 2,636.78	R$ 1,752.79	33.5	R$ 883.99
Nursing Assistants	No longer hired	R$ 1,589.83	-	-

Variable Reasons for resignation	Year								Total
	2010		2011		2012		2013		Total
	n	%	n	%	n	%	n	%	n	%
Salary
No	50	96.2	56	88.9	64	90.1	34	91.9	204	91.5
Yes	2	3.9	7	11.1	7	9.9	3	8.1	19	8.5
Another job
No	47	90.4	58	92.1	67	94.4	31	83.8	203	91
Yes	5	9.6	5	7.9	4	5.6	6	16.2	20	9
Personal problem
No	39	75	47	74.6	55	77.5	24	64.9	165	74
Yes	13	25	16	25.4	16	22.5	13	35.1	58	26
Bosses
No	51	98.1	61	96.8	69	97.2	37	100	218	97.8
Yes	1	1.9	2	3.2	2	2.8	0	0	5	2.2
Working conditions
No	51	98.1	59	93.7	70	98.6	37	100	217	97.3
Yes	1	1.9	4	6.4	1	1.4	0	0	6	2.7
Health
No	50	96.2	60	95.2	68	95.8	35	94.6	213	95.5
Yes	2	3.9	3	4.8	3	4.2	2	5.4	10	4.5
Interpersonal relationship
No	52	100	61	96.8	71	100	37	100	221	99.1
Yes	0	0	2	3.2	0	0	0	0	2	0.9
Adaptation problems
No	52	100	62	98.4	70	98.6	36	97.3	220	98.7
Yes	0	0	1	1.6	1	1.4	1	2.7	3	1.4
Other reasons
No	22	42.3	27	42.9	28	39.4	21	56.8	98	44
Yes	30	57.7	36	57.1	43	60.6	16	43.2	125	56.1

Variable	N	Mean	SD	Minimum	Q1	Median	Q3	Maximum	p-valor
Category									0.9605^*
Nurse	47	33.6	7.6	25.3	29.4	31.3	35.6	56.8
Technician/Assistant	176	33.6	7.9	20.7	27.8	31.5	37.6	60.6
Employment bond									0.0177^*
University	96	32.5	8.0	20.7	27.4	30.6	35.4	60.6
Foundation	126	34.3	7.4	23.7	29.0	32.6	37.7	56.8
Time working in the institution (in years)									0.0262^**
Up to 1	123	33.2	7.6	20.7	27.4	31.7	37.1	56.8
2 to 4	53	32.1	6.9	23.5	27.9	30.5	33.7	55.3
5 or more	47	36.2	8.9	25.5	29.0	34.3	42.1	60.6
Reason: salary									0.0893^*
No	204	33.9	7.9	22.7	28.2	31.5	37.4	60.6
Yes	19	30.6	6.0	20.7	26.6	29.9	33.4	45.6
Reason: another job									0.3572^*
No	203	33.8	8.0	20.7	27.9	31.6	37.1	60.6
Yes	20	31.8	6.0	23.7	27.3	31.0	34.7	45.4
Reason: private problem									0.0009^*
No	165	32.7	7.5	20.7	27.4	30.7	35.5	60.6
Yes	58	36.2	8.1	24.6	30.9	33.8	41.5	56.8
Reason: health									0.6758^*
No	213	33.6	7.6	20.7	27.9	31.5	36.9	60.6
Yes	10	34.6	11.3	23.5	26.6	29.6	47.1	54.8
Reason: others									0.0542^*
No	98	34.7	8.3	20.7	28.8	32.5	38.9	58.4
Yes	125	32.8	7.3	22.7	27.4	30.7	36.6	60.6
Work force									0.0140^*
No	108	34.7	7.4	23.7	28.6	32.8	38.3	54.8
Yes	106	32.8	8.3	20.7	27.3	30.8	35.0	60.6
Work shift									0.6122^**
Afternoon	89	33.6	8.1	22.7	27.6	31.0	37.6	56.8
Morning	68	32.8	7.5	20.7	27.4	30.9	36.0	51.2
Night	53	34.0	8.0	22.7	28.7	32.0	36.9	60.6

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Yvete Carvalho Chaves Balabanian Rua Pedro Vieira da Silva 595/23, Ed. Palm Beach, Jardim Santa Genebra, CEP 13080-570 - Campinas, SP, Brazil yvete@hc.unicamp.br

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Factors related to voluntary external turnover of nursing professionals* * Extracted from the dissertation: “Rotatividade dos profissionais de enfermagem de um hospital universitário público”, Faculdade de Enfermagem, Universidade Estadual de Campinas, 2014.

Factores relacionados con la rotatividad externa voluntaria de profesionales enfermeros

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Factors related to voluntary external turnover of nursing professionals^* * Extracted from the dissertation: “Rotatividade dos profissionais de enfermagem de um hospital universitário público”, Faculdade de Enfermagem, Universidade Estadual de Campinas, 2014.