Factors influencing public hospital nurses’ intentions to leave their current employment in Jordan


  • Mohammed Al Momani Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University




Nursing shortage, Intent to leave, Intent to stay, Job satisfaction, Nursing practice


Background: Shortage of nurses resulting from nurses migration, has created a health care crisis in developing countries and has adversely affected the quality of nursing care provided to patients. The main objective of this study was to investigate the factors influencing Jordanian public hospital nurses’ intent to leave their current employment.

Methods: A cross-sectional survey was conducted among 348 registered nurses randomly selected from two public referral hospitals, Al Bashier Teaching Hospital, and Amirah Basma Teaching Hospital, Jordan. Data to investigate the nurses’ satisfaction and their intention to leave were collected using self-administered questionnaire compromised 28 factors included in seven dimension: Administrative support, supervision and leadership, interaction with co-workers, work related factors, staff development practices, pay and promotion system, and control and responsibility. Data collected over a 4-month period (December 13, 2015 to April 7, 2016).

Results: of the 348 registered nurses 212 (60.9%) had an intention to leave their current work. The average satisfaction rate for all dimensions was (2.83). The dominant factors were not satisfied nurses (mean<3) and influencing their intention to leave were Pay and benefits, nurse to bed ratio due to shortage of nurses, and praising and recognitions for achievement. The variables gender, work experience, and nursing role yielded significant associations with intent to leave (p<0.05).

Conclusions: The study showed that the majority of nurses were dissatisfied and had intention to leave their current job. Developing strategies to increase retention of nurses such as salaries and benefits should be periodically reviewed in light of the national consumer index, in addition to other strategies could improve nursing retention and quality of nursing care. 

Author Biography

Mohammed Al Momani, Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University

Deaprtment of community Health Sciences

Assistant professor 


Yearwood EL. The crisis of nurse migration in developing countries. J Child Adolesc Psychiatr Nurs. 2007;20:191-2.

Aiken LH, Sloane DM, Bruyneel L, Van DHK, Sermeus W. Nurses’ reports of working conditions and hospital quality of care in Europe. Int J Nurs Stud. 2013;50:143-53.

Hyajneh YA, AbuAlRub RF, Athamneh AZ, Almakhzoomy TK. Turnover rate among registered nurses in Jordanian hospitals: an exploratory study, Int J Nurs Pract. 2009;15:303-10.

Bumgarner SD, Beard EL. The magnet application: pitfalls to avoid. J Nurs Admin. 2003;33(11):603-6.

Cortese CG. Predictors of critical care nurses’ intention to leave the unit, the hospital, and the nursing profession. Open J Nurs. 2012;2:311-26.

BandhanPreat K, Mohindru P. Atencedents of turnover intentions: A literature review. Global J Manag Bus Stud. 2013;3:1219-30.

Engeda EH, Birhanu AM, Alene KA. Intent to stay in the nursing profession and associated factors among nurses working in Amhara Regional State Referral Hospitals, Ethiopia. BMC Nurs. 2014;13:1-8.

Wang L, Tao H, Ellenbecker CH, Liu XH. Predictors of hospital nurses’ intent to stay: Across-sectional questionnaire in Shanghai, China. Int Nurs Rev. 2012;59(4):547-54.

Barron D, West AE. Leaving nursing: An event-history analysis of nurses’ career. J Health Serv Res Policy. 2005;10:105-57.

Marryan MT. Nurse job satisfaction and retention: Comparing public to private hospitals in Jordan. J Nurs Manag. 2005;13:40-50

Khowaja K, Merchant RJ, Hirani D. Registered nurses’ perception of work satisfaction at a tertiary care university hospital. J Nurs Manag. 2005;13:32-9.

Curtis E. Job satisfaction among intensive care nurses from the people’s Republic of China. Int Nurs Rev. 2007;54:92-9.

Al Hussami M. A study of nurses’ job satisfaction : the relationship to organizational commitment, perceived organizational support, transactional leadership, transformational leadership, and level of education. Eur J Sci Res. 2008;22:286-95.

Seo Y, Ko J, Price JL. The determinants of job satisfaction among hospital nurses: a model estimation in Korea. Int J Nurs Stud. 2004;41:437-46.

Morrell K. Towards a typology of nursing turnover: The role of shocks in nurses’ decisions to leave. J Adv Nurs. 2005;49:315-22.

Strachota E, Normandin P, O'Brien N, Clary M. Krukow B. Reasons registered nurses leave or change employment status. J Nurs Ad. 2003;33:111-7.

Ulrich BT, Buerhaus PI, Donelan K, Norman L, Dittus R. How RNs view the work environment: results of a national survey of registered nurses. J Nurs Admin. 2005;35:389-96.

Hall DS. Work-related stress of registered nurses in a hospital setting. J Nurs Staff Dev. 2004;20:6-14.

Duffield C, Pallas LO, Aitken LM. Nurses who work outside nursing. J Adv Nur. 2004;47:664-71.

Letvak S, Buck R. Factors influencing work productivity and intent to stay in nursing. Nurs Econ. 200;26:159-65.

Pillay R. A conceptual framework for the strategic analysis and management of the brain drain of African health care professionals. Afr J Bus Manage. 2007;1:26-33.

Force MV. The relationship between effective nurse managers and nursing retention. J Nurs Admin. 2005;35:336-41.

Lu H, Alison E, While K, Loiuse B. Job satisafction among nurses: a literature review. Int J Nurs Stud. 2005;24:211-27.

Lephalala RP, Ehlers VJ, Oosthuizen MJ. Factors influencing nurses’ job satisfaction in selected private hospitals in England. Curationis. 2008;31:60-9.

Farsi Z, Dehghan-Nayeri N, Negarandeh R, Broomand. Nursing profession in Iran: An overview of opportunities and challenges. Jpn J Nurs Sci. 2010;7:9-18.

Ujvarine AS, Zrinyi M, Toth H, Zekanyne IR, Szogedi I, Betlehem J. Intent to stay in nursing: Internal and external migration in Hungary. J Clin Nurs. 2011;20:882-9.

McCarthy G, Tyrrell MR,,Lehane E. Intention to ‘leave’ or ‘stay’ in nursing. J Nurs Manag. 2015;15:248-55.

Delobelle P, Rawlinson JL, Ntuli S, Malatsi I, Decock R., Depoorter AM. Job satisfaction and turnover intent of primary health care nurses in rural South Africa: A questionnaire survey. J Adv Nurs. 2011;67:371-83.

Zangaro GA, Soeken KL. Ameta-analysis of studies of nurses’ job satisfaction. Res Nurs Health. 2007;30:445-58.

Murrells T, Robinson S, Griffiths P. Is satisfaction a direct predictor of nursing turnover. Modelling the relationship between satisfaction, expressed intention and behaviour in a longitudinal cohort study. Hum Resour Health. 2008;6:22.

Bumgraner SD, Beard EL. The magnet application: pitfalls to avoid. J Nurs Admin. 2003;33:603-6.

Teo H, Zhang A, Hu J, Zhang Y. Regional differences in job satisfaction for mainland Chinese Nurses. Nurs outlook. 2011;60:213-20.

Yin T, Yang A. Nursing turnover in Tiwan: a meta –analysis of related factors. Int J Nurs Stud. 2002;39:573-81.

Larrabee JH, Janney MA, Ostrow CL, Withrow ML, Hobbs GR, Jr Burant C. Predicting registered nurse job satisfaction and intent to leave. J Nurs Admin. 2003;33:271-83.

Koukkanen L, Leino-Kilpi H, Katajisto J. Nurse empowerment, job-related satisfaction, and organizational commitment. J Nurs Care Qual. 2003;18:184-92.




How to Cite

Al Momani, M. (2017). Factors influencing public hospital nurses’ intentions to leave their current employment in Jordan. International Journal Of Community Medicine And Public Health, 4(6), 1847–1853. https://doi.org/10.18203/2394-6040.ijcmph20172143



Original Research Articles