Age-dependent relationships between work ability, thinking and quitting the job, and actual leaving among Italian nurses: A longitudinal study

Donatella Camerino, Paul Maurice Conway, Beatrice van der Heijden, Madeleine Estryn-Béhar, Giovanni Costa, Hans Martin Hasselhorn

    Research output: Contribution to journalArticleAcademicpeer-review

    48 Citations (Scopus)

    Abstract

    Background: Qualified nurses commonly report several work-related problems, which may threat their health and work ability, and may have an impact upon retention. - Objective: The aim of the present study was to investigate whether perceived work ability is a predictor for different types of thinking of quitting and for actual exit from the workplace. - Design: A prospective study has been performed based on 3329 Italian registered nurses which responded to both measurements of the Nurses’ Early Exit Study. Institutions were selected by means of a stratified sampling procedure. All the 7447 nurses working in that healthcare organizations were recruited for the study. Baseline questionnaire was collected from 5504 nurses. Response rate at follow-up was 63.4%. Two hundred and fifty-five nurses left the job in the course of the investigation. - Methods: Several multiple logistic regression analyses were performed controlling for indicators of work-related well-being, socio-demographic, and labour-market characteristics. - Results: As a whole, our results show that among nurses younger than 45 years work ability is a significant predictor of different types of thinking of quitting, but not of actual exit from the workplace: a lower perceived work ability was associated with a higher desire to undertake further education (OR: 3.05; 95% CI: 1.30–7.18) and/or to change workplace (OR: 4.03; 95% CI: 1.84–8.83) or profession (OR: 6.67; 95% CI: 2.78–15.99). In contrast, among the older nurses (>45), only actual exit was predicted by lower work ability scores (OR: 7.14; 95% CI: 1.15–44.13), along with the perception of a larger availability of free nursing posts in the region (OR: 2.70; 95% CI: 1.13–6.43). - Conclusion: Therefore, we conclude that in the relationship between low perceived work ability and intended or actual exit, a significant part is explained by age itself, but also by the age-related differences in occupational and life opportunities. This contribution concludes with some age-related policies aimed at boosting nurses’ retention.
    Original languageUndefined
    Pages (from-to)1645-1659
    Number of pages15
    JournalInternational journal of nursing studies
    Volume45
    Issue number11
    DOIs
    Publication statusPublished - 2008

    Keywords

    • Perceived work ability
    • Nurses
    • METIS-250509
    • IR-61665
    • Aging
    • Well being
    • Personnel turnover

    Cite this

    Camerino, Donatella ; Conway, Paul Maurice ; van der Heijden, Beatrice ; Estryn-Béhar, Madeleine ; Costa, Giovanni ; Hasselhorn, Hans Martin. / Age-dependent relationships between work ability, thinking and quitting the job, and actual leaving among Italian nurses: A longitudinal study. In: International journal of nursing studies. 2008 ; Vol. 45, No. 11. pp. 1645-1659.
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    title = "Age-dependent relationships between work ability, thinking and quitting the job, and actual leaving among Italian nurses: A longitudinal study",
    abstract = "Background: Qualified nurses commonly report several work-related problems, which may threat their health and work ability, and may have an impact upon retention. - Objective: The aim of the present study was to investigate whether perceived work ability is a predictor for different types of thinking of quitting and for actual exit from the workplace. - Design: A prospective study has been performed based on 3329 Italian registered nurses which responded to both measurements of the Nurses’ Early Exit Study. Institutions were selected by means of a stratified sampling procedure. All the 7447 nurses working in that healthcare organizations were recruited for the study. Baseline questionnaire was collected from 5504 nurses. Response rate at follow-up was 63.4{\%}. Two hundred and fifty-five nurses left the job in the course of the investigation. - Methods: Several multiple logistic regression analyses were performed controlling for indicators of work-related well-being, socio-demographic, and labour-market characteristics. - Results: As a whole, our results show that among nurses younger than 45 years work ability is a significant predictor of different types of thinking of quitting, but not of actual exit from the workplace: a lower perceived work ability was associated with a higher desire to undertake further education (OR: 3.05; 95{\%} CI: 1.30–7.18) and/or to change workplace (OR: 4.03; 95{\%} CI: 1.84–8.83) or profession (OR: 6.67; 95{\%} CI: 2.78–15.99). In contrast, among the older nurses (>45), only actual exit was predicted by lower work ability scores (OR: 7.14; 95{\%} CI: 1.15–44.13), along with the perception of a larger availability of free nursing posts in the region (OR: 2.70; 95{\%} CI: 1.13–6.43). - Conclusion: Therefore, we conclude that in the relationship between low perceived work ability and intended or actual exit, a significant part is explained by age itself, but also by the age-related differences in occupational and life opportunities. This contribution concludes with some age-related policies aimed at boosting nurses’ retention.",
    keywords = "Perceived work ability, Nurses, METIS-250509, IR-61665, Aging, Well being, Personnel turnover",
    author = "Donatella Camerino and Conway, {Paul Maurice} and {van der Heijden}, Beatrice and Madeleine Estryn-B{\'e}har and Giovanni Costa and Hasselhorn, {Hans Martin}",
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    Age-dependent relationships between work ability, thinking and quitting the job, and actual leaving among Italian nurses: A longitudinal study. / Camerino, Donatella; Conway, Paul Maurice; van der Heijden, Beatrice; Estryn-Béhar, Madeleine; Costa, Giovanni; Hasselhorn, Hans Martin.

    In: International journal of nursing studies, Vol. 45, No. 11, 2008, p. 1645-1659.

    Research output: Contribution to journalArticleAcademicpeer-review

    TY - JOUR

    T1 - Age-dependent relationships between work ability, thinking and quitting the job, and actual leaving among Italian nurses: A longitudinal study

    AU - Camerino, Donatella

    AU - Conway, Paul Maurice

    AU - van der Heijden, Beatrice

    AU - Estryn-Béhar, Madeleine

    AU - Costa, Giovanni

    AU - Hasselhorn, Hans Martin

    PY - 2008

    Y1 - 2008

    N2 - Background: Qualified nurses commonly report several work-related problems, which may threat their health and work ability, and may have an impact upon retention. - Objective: The aim of the present study was to investigate whether perceived work ability is a predictor for different types of thinking of quitting and for actual exit from the workplace. - Design: A prospective study has been performed based on 3329 Italian registered nurses which responded to both measurements of the Nurses’ Early Exit Study. Institutions were selected by means of a stratified sampling procedure. All the 7447 nurses working in that healthcare organizations were recruited for the study. Baseline questionnaire was collected from 5504 nurses. Response rate at follow-up was 63.4%. Two hundred and fifty-five nurses left the job in the course of the investigation. - Methods: Several multiple logistic regression analyses were performed controlling for indicators of work-related well-being, socio-demographic, and labour-market characteristics. - Results: As a whole, our results show that among nurses younger than 45 years work ability is a significant predictor of different types of thinking of quitting, but not of actual exit from the workplace: a lower perceived work ability was associated with a higher desire to undertake further education (OR: 3.05; 95% CI: 1.30–7.18) and/or to change workplace (OR: 4.03; 95% CI: 1.84–8.83) or profession (OR: 6.67; 95% CI: 2.78–15.99). In contrast, among the older nurses (>45), only actual exit was predicted by lower work ability scores (OR: 7.14; 95% CI: 1.15–44.13), along with the perception of a larger availability of free nursing posts in the region (OR: 2.70; 95% CI: 1.13–6.43). - Conclusion: Therefore, we conclude that in the relationship between low perceived work ability and intended or actual exit, a significant part is explained by age itself, but also by the age-related differences in occupational and life opportunities. This contribution concludes with some age-related policies aimed at boosting nurses’ retention.

    AB - Background: Qualified nurses commonly report several work-related problems, which may threat their health and work ability, and may have an impact upon retention. - Objective: The aim of the present study was to investigate whether perceived work ability is a predictor for different types of thinking of quitting and for actual exit from the workplace. - Design: A prospective study has been performed based on 3329 Italian registered nurses which responded to both measurements of the Nurses’ Early Exit Study. Institutions were selected by means of a stratified sampling procedure. All the 7447 nurses working in that healthcare organizations were recruited for the study. Baseline questionnaire was collected from 5504 nurses. Response rate at follow-up was 63.4%. Two hundred and fifty-five nurses left the job in the course of the investigation. - Methods: Several multiple logistic regression analyses were performed controlling for indicators of work-related well-being, socio-demographic, and labour-market characteristics. - Results: As a whole, our results show that among nurses younger than 45 years work ability is a significant predictor of different types of thinking of quitting, but not of actual exit from the workplace: a lower perceived work ability was associated with a higher desire to undertake further education (OR: 3.05; 95% CI: 1.30–7.18) and/or to change workplace (OR: 4.03; 95% CI: 1.84–8.83) or profession (OR: 6.67; 95% CI: 2.78–15.99). In contrast, among the older nurses (>45), only actual exit was predicted by lower work ability scores (OR: 7.14; 95% CI: 1.15–44.13), along with the perception of a larger availability of free nursing posts in the region (OR: 2.70; 95% CI: 1.13–6.43). - Conclusion: Therefore, we conclude that in the relationship between low perceived work ability and intended or actual exit, a significant part is explained by age itself, but also by the age-related differences in occupational and life opportunities. This contribution concludes with some age-related policies aimed at boosting nurses’ retention.

    KW - Perceived work ability

    KW - Nurses

    KW - METIS-250509

    KW - IR-61665

    KW - Aging

    KW - Well being

    KW - Personnel turnover

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    DO - 10.1016/j.ijnurstu.2008.03.002

    M3 - Article

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    JO - International journal of nursing studies

    JF - International journal of nursing studies

    SN - 0020-7489

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