Transforming outcome expectations into retention among hospital nurses: A cross‐sectional study

Author:

Huang Tzu‐Ling1ORCID,Chang Hao‐Yuan234ORCID,Huang Min5,Wong Alice May‐Kuen6ORCID,Yu Wen‐Pin78ORCID,Cheng T. C. E.9ORCID,Teng Ching‐I61011ORCID

Affiliation:

1. Department of Information Management National Central University Taoyuan City Taiwan

2. School of Nursing National Taiwan University New Taipei City Taiwan

3. Department of Second Degree Bachelor of Science in Nursing, College of Medicine National Taiwan University New Taipei City Taiwan

4. Department of Nursing National Taiwan University Hospital New Taipei City Taiwan

5. Department of Health Care Management Chang Gung University Taoyuan City Taiwan

6. Department of Physical Medicine and Rehabilitation Chang Gung Memorial Hospital Linkou Taiwan

7. Department of Nursing Chang Gung Memorial Hospital Linkou Taiwan

8. Chang Gung University of Science and Technology Taoyuan City Taiwan

9. Department of Logistics and Maritime Studies The Hong Kong Polytechnic University Kowloon Hong Kong

10. Graduate Institute of Management Chang Gung University Taoyuan City Taiwan

11. Department of Business and Management Ming Chi University of Technology New Taipei City Taiwan

Abstract

AbstractAimTo examine the main effects and interaction effects of outcome expectations (e.g., anticipated satisfactory salary and benefits), nurse identity (a sense of membership in the nursing profession), and information‐access efficiency of the electronic medical record system (how the system enables nurses to quickly retrieve the needed information) on nurses' retention.DesignThis study uses a cross‐sectional survey and adopts proportionate random sampling to recruit a representative sample of nurses of a medical centre in Taiwan.MethodsThis study successfully obtained completed questionnaires from 430 nurses during December 2021 to January 2022. Data are analysed by using hierarchical regressions.ResultsPositive outcome expectations and identification as a member in the nursing profession are associated with retention. Information‐access efficiency strengthens the link between outcome expectations and retention, while nurse identity weakens this link.ConclusionOutcome expectations can help retain nurses, particularly those who perceive high levels of information‐access efficiency and possess weak nurse identity. That is, outcome expectations have a complementary role with nurse identity in retaining nurses.Implications for the ProfessionNurse managers should devise means to build positive outcome expectations for nurses. In addition, either strengthening nurses' identification with the nursing profession or improving the information‐access efficiency of the electronic medical system may also help retain nurses.ImpactThis study examined how to transform outcome expectation to nurse retention, offering nurse managers to devise new means to retain nurses.Reporting MethodSTROBE statement was chosen as EQUATOR checklist.Patient or Public ContributionNo patient or public contribution.

Funder

Chang Gung Memorial Hospital, Linkou

Publisher

Wiley

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