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Nurs Open. 2014 Dec 22;2(1):3-13. doi: 10.1002/nop2.11. eCollection 2015 Apr.

A qualitative exploration of nurses leaving nursing practice in China.

Nursing open

Junhong Zhu, Sheila Rodgers, Kath M Melia

Affiliations

  1. Arthur Labatt Family School of Nursing University of Western Ontario London Ontario Canada; Nursing Studies School of Medicine Hangzhou Normal University Hangzhou China.
  2. Nursing Studies School of Health in Social Science University of Edinburgh Edinburgh UK.

PMID: 27708796 PMCID: PMC5047306 DOI: 10.1002/nop2.11

Abstract

AIM: This paper reports a theoretical understanding of nurses leaving nursing practice by exploring the processes of decision-making by registered nurses in China on exiting clinical care.

BACKGROUND: The loss of nurses through their voluntarily leaving nursing practice has not attracted much attention in China. There is a lack of an effective way to understand and communicate nursing workforce mobility in China and worldwide.

DESIGN: This qualitative study draws on the constant comparative method following a grounded theory approach.

METHOD: In-depth interviews with 19 nurses who had left nursing practice were theoretically sampled from one provincial capital city in China during August 2009-March 2010.

RESULTS: The core category 'Mismatching Expectations: Individual vs. Organizational' emerged from leavers' accounts of their leaving. By illuminating the interrelationship between the core category and the main category 'Individual Perception of Power,' four nursing behaviour patterns were identified: (1) Voluntary leaving; (2) Passive staying; (3) Adaptive staying and (4) Active staying.

Keywords: China; expectations; nursing turnover; nursing workforce management; power; shortage; voluntary leaving

References

  1. J Adv Nurs. 2006 Aug;55(4):465-77 - PubMed
  2. J Adv Nurs. 2006 Dec;56(5):457-8 - PubMed
  3. Int J Nurs Stud. 2007 Feb;44(2):175-82 - PubMed
  4. J Nurs Adm. 2004 May;34(5):238-45 - PubMed
  5. J Adv Nurs. 2004 Sep;47(6):664-71 - PubMed
  6. Int J Nurs Stud. 2004 Feb;41(2):141-50 - PubMed
  7. Health Aff (Millwood). 2005 Jul-Aug;24(4):903-14 - PubMed
  8. J Adv Nurs. 1995 May;21(5):865-71 - PubMed
  9. J Adv Nurs. 2008 May;62(3):295-306 - PubMed
  10. J Adv Nurs. 2003 Aug;43(4):325-6 - PubMed
  11. J Adv Nurs. 2002 Nov;40(4):466-74 - PubMed
  12. J Adv Nurs. 2009 Dec;65(12):2642-8 - PubMed
  13. Health Aff (Millwood). 2001 May-Jun;20(3):43-53 - PubMed
  14. BMJ. 2002 Dec 7;325(7376):1362 - PubMed
  15. J Adv Nurs. 1992 Jan;17(1):1-2 - PubMed
  16. J Adv Nurs. 2007 Jun;58(5):468-79 - PubMed
  17. J Nurs Adm. 1999 May;29(5):28-39 - PubMed
  18. J Nurs Manag. 2014 May;22(4):423-32 - PubMed
  19. Nurse Educ Pract. 2008 Jul;8(4):239-48 - PubMed
  20. Nurs Inq. 2007 Jun;14 (2):99-113 - PubMed
  21. J Health Econ. 2001 Sep;20(5):677-701 - PubMed
  22. J Nurs Manag. 2009 Mar;17 (2):230-7 - PubMed
  23. J Hosp Med. 2008 May;3(3):193-9 - PubMed
  24. Int J Nurs Stud. 2006 Feb;43(2):237-63 - PubMed
  25. Medsurg Nurs. 2010 Nov-Dec;19(6):335-40 - PubMed
  26. Health Aff (Millwood). 2008 Jul-Aug;27(4):949-51 - PubMed
  27. J Adv Nurs. 2008 Apr;62(2):258-66 - PubMed
  28. Int J Nurs Stud. 2013 Feb;50(2):154-61 - PubMed
  29. Nurs Outlook. 2010 May-Jun;58(3):122-8 - PubMed
  30. Health Aff (Millwood). 2008 Jul-Aug;27(4):937-48 - PubMed
  31. Nurs Econ. 2003 Nov-Dec;21(6):269-74, 279, 259 - PubMed
  32. J Appl Psychol. 1992 Jun;77(3):288-97 - PubMed

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