ABSTRACT
Background@#Nurses comprise the largest group of health professionals in the Philippines, and turnover remains a challenge to the workforce and healthcare system. Understanding the extent of the problem and multiple factors related to turnover rates is crucial in retaining nurses in the organization and profession. @*Objectives@#The study aimed to (1) describe and compare nurses' turnover intention, (2) identify factors for nurses' turnover intention, and (3) determine factors to promote nurses' retention in their current organization. @*Methodology@#This descriptive, cross-sectional, and correlational study was conducted through a survey that sought the participants' sociodemographic and work-related characteristics and their perceived practice environment, job satisfaction, organizational commitment, job stress, and alternative job opportunities. Additional questions were added to identify the participants' reasons for their intention to leave their current job and stay in their current organizations. @*Results@#The final sample comprised 297 nurses. Significant differences in the nurses' turnover intention scores were found across multiple demographic, personal, and work-related factors. The final multiple logistic regression model revealed that 'influence of peers to leave,' 'desire to try new things,' practice environment, and organizational commitment were significant factors in the nurses' turnover intention. Staff nurses perceived practice environment (n=246) as the primary reason to stay in their current organization while it was compensation and benefits (n=25) for nurse managers. @*Conclusion@#A collaborative approach among the sectors of a healthcare organization is needed to develop a policy framework that advocates and promotes positive practice environment, job satisfaction, career progression, and personal well-being among nurses and other healthcare workers.
Subject(s)
Nursing , WorkplaceABSTRACT
@#Student nurses must be competently prepared to address the rising human immunodeficiency virus (HIV) epidemic in the Philippines. This article presents the development and effect of the online HIV Prevention and Care Training (HPCT) program for student nurses. The Iowa Model-Revised guided the development of the program. Literature review, student and faculty engagements, advocate participation, resources and protocol assessment, and pre-HPCT survey analysis were systematically performed to determine the contents and delivery of the program. The participants were 2nd and 3rd year level student nurses who were asked to answer the pre- and post-HPCT online surveys containing sociodemographic, HIV knowledge, attitudes, and perceived practices, and program evaluation questionnaires. Descriptive and inferential statistics were performed using SPSS version 23. Student nurses in the post-HPCTsurvey obtained significantly higher HIV knowledge scale mean scores (mean=18.22, SD=4.138) than those in the pre-HPCT survey (mean=15.01, SD=4.069) (p=.000). Pre- to post-HPCT survey revealed significant decreases in the proportions of student nurses who agreed on the following: HIV-positive patients should not be put in rooms with other patients when admitted to hospital (44.3%, 31.6%; p=.004); the need to worry about putting family and friends at risk of contracting the disease when caring for a person with HIV/AIDS (39.7%, 26.4%; p=.002); and healthcare workers are worried of getting HIV/AIDS from caring for a person with HIV/AIDS in their work environment (47.2%, 37.5%; p=.011). Significantly, more student nurses in the post-HPCT survey agreed in all the items of the HIV practice scale than those in the pre-HPCT survey. The online HPCTprogram was acceptable with beneficial effects on student nurses' HIV knowledge, attitudes, and perceived practices. There is a need to highlight basic HIV concepts and integrate HIV developments in the education of student nurses.