Factors Related to Turnover Intention Among OR Nurses: A Systematic Review

Nurse turnover affects both patient care and health care costs, with turnover intention reflecting employees' desire to leave an organization. This systematic review examines factors that contribute to turnover intention among OR nurses. A search of quantitative and qualitative studies in PubMed, Scopus, Cumulative Index to Nursing and Allied Health Literature, PsycInfo, and Embase identified 11 studies meeting the inclusion criteria. The contributing factors were categorized into individual and work-environment factors, with the latter further divided into job attributes and work-related issues. Key factors such as job satisfaction, age, and work experience were strongly associated with increased turnover intention. Addressing these factors is crucial for retaining OR nurses and improving health care outcomes. Given the complexity of factors involved, future research should adopt more standardized approaches, including consistent definitions and methodologies, to enable accurate comparisons and effective interventions. Then, strategies to improve job satisfaction and working conditions are recommended.