Wspólnotowy Serwis Informacyjny Badan i Rozwoju - CORDIS

Netherlands: Premature departure from nursing and 'intention to leave nursing'

Main National Results of the NEXT study in the Netherlands
Beatrice van der Heijden & Esther van der Schoot

Some main outcomes of the Dutch part of the NEXT-Study:
Based upon a categorization in three types of reasons we have divided the reasons for premature leave that were mentioned by the Dutch respondents’ as follows:
- Individual causes: parental obligations, taking up further studies, moving due to partner’s job, having found a job abroad as a volunteering nurse, desire to stop working in shifts, personal development plans, physical and psychological health complaints, too much travel time, and overeducated as a health care scientist,

- Work-related causes: bad job conditions, lack of participation in decision-making, high workload, having found a new/more challenging job, working climate, team atmosphere, dissatisfaction with job content, too much routine in current job, lack of job satisfaction, bad communication with direct supervisor, work conflict, dissatisfaction with personnel management, too much routine in current job, and

- Socio-structural causes: opportunity for early retirement.

It is interesting to mention that most reasons for premature leave can be linked to working conditions and work-related factors such as working climate, relationship with supervisors, dissatisfaction with shift work and so on.

Our quantitative survey outcomes point out that the Dutch nurses main reasons for termination of the job (N=40) comprised:
- Continuing professional development (5%),
- Their perceived working conditions (32.5%),
- Health reasons (5%),
- Other private reasons (22.5%), and
- Other professional reasons (35.%).

None of the Dutch nurses indicated pay or time needed to take care of a relative as main reasons. Again we can conclude that working conditions and other professional or work-related reasons appear to be high importance in predicting premature leave.

Study the impact that premature departure has on the individual

Five variables referring to the impact that premature departure has on the individual have been taken into account in the quantitative part of the leavers questionnaire: (1) nurses general health, (2) personal burnout, (3) work ability, (4) sleep, (5) pain and/or disability due to low back pain and neck/shoulder pain.

Our Dutch data indicate that nurses do not appear to suffer highly of health-related problems. Most nurses indicate to perceive their general health as good, in most cases they do not experience burnout, have high work ability, sufficient quality of sleep, and a low disability score. Presumably, Dutch nurses do not experience physical or psychological health problems, as a result of premature leave. It might be that for Dutch nurses the situation is the other way around, after having decided to leave, their perception is positively influenced. Possibly, this outcome indicates that people indeed want to have control over their personal life. After having made up their mind, health perceptions are good. Studying the longitudinal data from the NEXT study can provide insight into the direction of the relationships and might answer the important question: Do nurses leave because of a lack of individual well being? versus Do nurses experience a lack of individual well being because of premature departure?

Please contact Beatrice van der Heijden ( in case you would like to have more information.

Reported by

Maastricht School of Management/Open University of the Netherlands/University of Twente
Maastricht School of Management, Endepolsdomein 150, 6229 EP
6229 EP Maastricht
Śledź nas na: RSS Facebook Twitter YouTube Zarządzany przez Urząd Publikacji UE W górę