The Influence of Job Crafting on Nurses' Intent to Stay: A Cross-Sectional Study.

Abstract

Background/Objectives: The increasing rates of nurse turnover pose significant challenges to healthcare systems, negatively impacting patient outcomes and increasing operational costs. Despite the recognized importance of retaining nursing staff, factors contributing to turnover intentions, such as job dissatisfaction and burnout, remain inadequately addressed. Developing job crafting skills among nurses can be a proactive strategy to mitigate these issues, leading to a more engaged and committed workforce. The aim of this study was to analyze nurses' job crafting and its relationship with the intention to stay at their working hospitals or to leave the nursing profession. Methods: A cross-sectional, correlational study was conducted with a sample of 284 registered nurses using a self-reported online questionnaire with the standardized Spanish version of the Job Crafting Scale. Mann-Whitney U and Kruskal-Wallis nonparametric tests were used to determine statistically significant differences between two or more different groups for the job crafting variable, respectively. The Spearman correlation coefficient was calculated to explore the relationships between variables. Results: Mean scores obtained for the Job Crafting Scale indicated that nurses in the study had a high level of job crafting. Nurses with lower scores for the 'Decreasing hindering job demands' subscale had a significantly lower intention to stay at their workplace. Greater 'Decreasing hindering job demands' scores were significantly associated with a lower intention to leave the nursing profession. Lower nurses' intention to leave the nursing profession was significantly associated with a greater intention to stay at hospitals. Conclusions: Improving 'Decreasing hindering job demands' job crafting skills to "decrease hindering job demands" through workload management, time management training, supportive supervision, resource availability, autonomy encouragement, promotion of team collaboration, and mental health support. It could lead to greater retention of nurses in their workplaces and in the nursing profession. Nursing managers and leaders should consider improving the job crafting skill "Decrease Hindering Job Demands" among nurses as a potential strategy for effective retention of nurses to address the challenges of the global nursing shortage.