دوره 22، شماره 4 - ( 9-1404 )
جلد 22 شماره 4 صفحات 51-45 |
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Karimi M A, Akrami R, Assarroudi A, Heshmati Nabavi F, Heidarian Miri H. The role of work schedule characteristics in shaping nurses’ emigration intention in Iran. J Res Dev Nurs Midw 2025; 22 (4) :45-51
URL: http://nmj.goums.ac.ir/article-1-2171-fa.html
URL: http://nmj.goums.ac.ir/article-1-2171-fa.html
The role of work schedule characteristics in shaping nurses’ emigration intention in Iran. Journal of Research Development in Nursing and Midwifery. 1404; 22 (4) :45-51
چکیده: (69 مشاهده)
Background: Nurse emigration exacerbates the growing nursing shortage. As undesirable work schedules are linked to job burnout and emigration intention, this study aimed to comprehensively investigate the association between work schedule characteristics and nurses' intent to emigrate in Iran.
Methods: This was a cross-sectional study conducted on 560 nurses working in the medical and surgical wards of four affiliated university hospitals in the eastern part of Iran in 2025. Sampling was performed using a multistage cluster sampling method with proportional allocation, followed by simple random sampling within each ward. Data were collected using a demographic questionnaire, an adapted tool from the Trinkoff instrument for work schedule characteristics, and a dichotomous question (Yes/No) assessing intent to emigrate. Data analysis was performed using logistic regression in Stata software version 17, with a significance level of P < 0.05.
Results: A total of 39.1% of nurses reported an intent to emigrate. In the adjusted model, daily working hours of 13 to 18 hours were associated with a significantly increased intent to emigrate (OR = 2.12; 95% CI: 1.12 - 3.99). Nurses working rotating shifts had a higher likelihood of intent to emigrate compared with those working morning shifts (OR = 2.89; 95% CI: 1.73 - 4.83), and this likelihood was even higher among those working combined morning and night shifts (OR = 5.26; 95% CI: 2.54 - 10.89). Furthermore, quick returns (short rest periods between shifts) were identified as a significant predictor (OR = 2.16; 95% CI: 1.28 - 3.65).
Conclusion: The findings of this study indicate that long daily working hours, rotating and combined shifts, and quick returns are among the most significant factors associated with nurses' intent to emigrate. Recommendations for health policymakers and administrators include implementing strict limits on daily working hours to eliminate quick returns and restructuring schedules to significantly increase predictability and nurse autonomy. Addressing these stressors can reduce emigration intent and enhance healthcare system stability.
Methods: This was a cross-sectional study conducted on 560 nurses working in the medical and surgical wards of four affiliated university hospitals in the eastern part of Iran in 2025. Sampling was performed using a multistage cluster sampling method with proportional allocation, followed by simple random sampling within each ward. Data were collected using a demographic questionnaire, an adapted tool from the Trinkoff instrument for work schedule characteristics, and a dichotomous question (Yes/No) assessing intent to emigrate. Data analysis was performed using logistic regression in Stata software version 17, with a significance level of P < 0.05.
Results: A total of 39.1% of nurses reported an intent to emigrate. In the adjusted model, daily working hours of 13 to 18 hours were associated with a significantly increased intent to emigrate (OR = 2.12; 95% CI: 1.12 - 3.99). Nurses working rotating shifts had a higher likelihood of intent to emigrate compared with those working morning shifts (OR = 2.89; 95% CI: 1.73 - 4.83), and this likelihood was even higher among those working combined morning and night shifts (OR = 5.26; 95% CI: 2.54 - 10.89). Furthermore, quick returns (short rest periods between shifts) were identified as a significant predictor (OR = 2.16; 95% CI: 1.28 - 3.65).
Conclusion: The findings of this study indicate that long daily working hours, rotating and combined shifts, and quick returns are among the most significant factors associated with nurses' intent to emigrate. Recommendations for health policymakers and administrators include implementing strict limits on daily working hours to eliminate quick returns and restructuring schedules to significantly increase predictability and nurse autonomy. Addressing these stressors can reduce emigration intent and enhance healthcare system stability.
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