‘Should I stay or should I go?’: A mixed methods study on nurse retention during challenging times
Vol. 8 No. 6 (2022), Original Research Article
Vol. 8 No. 6 (2022)

‘Should I stay or should I go?’: A mixed methods study on nurse retention during challenging times

Original Research Article
Categories: Nursing Administration, Management, and Leadership
https://doi.org/10.33546/bnj.2327
Michael Joseph S. Diño
Our Lady of Fatima University, Valenzuela City, Metro Manila, Philippines | Johns Hopkins University, Baltimore, Maryland, USA
https://orcid.org/0000-0003-1493-2549
Paul John B. Bracero
Our Lady of Fatima University, Valenzuela City, Metro Manila, Philippines
Arnel Buencamino
Our Lady of Fatima University, Valenzuela City, Metro Manila, Philippines
Sharon B. Cajayon
Our Lady of Fatima University, Valenzuela City, Metro Manila, Philippines
Michael William Q. Catajan
Our Lady of Fatima University, Valenzuela City, Metro Manila, Philippines
https://orcid.org/0000-0001-9201-4415
Michaela Liel L. De Leon
Our Lady of Fatima University, Valenzuela City, Metro Manila, Philippines
Jessie Elsid Jr. Gregorio
Our Lady of Fatima University, Valenzuela City, Metro Manila, Philippines
https://orcid.org/0000-0001-6029-1477
Pamela Anne A. Lucelo
Our Lady of Fatima University, Valenzuela City, Metro Manila, Philippines
Bavy Charmy Cindy P. Odon
Our Lady of Fatima University, Valenzuela City, Metro Manila, Philippines
Jasmin Anne F. Palma
Our Lady of Fatima University, Valenzuela City, Metro Manila, Philippines
https://orcid.org/0000-0002-8372-0956
Roi Roel C. Rosado
Our Lady of Fatima University, Valenzuela City, Metro Manila, Philippines
Martin Phillip D. Taboada
Our Lady of Fatima University, Valenzuela City, Metro Manila, Philippines
Maria Luisa Uayan
Our Lady of Fatima University, Valenzuela City, Metro Manila, Philippines
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Keywords

humans
 COVID-19
 motivation
 pandemics
 Philippines
 health personnel
 nurses

How to Cite

Diño, M. J. S., Bracero, P. J. B., Buencamino, A., Cajayon, S. B., Catajan, M. W. Q., De Leon, M. L. L., Gregorio, J. E. J., Lucelo, P. A. A., Odon, B. C. C. P., Palma, J. A. F., Rosado, R. R. C., Taboada, M. P. D., & Uayan, M. L. (2022). ‘Should I stay or should I go?’: A mixed methods study on nurse retention during challenging times. Belitung Nursing Journal, 8(6), 481–490. https://doi.org/10.33546/bnj.2327
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Abstract

Background: The World Health Organization estimates that between 80,000 and 180,000 medical personnel perished as a result of COVID-19. Although studies about nurses’ organizational commitment during the COVID-19 pandemic have been conducted, the sources of motivations and resilience strategies of nurses in providing a quality healthcare service amidst the COVID-19 pandemic have yet to be explored.

Objective: This study aimed to investigate how motivation and resilience influence nurses to serve and cater to patients during the COVID-19 pandemic.    

Methods: A sequential exploratory mixed approach was used in this study between July and August 2022. The Connor-Davidson Resilience Scale (CD-RISC-10), Work Extrinsic and Intrinsic Motivations scale (WEIMS), and Garbee and Killacky’s Intent to Stay Scale (GKISS) were used to measure resilience, motivation, and intention to stay, among 50 nurses within Metro Manila. Quantitative data were analyzed using quantile regression, while qualitative data from eight participants were analyzed using thematic analysis.

Results: The majority of the nurses were working 12 hours and above (52%) and earning a bi-weekly income of PHP 15,001 to 20,000 (96%). The GKISS scores of most respondents indicated their likelihood of remaining in their current profession was moderately low (Mdn = 12.5; IQR = 12-14). It was also found that there was no sufficient statistical evidence to conclude that intention to stay was associated with resilience (p = 0.914) and work motivation (p = 0.560). The qualitative strand of this study explored the significant influences of motivation, resilience strategies, and sources of intention to stay among Filipino nurses while facing the COVID-19 pandemic. The primary motivations of nurses lie in family, passion for work, and career development, while the resilience strategies include adaptiveness, time management skills, and self-fulfillments. On the other hand, the intent to stay greatly lies in serving the people and the country.

Conclusion: This study concludes that positive and negative resilience and motivations from different facets of the social life of Filipino nurses, including passion, familial ties, patient care, and faith are the antecedents influencing the intention to serve in the healthcare service. In terms of staying for an extended period in a nursing career, the study found that institutionalized interventions, adequate compensation and benefits, and a good workplace are determinants of staying longer in the Philippines as Filipino nurses.

https://doi.org/10.33546/bnj.2327
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Copyright

Copyright (c) 2022 Michael Joseph S. Diño, Paul John B. Bracero, Arnel Buencamino, Sharon Cajayon, Michael William Q. Catajan, Michaela Liel L. De Leon, Jessie Elsid A. Gregorio Jr., Pamela Anne A. Lucelo, Bavy Charmy Cindy P. Odon, Jasmin Anne F. Palma, Roi Roel C. Rosado, Martin Phillip D. Taboada, Maria Luisa Uayan

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Declaration of Conflicting Interest

The authors declared no conflict of interest.

Acknowledgment

The authors thank the nurses from Valenzuela City, Philippines, for their outstanding collaboration during data collection.

Authors’ Contributions

All authors contributed equally to the study. In addition, all authors agreed to be accountable for all contents of the research and agreed with the final version to be published.

Data Availability

The dataset generated during and analyzed during the current study is available upon reasonable request to the Research Development and Innovation Center (RDIC) of Our Lady of Fatima University, Valenzuela City, Philippines.


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