Psychosocial work characteristics associated with distress and intention to leave nursing education among students; A one-year follow-up study

Ellen J M Bakker; Pepijn D D M Roelofs; Jos H A M Kox; Harald S Miedema; Anneke L Francke; Allard J van der Beek; Cécile R L Boot

doi:https://doi.org/10.1016/j.nedt.2021.104853

Psychosocial work characteristics associated with distress and intention to leave nursing education among students; A one-year follow-up study

Ellen J M Bakker, Pepijn D D M Roelofs, Jos H A M Kox, Harald S Miedema, Anneke L Francke, Allard J van der Beek, Cécile R L Boot

Research output: Contribution to journal › Article › Academic › peer-review

12 Citations (Scopus)

Abstract

BACKGROUND: Dropout in later years of the nursing degree programme involves lost investment and is a particular problem for both students and educators. Reasons for late dropout seem to be related to the work and learning environment of the clinical placement.

OBJECTIVES: The aim of this study was to investigate associations between psychosocial work characteristics and distress and intention to leave nursing education among third-year nursing students.

DESIGN: A prospective cohort study.

SETTING: A Bachelor of Nursing programme of a University of Applied Sciences in the Netherlands.

PARTICIPANTS: 363 third-year nursing students.

METHODS: Baseline and one-year follow-up measurements were used from a prospective cohort study. Third-year nursing students were invited annually in May between 2016 and 2018. Psychosocial work characteristics were psychological demands, supervisor and co-worker support, and acts of offensive behaviour. Logistic regression analyses were used to build multivariate models.

RESULTS: Frequent exposure to violence (OR = 2.52, 95% CI: 1.29-4.92) was univariately associated with distress. In the multivariate model for distress, psychological demands (OR = 1.63, 95% CI: 1.05-2.52) and frequent exposure to violence (OR = 3.02, 95% CI: 1.48-6.19) were associated with distress. Supervisor support (OR = 0.54, 95% CI: 0.36-0.80) and co-worker support (OR = 0.41, 95% CI: 0.24-0.72) were negatively associated with intention to leave (i.e. were protective) in the univariate model. In the adjusted multivariate model, only co-worker support (OR = 0.50, 95% CI: 0.25-0.97) was a protective factor for an intention to leave.

CONCLUSION: Psychological demands and frequent exposure to violence are risk factors for distress, and co-worker support is a protective factor reducing the intention to leave nursing education in the last stage of the programme. Improving the psychosocial working climate of nursing students may reduce the intention to leave at a late stage in nursing education, and hence actual late dropout.

Original language	English
Article number	104853
Pages (from-to)	104853
Journal	Nurse Education Today
Volume	101
DOIs	https://doi.org/10.1016/j.nedt.2021.104853
Publication status	Published - Jun 2021

Keywords

Attrition
Distress
Intention to leave
Late dropout
Nursing
Prospective cohort
Psychosocial work characteristics
Students

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Bakker, E. J. M., Roelofs, P. D. D. M., Kox, J. H. A. M., Miedema, H. S., Francke, A. L., van der Beek, A. J., & Boot, C. R. L. (2021). Psychosocial work characteristics associated with distress and intention to leave nursing education among students; A one-year follow-up study. Nurse Education Today, 101, 104853. Article 104853. https://doi.org/10.1016/j.nedt.2021.104853

@article{c88203fd7db64d62bb5fa9342c4fdf6b,

title = "Psychosocial work characteristics associated with distress and intention to leave nursing education among students; A one-year follow-up study",

abstract = "BACKGROUND: Dropout in later years of the nursing degree programme involves lost investment and is a particular problem for both students and educators. Reasons for late dropout seem to be related to the work and learning environment of the clinical placement.OBJECTIVES: The aim of this study was to investigate associations between psychosocial work characteristics and distress and intention to leave nursing education among third-year nursing students.DESIGN: A prospective cohort study.SETTING: A Bachelor of Nursing programme of a University of Applied Sciences in the Netherlands.PARTICIPANTS: 363 third-year nursing students.METHODS: Baseline and one-year follow-up measurements were used from a prospective cohort study. Third-year nursing students were invited annually in May between 2016 and 2018. Psychosocial work characteristics were psychological demands, supervisor and co-worker support, and acts of offensive behaviour. Logistic regression analyses were used to build multivariate models.RESULTS: Frequent exposure to violence (OR = 2.52, 95% CI: 1.29-4.92) was univariately associated with distress. In the multivariate model for distress, psychological demands (OR = 1.63, 95% CI: 1.05-2.52) and frequent exposure to violence (OR = 3.02, 95% CI: 1.48-6.19) were associated with distress. Supervisor support (OR = 0.54, 95% CI: 0.36-0.80) and co-worker support (OR = 0.41, 95% CI: 0.24-0.72) were negatively associated with intention to leave (i.e. were protective) in the univariate model. In the adjusted multivariate model, only co-worker support (OR = 0.50, 95% CI: 0.25-0.97) was a protective factor for an intention to leave.CONCLUSION: Psychological demands and frequent exposure to violence are risk factors for distress, and co-worker support is a protective factor reducing the intention to leave nursing education in the last stage of the programme. Improving the psychosocial working climate of nursing students may reduce the intention to leave at a late stage in nursing education, and hence actual late dropout.",

keywords = "Attrition, Distress, Intention to leave, Late dropout, Nursing, Prospective cohort, Psychosocial work characteristics, Students",

author = "Bakker, {Ellen J M} and Roelofs, {Pepijn D D M} and Kox, {Jos H A M} and Miedema, {Harald S} and Francke, {Anneke L} and {van der Beek}, {Allard J} and Boot, {C{\'e}cile R L}",

note = "Funding Information: The authors thank the Dutch Research Council (NWO) and Rotterdam University of Applied Sciences for funding this research. In addition, we thank Joost van der Zwan for the data linking, Hanny Groenewoud for her support in data-analysis, and Clare Wilkinson for the language and editorial improvements of the document. Special thanks to all (former) nursing students of Rotterdam University of Applied Sciences for contributing to the SPRiNG study. Funding Information: This work was supported by the Dutch Research Council (NWO) ( 2014-01-31 PRO ) and Rotterdam University of Applied Research. Publisher Copyright: {\textcopyright} 2021 The Author(s) Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",

year = "2021",

month = jun,

doi = "https://doi.org/10.1016/j.nedt.2021.104853",

language = "English",

volume = "101",

pages = "104853",

journal = "Nurse Education Today",

issn = "0260-6917",

publisher = "Churchill Livingstone",

}

TY - JOUR

T1 - Psychosocial work characteristics associated with distress and intention to leave nursing education among students; A one-year follow-up study

AU - Bakker, Ellen J M

AU - Roelofs, Pepijn D D M

AU - Kox, Jos H A M

AU - Miedema, Harald S

AU - Francke, Anneke L

AU - van der Beek, Allard J

AU - Boot, Cécile R L

N1 - Funding Information: The authors thank the Dutch Research Council (NWO) and Rotterdam University of Applied Sciences for funding this research. In addition, we thank Joost van der Zwan for the data linking, Hanny Groenewoud for her support in data-analysis, and Clare Wilkinson for the language and editorial improvements of the document. Special thanks to all (former) nursing students of Rotterdam University of Applied Sciences for contributing to the SPRiNG study. Funding Information: This work was supported by the Dutch Research Council (NWO) ( 2014-01-31 PRO ) and Rotterdam University of Applied Research. Publisher Copyright: © 2021 The Author(s) Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

PY - 2021/6

Y1 - 2021/6

N2 - BACKGROUND: Dropout in later years of the nursing degree programme involves lost investment and is a particular problem for both students and educators. Reasons for late dropout seem to be related to the work and learning environment of the clinical placement.OBJECTIVES: The aim of this study was to investigate associations between psychosocial work characteristics and distress and intention to leave nursing education among third-year nursing students.DESIGN: A prospective cohort study.SETTING: A Bachelor of Nursing programme of a University of Applied Sciences in the Netherlands.PARTICIPANTS: 363 third-year nursing students.METHODS: Baseline and one-year follow-up measurements were used from a prospective cohort study. Third-year nursing students were invited annually in May between 2016 and 2018. Psychosocial work characteristics were psychological demands, supervisor and co-worker support, and acts of offensive behaviour. Logistic regression analyses were used to build multivariate models.RESULTS: Frequent exposure to violence (OR = 2.52, 95% CI: 1.29-4.92) was univariately associated with distress. In the multivariate model for distress, psychological demands (OR = 1.63, 95% CI: 1.05-2.52) and frequent exposure to violence (OR = 3.02, 95% CI: 1.48-6.19) were associated with distress. Supervisor support (OR = 0.54, 95% CI: 0.36-0.80) and co-worker support (OR = 0.41, 95% CI: 0.24-0.72) were negatively associated with intention to leave (i.e. were protective) in the univariate model. In the adjusted multivariate model, only co-worker support (OR = 0.50, 95% CI: 0.25-0.97) was a protective factor for an intention to leave.CONCLUSION: Psychological demands and frequent exposure to violence are risk factors for distress, and co-worker support is a protective factor reducing the intention to leave nursing education in the last stage of the programme. Improving the psychosocial working climate of nursing students may reduce the intention to leave at a late stage in nursing education, and hence actual late dropout.

AB - BACKGROUND: Dropout in later years of the nursing degree programme involves lost investment and is a particular problem for both students and educators. Reasons for late dropout seem to be related to the work and learning environment of the clinical placement.OBJECTIVES: The aim of this study was to investigate associations between psychosocial work characteristics and distress and intention to leave nursing education among third-year nursing students.DESIGN: A prospective cohort study.SETTING: A Bachelor of Nursing programme of a University of Applied Sciences in the Netherlands.PARTICIPANTS: 363 third-year nursing students.METHODS: Baseline and one-year follow-up measurements were used from a prospective cohort study. Third-year nursing students were invited annually in May between 2016 and 2018. Psychosocial work characteristics were psychological demands, supervisor and co-worker support, and acts of offensive behaviour. Logistic regression analyses were used to build multivariate models.RESULTS: Frequent exposure to violence (OR = 2.52, 95% CI: 1.29-4.92) was univariately associated with distress. In the multivariate model for distress, psychological demands (OR = 1.63, 95% CI: 1.05-2.52) and frequent exposure to violence (OR = 3.02, 95% CI: 1.48-6.19) were associated with distress. Supervisor support (OR = 0.54, 95% CI: 0.36-0.80) and co-worker support (OR = 0.41, 95% CI: 0.24-0.72) were negatively associated with intention to leave (i.e. were protective) in the univariate model. In the adjusted multivariate model, only co-worker support (OR = 0.50, 95% CI: 0.25-0.97) was a protective factor for an intention to leave.CONCLUSION: Psychological demands and frequent exposure to violence are risk factors for distress, and co-worker support is a protective factor reducing the intention to leave nursing education in the last stage of the programme. Improving the psychosocial working climate of nursing students may reduce the intention to leave at a late stage in nursing education, and hence actual late dropout.

KW - Attrition

KW - Distress

KW - Intention to leave

KW - Late dropout

KW - Nursing

KW - Prospective cohort

KW - Psychosocial work characteristics

KW - Students

UR - http://www.scopus.com/inward/record.url?scp=85104139895&partnerID=8YFLogxK

U2 - https://doi.org/10.1016/j.nedt.2021.104853

DO - https://doi.org/10.1016/j.nedt.2021.104853

M3 - Article

C2 - 33866076

SN - 0260-6917

VL - 101

SP - 104853

JO - Nurse Education Today

JF - Nurse Education Today

M1 - 104853

ER -

Psychosocial work characteristics associated with distress and intention to leave nursing education among students; A one-year follow-up study

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Keywords

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