Haile Kirubel Eshetu, Asgedom Yordanos Sisay, Amsalu Atitegeb Alebachew, Kassie Gizachew Ambaw, Chema Tsion Zebdiwos, Gebrekidan Amanuel Yosef, Azeze Gedion Asnake
School of Nursing, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
BMC Nurs. 2025 Feb 3;24(1):118. doi: 10.1186/s12912-025-02775-w.
The persistent attrition of nurses from the profession is a significant challenge for both healthcare policymakers and administrative bodies within numerous low-income countries. In Ethiopia, various cross-sectional studies have been conducted regarding nurses' intention to stay in the nursing profession; however, the results have demonstrated inconsistency. Hence, this study aims to pool the level of nurses' intention to persist in the nursing profession.
In our systematic review and meta-analysis, targeted findings were searched from a variety of electronic databases; including Pub Med, Google Scholar, African Journal Online, the Cochran Library, and Science Direct. To determine the pooled prevalence and associated factors of intent to stay in nursing profession among nurse in Ethiopia, all the necessary data was extracted by using a standardized data extraction format. We analyzed the data by using Stata 17 statistical software. Heterogeneity between the primary studies was assessed by I-square tests. A random-effect model was applied to estimate the pooled intention of nurses to continue within the nursing profession.
We included a total of 12 full-text studies in our analysis. The findings of this meta-analysis revealed that the pooled prevalence of nurses' intention to stay in nursing profession among Ethiopian nurses was 45.57% (95% CI; 38.43, 52.72). The subgroup analysis data revealed that the highest pooled prevalence of intention to stay was reported in the Tigray region which is 56.1% (95% CI 52.24, 59.96). In contrast the lowest prevalence was documented in Addis Ababa city administration which was 19.4% (95% CI 15.56, 23.24). Factors such as job satisfaction (OR = 2.69, 95% CI = 1.11 - 6.53), professional development (OR = 2.49, 95%CI = 1.27- 4.9), level of education (OR = 2.7, 95% CI = 1.92-3.8), payment and benefit (OR = 1.9, 95%CI = 1.15- 3.19) all were the significant determinants of nurses' intention to continue in the nursing profession.
The results of our investigation suggested that the degree of intention to continue in the nursing profession among Ethiopian nurses was inadequate. The nurses' intention to depart from the nursing profession is an alarming. Therefore, it's imperative for healthcare policymakers and stakeholders to prioritize on retention strategies encompassing job satisfaction, recognition, incentives, career opportunities, professional support, and autonomy were necessary.
护士持续流失对众多低收入国家的医疗政策制定者和管理机构而言都是一项重大挑战。在埃塞俄比亚，已经针对护士留在护理行业的意愿开展了多项横断面研究；然而，结果却并不一致。因此，本研究旨在汇总护士留在护理行业的意愿水平。
在我们的系统评价和荟萃分析中，从各种电子数据库中检索目标研究结果；包括PubMed、谷歌学术、非洲期刊在线、考克兰图书馆和科学Direct。为了确定埃塞俄比亚护士留在护理行业意愿的合并患病率及相关因素，使用标准化数据提取格式提取所有必要数据。我们使用Stata 17统计软件分析数据。通过I²检验评估主要研究之间的异质性。应用随机效应模型来估计护士继续从事护理行业的合并意愿。
我们的分析共纳入了12项全文研究。这项荟萃分析的结果显示，埃塞俄比亚护士留在护理行业意愿的合并患病率为45.57%（95%置信区间；38.43，52.72）。亚组分析数据显示，提格雷地区报告的留在意愿合并患病率最高，为56.1%（95%置信区间52.24，59.96）。相比之下，亚的斯亚贝巴市行政区的患病率最低，为19.4%（95%置信区间15.56，23.24）。工作满意度（比值比=2.69，95%置信区间=1.11 - 6.53）、职业发展（比值比=2.49，95%置信区间=1.27 - 4.9）、教育水平（比值比=2.7，95%置信区间=1.92 - 3.8）、薪酬和福利（比值比=1.9，95%置信区间=1.15 - 3.19）等因素都是护士继续从事护理行业意愿的重要决定因素。
我们的调查结果表明，埃塞俄比亚护士继续从事护理行业的意愿程度不足。护士离开护理行业的意愿令人担忧。因此，医疗政策制定者和利益相关者必须优先考虑留住护士的策略，包括工作满意度、认可、激励措施、职业机会、专业支持和自主权等都是必要的。
