Exploring Factors Influencing Nurse Attrition in Intensive Care Unit in Critical Care in Saudi Arabia: A Systematic Review
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Date
2025-02-10
Authors
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Publisher
Queens University Belfast
Abstract
Background
Methodology & search strategy
Result
Discussion
conclusion
Description
This dissertation explores the factors influencing nurse attrition in Intensive Care Units (ICUs) in Saudi Arabia through a systematic review. Nurse attrition is a significant challenge in critical care settings, impacting the quality of patient care, increasing healthcare costs, and placing additional stress on the remaining workforce. The study aims to identify key factors contributing to high turnover rates, including job satisfaction, turnover intention, burnout, stress, moral distress, and work environment conditions.
A systematic search strategy was employed using three major databases: CINAHL, PubMed, and Scopus. The review focused on cross-sectional studies published between 2015 and 2024, ensuring that the findings reflect the most recent evidence. A total of seven studies met the inclusion criteria and were critically appraised using the Joanna Briggs Institute (JBI) checklist. The selected studies provided insights into sociodemographic variables, workplace conditions, and psychological factors affecting ICU nurses.
The results indicate that job dissatisfaction, heavy workloads, lack of career growth, poor management support, and burnout are major contributors to nurse attrition. Non-Saudi nurses generally reported higher job satisfaction levels than their Saudi counterparts, while younger and less experienced nurses showed a higher tendency to leave. The work environment, staffing adequacy, and nurse-physician relationships also played a critical role in influencing turnover rates.
This study underscores the urgent need for policy interventions to improve working conditions, enhance job satisfaction, and provide better mental health support for ICU nurses. It offers recommendations for healthcare administrators and policymakers to implement strategies that promote nurse retention and improve patient care quality.
Keywords
Nurse Attrition, Intensive Care Unit, Critical Care, Saudi Arabia, Systematic Review
Citation
Harvard