Skip to content
DraconiticResearch
Search Sources API
201,683 studies31 sourcesUpdated 31 min ago
Peer-reviewedCC BY-NC 4.0La Medicina del Lavoro

Factors Influencing Intention to Leave and Anticipated Turnover Among Italian Nurses: A Scoping Review

  • Flavio Marti1
  • Giovanni Gioiello2
  • Francesco Zaghini1
  1. 1Department of Biomedicine and Prevention, Tor Vergata University of Rome, Rome, Italy
  2. 2Department of Medicine and Surgery, University of Enna “Kore”, Enna, Italy
Read full textPDFDOICite

Abstract

Background:: Nurses’ Intention to Leave (ITL) threatens care continuity and organizational stability, increasing workload, stress, and burnout. Understanding ITL and Anticipated Turnover determinants is essential for promoting retention.

Objectives:: This scoping review aimed to identify factors influencing nurses’ ITL and Anticipated Turnover in Italian hospital settings and to highlight mechanisms that support workforce sustainability.

Methods:: A comprehensive search of PubMed, Scopus, CINAHL, Web of Science, PsycINFO, and the Cochrane Library included English- and Italian-language primary studies (2014-2025) examining qualitative or quantitative determinants of ITL or turnover among hospital nurses in Italy.

Results:: Thirteen studies met the inclusion criteria. Determinants included leadership quality, organizational support, affective commitment, resource availability, workplace climate, and personal experiences related to leaving. These were grouped into management and contextual domains.

Discussion:: Multilevel strategies that enhance leadership, support, and teamwork are crucial for strengthening nurses’ well-being and retention. Further longitudinal and intervention studies are needed to guide targeted retention efforts.

Related

  1. Turnover intention and its influencing factors among medical nursing assistants
    YIN Xiudi, SONG Hongxia, SONG Ci +4
    Huli yanjiuPeer-reviewedCC BY-NC-NDFull textGeneral medicineDOAJ
  2. Turnover intention and associated factors among employees of regional and city health regulatory bodies in Ethiopia: a cross-sectional study.
    Fitsum Zekarias Mohammed, Sirak Damtew, Getahun Gebre Bogale +3
    BMC health services researchPeer-reviewedCC BY-NC-NDFull textEpidemiology & public healthEurope PMCDOAJ
  3. Professional quality of life, sleep quality, occupational stress, and turnover intention among emergency department nurses: A cross-sectional study
    Sogand Sarmadi, Neda Sanaie, Fariba Borhani +4
    PLOS OnePeer-reviewedCC BY 4.0Full textPhysiologyPsychiatry & mental healthPLOS
  4. Medical disputes and turnover intention among physicians and medical technicians: evidence from a cross-sectional study in Xuzhou, China.
    Zijian Qi, Ziyang Liu, Liang Shen +3
    BMC health services researchPeer-reviewedCC BY-NC-NDFull textEpidemiology & public healthEurope PMCDOAJ
  5. Artificial intelligence (AI) anxiety and nurses’ turnover intention during healthcare digital transformation: the mediating role of occupational fatigue
    Lidan Zhu, Feng Zang, Guangxu Mao +2
    Frontiers in Public HealthPeer-reviewedCC BY 4.0Full textEpidemiology & public healthCrossrefPMC

Cite

BibTeXRIS
BibTeX
@article{marti2026factors,
  title = {{Factors Influencing Intention to Leave and Anticipated Turnover Among Italian Nurses: A Scoping Review}},
  author = {Flavio Marti and Giovanni Gioiello and Francesco Zaghini},
  journal = {La Medicina del Lavoro},
  year = {2026},
  month = oct,
  doi = {10.23749/mdl.2026.18437},
  url = {https://doi.org/10.23749/mdl.2026.18437},
  note = {CC BY-NC 4.0},
}
RIS
TY  - JOUR
TI  - Factors Influencing Intention to Leave and Anticipated Turnover Among Italian Nurses: A Scoping Review
AU  - Flavio Marti
AU  - Giovanni Gioiello
AU  - Francesco Zaghini
PY  - 2026
DA  - 2026/10/23
JO  - La Medicina del Lavoro
DO  - 10.23749/mdl.2026.18437
UR  - https://doi.org/10.23749/mdl.2026.18437
AB  - Background:: Nurses’ Intention to Leave (ITL) threatens care continuity and organizational stability, increasing workload, stress, and burnout. Understanding ITL and Anticipated Turnover determinants is essential for promoting retention.  Objectives:: This scoping review aimed to identify factors influencing nurses’ ITL and Anticipated Turnover in Italian hospital settings and to highlight mechanisms that support workforce sustainability.  Methods:: A comprehensive search of PubMed, Scopus, CINAHL, Web of Science, PsycINFO, and the Cochrane Library included English- and Italian-language primary studies (2014-2025) examining qualitative or quantitative determinants of ITL or turnover among hospital nurses in Italy.  Results:: Thirteen studies met the inclusion criteria. Determinants included leadership quality, organizational support, affective commitment, resource availability, workplace climate, and personal experiences related to leaving. These were grouped into management and contextual domains.  Discussion:: Multilevel strategies that enhance leadership, support, and teamwork are crucial for strengthening nurses’ well-being and retention. Further longitudinal and intervention studies are needed to guide targeted retention efforts.
SN  - 0025-7818
SN  - 2532-1080
ER  -