RESEARCH PAPER
Turnover rate among registered nurses in
Jordanian hospitals: An exploratory study
Yaseen A Hayajneh RN PhD
Chairman, Health Services Administration Department, College of Medicine, and Assistant Professor, College of Nursing,
Jordan University of Science and Technology, Irbid, Jordan
Raeda F AbuAlRub RN PhD
Associate Professor, College of Nursing, Jordan University of Science and Technology, Irbid, Jordan
Aymen Z Athamneh RN MSN
Nurse Manager, CCU, King Abdullah University Hospital, Irbid, Jordan
Ibtihal K Almakhzoomy RN PhD
Assistant Professor, College of Nursing, Jordan University of Science and Technology, Irbid, Jordan
Accepted for publication February 2008
Hayajneh YA, AbuAlRub RF, Athamneh AZ, Almakhzoomy IK. International Journal of Nursing Practice 2009;
15: 303–310
Turnover rate among registered nurses in Jordanian hospitals: An exploratory study
The aim of this study is to (i) determine the turnover rate among registered nurses in Jordanian hospitals; and (ii) compare
the turnover rate between (a) male and female registered nurses; (b) northern, middle and southern regions; (c) public,
private and university hospitals; (d) rural and urban hospitals; and (e) general and specialized hospitals. A descriptive,
cross-sectional retrospective survey design was used. A structured interview method was utilized to collect data. A
proportional random sample of 25% of the total number of Jordanian hospitals was taken. The results showed that the
overall turnover rate was 36.6%. There were variations according to geographical region, health sector and place of
residence. Turnover among registered nurses in Jordanian hospitals is considered a problem that requires effective
strategies to deal with. Further research is required to identify the causes, and to explain the differences in the turnover
rates according to the different study variables.
Key words: hospitals, Jordan, nurses, retrospective survey, turnover.
INTRODUCTION
Employee turnover continues to be an important chal-
lenge facing health-care systems. Turnover affects the
nursing profession globally and its impact varies among
nurses in different positions and different settings.
1
Turn-
over is defined as voluntarily terminating one’s position in
one setting and moving to another, changing employment
status in the same setting, or completely leaving the pro-
fession to another.
2,3
Turnover leads to the loss of human
capital as nurses leave, and the lost productivity associated
with new nurses being oriented.
4
High rates of turnover weaken the structure of nursing
systems and impede the proper implementation of nursing
processes and procedures, thus impact nursing systems’
Correspondence: Raeda F. AbuAlRub, Associate Professor, College of
Nursing, Jordan University of Science and Technology, PO Box 1894,
Irbid, Jordan. Email: raeda71@yahoo.com
International Journal of Nursing Practice 2009; 15: 303–310
doi:10.1111/j.1440-172X.2009.01758.x © 2009 Blackwell Publishing Asia Pty Ltd