Background: Nurses are essential to the health care delivery system especially to meet the health related\nmillennium development goals. However, despite the significant shortage of nurses in Ethiopia, research in the\ncountry regarding nurses� intent to stay in their profession is lacking. This study assessed intent to stay in the\nnursing profession and associated factors among nurses working in referral hospitals, Amhara Regional State,\nEthiopia.\nMethods: Institution-based cross-sectional study was conducted among 389 nurses from April 8 to May 5, 2013.\nStratified random sampling technique was used to select the study participants from five referral hospitals. Data\nwere collected using pretested and structured self-administered questionnaires. Descriptive statistics were\nconducted to summarize the sample characteristics. Backward stepwise logistic regression model was fitted and\nadjusted odds ratio with 95% confidence interval was calculated to identify associated factors.\nResults: The proportion of nurses who reported intent to stay in the nursing profession was 39.8%. Age 40 to 49\n(AOR [95% CI] 4.5 [1.6-12.8]), being married (AOR [95% CI] 2.0 [1.0-3.8]), having a bachelor degree in nursing (AOR\n[95% CI] 2.2 [1.2-4.1]), satisfaction with: autonomy and professional opportunities (AOR [95% CI] 2.6 [1.2-5.9]),\nscheduling (AOR [95% CI] 3.4 [1.6-7.5]), and pay and benefits (AOR [95% CI] 8.8 [4.5-17.1]); high continuance\ncommitment (AOR [95% CI] 2.4 [1.3-4.8]) and high normative commitment (AOR [95% CI] 3.7 [1.9-7.2]) were the\nsignificant predictors of intent to stay in the nursing profession.\nConclusions: Intent to stay in the nursing profession was low among nurses working in Amhara Regional State\nreferral hospitals. Interventions aimed at increasing the professional autonomy of nurses and revising the current\nsalary and other duty payments are vital.
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