Does moonlighting influence South African nurses' intention to leave their primary jobs?

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dc.contributor.authorRispel, L
dc.contributor.authorChirwa, T
dc.contributor.authorBlaauw, D
dc.contributor.authoret al
dc.date.accessioned2016-02-15T12:25:37Z
dc.date.available2016-02-15T12:25:37Z
dc.date.issued2014
dc.departmentEpidemiology and Biostatistics
dc.descriptionKIMen_ZA
dc.description.abstractBACKGROUND: Staff retention and turnover have risen in prominence in the global discourse on the health workforce. Moonlighting, having a second job in addition to a primary job, has not featured in debates on turnover. OBJECTIVE: This paper examines whether moonlighting is a determinant of South African nurses' intention to leave their primary jobs. DESIGN: During 2010, a one-stage cluster random sample of 80 hospitals was selected in four South African provinces. On the survey day, all nurses working in critical care, theatre, emergency, maternity, and general medical and surgical wards completed a self-administered questionnaire after giving informed consent. In addition to demographic information and information on moonlighting, the questionnaire obtained information on the participants' intention to leave their primary jobs in the 12 months following the survey. A weighted analysis of the survey data was done using STATA(®) 13. RESULTS: Survey participants (n=3,784) were predominantly middle-aged with a mean age of 41.5 (SD±10.4) years. Almost one-third of survey participants (30.9%) indicated that they planned to leave their jobs within 12 months. Intention to leave was higher among the moonlighters (39.5%) compared to non-moonlighters (27.9%; p<0.001). Predictors of intention to leave in a multiple logistic regression were moonlighting in the preceding year, nursing category, sector of primary employment, period working at the primary job, and number of children. The odds of intention to leave was 1.40 (95% CI: 1.16-1.69) times higher for moonlighters than for non-moonlighters. The odds ratio of intention to leave was 0.53 (95% CI: 0.42-0.66) for nursing assistants compared to professional nurses and 2.09 (95% CI: 1.49-2.94) for nurses working for a commercial nursing agency compared to those working in the public sector.en_ZA
dc.identifier.citationRispel, L., Chirwa, T., Blaauw, D., et al. 2014. Does moonlighting influence South African nurses' intention to leave their primary jobs?. Global Health Action;7:25754en_ZA
dc.identifier.urihttp://hdl.handle.net/10539/19519
dc.language.isoenen_ZA
dc.subjectSouth Africaen_ZA
dc.subjectJob Satisfactionen_ZA
dc.subjectNursesen_ZA
dc.subjectPersonnel Loyaltyen_ZA
dc.subjectEmploymenten_ZA
dc.titleDoes moonlighting influence South African nurses' intention to leave their primary jobs?en_ZA
dc.typeArticleen_ZA
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