Noah C.

Densing
NCM 103 Lec – NC
January 27, 2020
Reflection Assignment

Nurses’ Resignation Based on Different Factors

Nursing is a tough job. During one’s shift, they would attend to a number of clients at
a time, with varying degrees of difficulty and type. Often, they would receive no thanks from
their patients, but they still do their job to best of their ability. Contrary to some people’s
views however, nurses have their breaking points, and they end up resigning from their job.
According to a study by Chen et. al. in 2019, different factors come into play that influence
their decision of quitting: a large patient-nurse ratio, mediated by personal burnout, client-
related burnout, and job dissatisfaction.
Chen et. al.’s paper reported comparisons between different countries’ resignation
rates from nurses. Europe had a range of 5% to 17% while Taiwan (where the study was
based) had a range of 9.12% to 12%. These might be small percentages but considering
that millions of nurses exist in the world today, these percentages mean a lot of nurses,
which is alarming.
Their results say that it is true that the factors mentioned above contribute to the
nurses’ decision to leave their job, to which I agree. I can relate to this even though I am not
yet a nurse myself, as during the time of writing this I am still a student under the Bachelor of
Science in Nursing program, yet I am already facing similar types of challenges to survive in
this course. Their patient-nurse ratio feels like my subjects-student ratio, wherein I have
gotten to a point where I am greatly stressed by the multitude of assignments and activities
from even the minors, added by the heavy studying required to perform well in the majors.
This gives me a personal burnout, and due to some of my blockmates’ behavior and lack of
effort in team activities, the whole situation is giving me dissatisfaction. In these days, I feel
discouraged to go on from time to time. However, I need to finish this course to proceed to
Medicine, and stress will not stop me.
Meanwhile I pray that others may exert the same effort as me so that nobody gets
pulled back, and everybody moves forward.
Noah C. Densing
NCM 103 Lec – NC
January 27, 2020
Research Summary

Research Title: Patient-Nurse Ratio is Related to Nurses’ Intention to Leave Their Job
Through Mediating Factors of Burnout and Job Dissatisfaction
Authors: Yi-Chuan Chen, Yue-Liang Leon Guo, Wei-Shan Chin, Nai-Yun
Cheng, Jiune-Jye Ho, and Judith Shu-Chu Shiao
Summary: It was already believed that burnout, job dissatisfaction, and patient-
nurse ratio contribute to the nurses’ decision to quit their jobs, but no
study has been done prior to this paper that objectively dwells into this
thought, thus the creation of this paper. The researchers hypothesized
that the patient-nurse ratio is the main factor, mediated by personal
burnout, client-related burnout, and job dissatisfaction. The
researchers then devised a questionnaire that was sent out to all
primary, secondary, and tertiary hospitals in Taiwan where this study
is based, but upon collection, only secondary and tertiary hospitals
returned reliable data, prompting analysis only from the
aforementioned. Most of the respondents were women with an
average age of 29.9 years, and a significant majority of them were
deemed positively willing to leave their jobs if the patient-nurse ratio is
higher, with mediators mentioned above as very likely effects of the
situation. In the end, the researchers recommended a better
monitoring scheme for PNRs in hospitals to limit or stop resignations
due to that factor.