Dental nurse perspective on factors influencing intention to leave profession

Objectives: To investigate, from a DN perspective, which job demands and job resources are present in their work environment? To identify the subjective experiences of DNs which relate to a positive work-related well-being as measured by work engagement?

Methods: Focus groups comprising of DNs attending pre-registration and post-certificate courses at NES centres were held. Topics discussed were daily routine, responsibilities, role conflicts/ambiguities, and career development i.e. compulsory registration, professionalism and image. Quantitative analysis was performed on transcribed accounts.

Results: Four focus groups (2 pre-registered; 2 post-qualified) at 2 NES centres. Twenty-four female DNs aged between 18 and 53 participated (15 pre-registered; 9 post-qualified) in the sessions. Differences emerged between the 2 groups of DNs. Pre-registered themes focused around monetary issues of pay, registration fee costs and contractual implications. A sense of ownership in surgery preparation and adaptability to differing dentist working styles was forthcoming. An essential factor for retention was suitability to fit in with current and future family life. For post-qualified DNs the implications of registration are poorly understood. The image of the profession is viewed negatively; perceived as the poor relation and 10 years behind in development to general nursing. Skills developed during training can be under utilised.

Conclusion: This study identifies which job resources and job demands are salient to DNs. It informs the dental profession on the potential factors indicating an intention to leave. Further research on work engagement as a predictor of turnover intentions is needed.