Introduction Turnover among nurses is an increasing problem for healthcare globally, and in Sweden the shortage of nurses in primary health care has increased sharply in recent years. The aim of this study was to investigate primary care nurses’ turnover intention, job satisfaction, change fatigue, leadership climate, and social support in Sweden. The aim was also to identify and characterize those nurses with both high turnover intention and low job satisfaction. Methods This was a cross-sectional survey of 466 registered nurses working in Swedish primary health care. Data were analyzed using descriptive statistics and logistic regression. A new variable was created (discontent with current job), based on the responses from the two variables of job satisfaction and turnover intentions. Results The results demonstrate that 21.1 % of the respondents are dissatisfied with their current job and have intentions to search for another job. Discontent had significant associations with poor leadership climate, lack of support from colleagues, and working more than 40 hours per week. Discussion The results have implications for how health care organizations structure the work of nurses in primary health care and how they may attract future staff to these workplaces as well as how to facilitate for them to remain. Conclusion Health care organizations and decision makers need to consider the psychosocial working conditions for nurses in primary health care in order to retain their staff and to maintain high quality in the care that the nurses are expected to provide.
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Elin Karlsson (2024) studied this question.
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