Work-related Well-Being, Turnover Intention, and Completed Turnover in a Cohort of U.S. Patient Care Workers

Objective: To determine whether burnout and thriving from work affect turnover intention and actual turnover. Methods: This study used multivariable logistic regression to estimate the impact of burnout and thriving from work on turnover intention in a cohort of nurses and nursing assistants. Using administrative records of turnover, we used Cox regression to estimate the impact of these two factors on actual turnover. Results: Burnout affected both turnover intention and actual turnover, although 95% confidence limits for the effect of burnout among nursing assistants included 1.0. Thriving affected turnover intention but did not increase actual turnover. Conclusions: Using turnover intention as a proxy for actual turnover may be misleading.