Middle East Nurses Turnover Intention and its Correlates Amid the COVID-19 Pandemic: A Systematic Review

Figures & data

Figure 1. PRISMA flow diagram.

Figure 2. Pooled estimation with meta analysis.

Figure 3. Factors contributed to turnover intention among nurses.

Table 1. Data extraction table: Turnover intention and contributing factors.

Sl no.	Authors, year	Country	Study design, study setting, population, sample size, response rate	Mean age, gender	Turn over intention rate among nurses
1	Alenazy, Dettrick, and Keogh (2021)	Saudi Arabia	Cross-sectional correlational (observational) design, critical care, Nurses from adult and pediatric intensive care units, adult intensive isolation unit and emergency care unit, 156,98%	32.10 ± 6.16 Male 11.20%Female 88.20%	48.6%
2	Al-Mansour (2021)	Saudi Arabia	Cross-sectional study, primary health centers, health workers (physicians, nurses, paramedics, and administrative staff), 1101(340 nurses),73.4%	38.9 ± 8.1 Male—56% Female—44%	39.4%
3	Karimi, Raei, and Parandeh (2022)	Iran	Cross-sectional study,2 referral hospital, nurses,170, 85%.	35.15 ± 10.12 Male—60% Female—40%	20.6%
4	Nashwan et al. (2021)	Qatar	Descriptive cross-sectional study, secondary hospitals, nurses, 512,4.3%	Majority between 31 and 40 years Male—32.4% Female-67.6%	Turnover intention is high during COVID-19 compared to before COVID-19
5	Said and El-Shafei (2021)	Egypt	Comparative cross-sectional study, one COVID-19 Triage Hospital and one hospital dealing only with suspected COVID-19 patients, nurses at two hospitals, 420, 71%	Hospital 1 24.22 ± 5.16 Male—14.8% Female—85.2% Hospital 2 Male—21.4% Female—78.6%	Hospital 1 Intent to leave current position-40% Intent to leave current organization-45.2% Intent to leave nursing-24.8% Hospital 2 Intent to leave current position-30.5% Intent to leave current organization-34.3% Intent to leave nursing-10%
6	Mirzaei, Rezakhani Moghaddam, and Habibi Soola (2021)	Iran	Descriptive–analytical study, pre-hospital emergency and educational and medical centers to fight COVID-19, nurses, 479,62.6%.	33.43 ± 6.77 Male—38.4% Female—61.6%	Mean TIS—41.73
7	Lotfi et al. (2022)	Iran	Descriptive correlational study, Perioperative and anesthesia nurses of public hospitals, nurses,190,43.18%	27.2 ± 4.7 Male—38.9% Female—61.1%	Low—30% Moderate—60% High—10%

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