How initial career choice motives influence nurse turnover decisions.

PURPOSE The purpose of this study is to examine how initial career choice motives (CCMs) influence subsequent nursing work attitudes and outcomes.

DESIGN/METHODOLOGY/APPROACH This study employs path analysis with bootstrapping to test the indirect effects of CCM on organizational commitment and self-efficacy. Data were collected through a survey of nurses, assessing their initial career motives and current work-related attitudes.

FINDINGS Our results indicate that CCMs have lasting effects on individuals' attitudes, perceptions and career decisions. Nurses who entered the profession with intrinsic motivations demonstrated stronger professional commitment (PC) and lower turnover intentions.

RESEARCH LIMITATIONS/IMPLICATIONS This study extends healthcare management research by examining the lasting impact of CCM and occupational coping self-efficacy (OCSE) on nurses' PC and turnover intentions. A small sample size and cross-sectional design limit the generalizability of findings. Future research should employ longitudinal methods and larger samples to validate the relationships. Additionally, further exploration of the role of professional socialization and leadership in strengthening OCSE is needed.

PRACTICAL IMPLICATIONS Healthcare organizations can enhance nurse retention by prioritizing professional socialization in onboarding programs, fostering mentorship opportunities and strengthening psychological safety. Recruiting individuals with intrinsic motivations and providing tailored career support can reduce turnover and promote PC.

ORIGINALITY/VALUE This study extends existing research by linking pre-entry career motivations to long-term career outcomes in nursing.