FACTORS AFFECTED TO THE DECISION-MAKING PROCESS FOR WORKING OR LEAVING THE NURSE PROFESSIONAL IN THAILAND

Abstract

This research aims to study the decision-making process for staying, moving or leaving the nursing profession in Thailand. Herzberg's Two Factor Theory conceptual framework uses in-depth interviews with 10 nurses working at hospitals in the public sector, 10 nurses working at hospitals in the private sector and 4 quited nurses. The results showed that the pride factors in the family's nursing profession and the acceptance factors in the nursing profession of society influence the decision to stay in the nursing profession. Government nurses include; job success, nature of work performed, progression, relationship with supervisor, career stability and governance supervision. Private nurses include; the nature of the work performed, the progression, the working conditions, career stability, the company's financial stability, remuneration and policies and management of the organization. Motivating factors and hygiene factors of both public and private nurses were not enough to affect the decision-making process in the profession, but when combined with family pride factors and social acceptance factors, it affects the decision-making process to remain with the organization and remain in the nursing profession.  In leaving the nursing profession of both public and private nurses , caused by the nursing family not accepting it and had no pride in working in the nursing profession. The perceptions that come from technological development include high workloads, work pay and uncertain working hours. Conclusion; the factors affecting the decision-making process with the organization of nurses that remain are due to family pride and social acceptance that comes from the concepts that are the norms of society, and the decision-making process from the career is due to the disapproval of the work of the nursing family itself and the concept of social norms that have changed from the development of the country.