Contexte: La fidélisation des infirmiers en début de carrière constitue un enjeu crucial dans un contexte de pénurie mondiale et d’instabilité des effectifs. Objectif: Cette étude examine les liens entre pratiques managériales perçues dans l’intégration des nouveaux infirmiers axée sur la satisfaction des trois besoins psychologiques de la théorie de l’autodétermination. Méthode: Une étude quantitative transversale a été menée auprès de 222 infirmiers diplômés depuis cinq ans ou moins à l’aide d’un questionnaire en ligne incluant également des questions ouvertes analysées thématiquement. Résultats: La qualité de la relation avec le responsable direct est significativement associée à la satisfaction des besoins psychologiques. L’analyse thématique révèle que les départs s’expliquent principalement par des dynamiques de mobilités professionnelles, des tensions relationnelles et une discordance entre attentes et réalité professionnelle. Conclusion: Le soutien managérial de proximité apparaît comme un levier central de fidélisation des infirmiers en début de carrière.
Background: Retaining early-career nurses has become a critical issue in the context of global shortages and workforce instability. Objective: This study examines the relationship between perceived managerial practices during the integration of newly graduated nurses and the satisfaction of the three basic psychological needs described in self-determination theory. Method: A cross-sectional quantitative study was conducted among 222 nurses who had graduated within the past five years. Data were collected through an online questionnaire that also included open-ended questions analyzed thematically. Results: The quality of the relationship with the immediate supervisor was significantly associated with the satisfaction of psychological needs. Thematic analysis revealed that departures were mainly explained by professional mobility dynamics, relational tensions, and a mismatch between professional expectations and reality. Conclusion: Proximal managerial support appears to be a key lever in promoting the retention of early-career nurses.
Background: Retaining early-career nurses has become a critical issue in the context of global shortages and workforce instability. Objective: This study examines the relationship between perceived managerial practices during the integration of newly graduated nurses and the satisfaction of the three basic psychological needs described in self-determination theory. Method: A cross-sectional quantitative study was conducted among 222 nurses who had graduated within the past five years. Data were collected through an online questionnaire that also included open-ended questions analyzed thematically. Results: The quality of the relationship with the immediate supervisor was significantly associated with the satisfaction of psychological needs. Thematic analysis revealed that departures were mainly explained by professional mobility dynamics, relational tensions, and a mismatch between professional expectations and reality. Conclusion: Proximal managerial support appears to be a key lever in promoting the retention of early-career nurses.