关键词: 扎根理论；离职念头；离职意愿；离职决策；职业规划

Abstract: Objective: To explore and describe the different stages during the process when nurses develop the turnover intention and make their turnover decision, to help nursing managers capture the early signs and predict the turning point before their leaving, so as to take effective countermeasures. Methods: The study used both purposeful sampling and theoretical sampling to select clinical nurses and head nurses who proposed resignation in the past 10 years as the research objects, and collected and analyzed the data using the constructivist grounded theory paradigm established by Charmaz. Results: Nurses with the intention to turnover underwent four stages: willingness incubation period, willingness weighing period, willingness acceleration period, and turnover decision-making period, generating four native elements included blasting fuse, fuel, combustion promoter, and flame retardant. Conclusion: Nursing managers can predict nurses turnover in advance and capture relevant factors according to the stages of nurses turnover experience and the corresponding native elements to discover nurses' turnover thoughts and turnover intentions in time and help nurses re-establish their adherence to the profession to avoid their turnover intention and decision by means of adjusting management strategies in multiple dimensions, tracking the development of turnover trajectory and deeply exploring the reasons.

Key words: grounded theory; turnover thought; turnover intention; turnover decision; career planning