with the rapid development of China’s healthcare industry and the aging population, nurse shortages and high turnover rates have become pressing issues. This study aims to explore the factors influencing nurses’ intention to stay, with a particular focus on the relationships between transformational leadership, job satisfaction, organizational commitment, and expectancy.Through a survey and data analysis, this study finds that transformational leadership and organizational commitment have a significant positive impact on nurses’ intention to stay, while job satisfaction and expectancy play mediating roles in this process. The findings provide theoretical and practical guidance for improving nurses’ work environments, reducing turnover rates, and enhancing the quality of healthcare services.