AimThis study examined the role of job dimensions, job satisfaction, psychological stress and job burnout in predicting turnover intention at one and five years’ time among professional nurses in the Philippines.MethodsA cross‐sectional design was utilized in the study using a convenience sample of 549 registered nurses from six hospitals in the Central Philippines during the period of October 2018 to January 2019. Five self‐report scales were used in this study.ResultsOverall, 46.1% (n = 253) and 78.9% (n = 433) of nurses reported planning to leave the organization at one and five years’ time, respectively. The type of hospital, job satisfaction and job burnout explained variances for turnover intention at one and five years’ time. Separately, hospital bed capacity and job stress predicted turnover intention at five years’ time. None of the job dimensions accurately predicted turnover intention in nurses.ConclusionHigher turnover intention results at one and five years’ time were dependent on nurses’ psychological stress, job burnout and job satisfaction.Implications for nursing practice and policyOrganizational measures aimed at reducing stress and burnout and increasing job satisfaction in nurses are critically important to enhance the retention of nurses and ensure continued quality of nursing care.
Aim: This paper describes the development and testing of the psychometric property of the Toxic Leadership Behaviors of Nurse Managers (ToxBH-NM) Scale. Background: Toxic leadership is growing increasingly pervasive in the field of nursing. However, the current literature lacks comprehensive attempts to explain how toxic leadership disrupts work processes in the field of nursing, a reality confounded in part by the absence of a reliable and a valid scale on which to examine toxic leadership behaviours in nurse managers. Methods: An exploratory sequential research design was used to formulate and evaluate the psychometric property of ToxBH-NM Scale. The content validity was examined by experts in nursing administration. A sample of 313 nurses from selected hospitals was recruited to assess the scale's reliability and validity. The factor structure of the newly developed scale was determined by exploratory factor analysis (EFA). Results: Exploratory factor analysis for ToxBH-NM Scale revealed 30 items loading on four factors. The overall Cronbach's α coefficient of the scale was 0.975, and Cronbach's α coefficient ranged from 0.895 to 0.965 for the four factors. Corrected item-to-total (0.310-0.69) and item-to-item correlations (0.47-0.66) were acceptable. The Scale-content Validity Index was 0.957, and the Item-content Validity Index ranged from 0.833 to 1.000. The test-retest reliability coefficient of ToxBH-NM Scale was 0.801, with a reliability coefficient that ranged from 0.745 to 0.911 for the four factors. The four factors explained 71.84% of the observed variance. Conclusions: ToxBH-NM Scale shows good psychometric properties and can be used to evaluate toxic leadership behaviours among nurse managers. Implications for Nursing Management: The use of ToxBH-NM Scale can aid nurse managers in better understanding and managing their own leadership behaviours within their organisations and in fostering desirable work outcomes among employees, a positive work climate and overall organisational success. K E Y W O R D S abusive supervision, narcissism, nurse manager, nursing, scale development, self-promotion, toxic leadership | 841 LABRAGUE Et AL.
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