Emergency room nurses’ pathway to turnover intention: a moderated serial mediation analysis

Bruyneel, Luk; Thoelen, Tom; Adriaenssens, Jef; Sermeus, Walter

doi:10.1111/jan.13188

Cited by 48 publications

(93 citation statements)

References 58 publications

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“…Ground on the direct effects of perceived organizational support, job control, job satisfaction on ITS and the predictive effects of perceived organizational support, job control on job satisfaction, studies have documented that job satisfaction has a mediating effect on the relationship between perceived organizational support and ITS (Liu et al, ; Zhao et al, ). Similarly, job satisfaction also has a mediating effect on the relationship between job control and ITS (Bruyneel, Thoelen, Adriaenssens, & Sermeus, ; Dutra et al, ; Unruh, Zhang, & Chisolm, ). However, in the new model that covers these four variables, the mediating role of job satisfaction needs to be verified again.…”

Section: Introductionmentioning

confidence: 99%

Nurses' intention to stay: The impact of perceived organizational support, job control and job satisfaction

Zhang

Yan

et al. 2020

Journal of Advanced Nursing

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Aim To propose a theoretical model of intention to stay (ITS) and examine the effects of perceived organizational support, job control and job satisfaction on ITS. Design Cross‐sectional multicentre survey. Methods The survey was conducted from January 2017‒July 2017 and comprised 3,240 clinical nurses from nine tertiary hospitals in eastern, central and western China, with 2,352 effective responses. Structural equation modelling was used to analyse the relationship between ITS and its correlative factors. Results The hypothesized model was supported. Job control, perceived organizational support and job satisfaction significantly and directly affected nurses' ITS. Furthermore, job control and perceived organizational support showed indirect effects on ITS, which was mediated by job satisfaction. Perceived organizational support could positively influence job control to have a further impact on job satisfaction and ITS. Conclusion Based on a large sample of Chinese tertiary hospital nurses, this study proposed and verified a theoretical model of nurses' ITS, revealing that organization characteristics, work characteristics and affective response to work can have an impact on ITS. Impact This study was the first to examine the relationships among perceived organizational support, job control, job satisfaction and ITS, enriching the theoretical model of ITS. Nurse managers can improve nurses' ITS by enhancing their perceived organizational support, job control and job satisfaction.

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Section: Introductionmentioning

confidence: 99%

Nurses' intention to stay: The impact of perceived organizational support, job control and job satisfaction

Zhang

Yan

et al. 2020

Journal of Advanced Nursing

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“…According to the JD‐R model, supportive work practice environment as a kind of job resource can increase the nurse engagement through the motivation process. Several studies pointed out that the supportive work environment could improve nurse professionalism, empowerment, job satisfaction, engagement (Wan et al, ; Wang & Liu, ) and decrease turnover intention (Bruyneel et al, ; Smith, Hood, Waldman, & Smith, ). We, therefore, proposed Hypothesis 1 and Hypothesis 2.…”

Section: Introductionmentioning

confidence: 99%

Effects of work practice environment, work engagement and work pressure on turnover intention among community health nurses: Mediated moderation model

Wan

2019

Journal of Advanced Nursing

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Aim To test the relationship between work practice environment and turnover intention, considering the mediation of work engagement and the moderation of work pressure among community health nurses. Design and Samples A cross‐sectional survey design. Methods A total of 410 nurses were recruited from 32 community health centres between September 2016–January 2017 with survey on work practice environment, work engagement, work pressure and turnover intention. Structural equation modelling was used to test a mediated moderation model. Results Work practice environment was positively associated with higher work engagement and lower turnover intention and work engagement partially mediated the relationship between work practice environment and turnover intention. In addition, work pressure moderated the relationship between work practice environment and work engagement. Conclusion The improvement of work practice environment including the physical and humanitarian environment could enhance nurse engagement and reduce turnover intention in community, which was more pronounced among high‐pressure nurses. Impact In front of the nursing shortage, especially in communities, the strategies on how to retain and motivate nurses have become the focus of concern. Based on the job demands‐resources model and the conservation of resources theory, this study examined the effect of work practice environment on turnover intention with the mediation role of work engagement and the moderation role of work pressure among community health nurses. The nurse managers of communities should pay attention to the role of work practice environment in stimulating nurses’ engagement and decreasing turnover intention, especially when nurses are under high work pressure.

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“…The importance of these issues cannot be underestimated in that they all can lead to occupational turnover. As Bruyneel, Thoelen, Adriaenssens, and Sermeus (2017) and Kroezen et al (2015) note, turnover of health care professionals is becoming a major issue for policy makers. Specifically, the implications of turnover rates around 30% to 40% impacts on patient care and organizational costs (AFHW, 2014;Heinen et al, 2013).…”

Section: Workplace Well-beingmentioning

confidence: 99%

What nurses and midwives want: Findings from the national survey on workplace climate and well‐being

Holland

Tham

Gill

2018

Int J of Nursing Practice

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Emergency room nurses’ pathway to turnover intention: a moderated serial mediation analysis

Abstract: To maximize prevention of turnover intention at emergency departments, interventions could target early career nurses, work environment and job characteristics. Female nurses in particular may also benefit from improved social support from their supervisor.

Cited by 48 publications

References 58 publications

Nurses' intention to stay: The impact of perceived organizational support, job control and job satisfaction

Nurses' intention to stay: The impact of perceived organizational support, job control and job satisfaction

Effects of work practice environment, work engagement and work pressure on turnover intention among community health nurses: Mediated moderation model

What nurses and midwives want: Findings from the national survey on workplace climate and well‐being

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