The relationship between job satisfaction and turnover intention among nurses in Axum comprehensive and specialized hospital Tigray, Ethiopia

Abstract

Background: Nurses' turnover is a global concern which if not handled well can harm the productivity of an organization. The high turnover rate of health workers critically affects the health system, particularly in countries with limited resources. Hence, effective retention strategies require clear identification of the variables at the workplace that determines nurses' decision in staying in or leaving their employer organization. The aim of this study is to assess the relationship between job satisfaction and turnover intention among nurses in Axum Comprehensive and Specialized Hospital Tigray, Ethiopia. Methods: The research was conducted using institution based cross-sectional study design. A total of 148 nurses were included in the study using a systematic random sampling technique. The study was conducted from January 2018 to June, 2019. Data were collected using semi-structured self-administered questionnaires. It was entered into Epidemiological information version 7 and then analyzed using Statistical Package for Social Sciences version 22. Bivariate logistic regression analysis was employed to examine the statistical association between the outcome variable and selected independent variables. All variables with P value < 0.05 in the bivariate analysis were included in the multivariable analysis. Result: Out of 148 nurses, more than half (64.9%) had the intention to leave the organization. The finding of this study showed that the level of job satisfaction was significantly associated with the overall intention. Nurses who were unsatisfied on their job autonomy were 2.55 (95% CI: 1.194, 5.466) more likely to intend to leave their workplace than nurses who reported to be satisfied. Nurses who were unsatisfied on training opportunity were also 2.55 (95% CI: 1.167, 5.571) times more likely to leave their job than nurses who reported to be satisfied. Conclusion: The overall turnover intention of nurses was found to be high and significantly associated with dissatisfaction on autonomy, and training opportunity. Therefore, continuous effort should be made by ward managers to enhance nurses' satisfaction onjob autonomy, and training opportunity.

Job Satisfaction and Its Determinants among Nurse Anesthetists in Clinical Practice: The Botswana Experience

“…The marriage rate in our study was 66.7%, and this agrees with similar studies that range from 64.0%–84.5% [ 24 , 28 – 31 ], but others reported low marriage rates, 39.3%–46.9% [ 2 , 7 , 22 , 25 ]. In our study, married nurse anesthetists had significantly higher JS than singles, unlike other reports which reported no significant difference [ 2 , 7 , 13 ] or non-satisfaction in the married group [ 27 ].…”

“…Kinzl et al [ 29 ] reported absence of significant association between JS and variety of work, while Mahoney et al from the United States [ 4 ] reported skill variety and autonomy result in higher JS. We found that 80.3% of the nurse anesthetists were not satisfied with their pay which is higher than 36.5% reported by Gebregziabher et al [ 25 ].…”

“…The majority of our nurse anesthetists, 92.4%, were diploma holders; this is higher than the reported range, 54.0%–58.8% [ 7 , 24 , 27 ]. Conversely, our degree holders, 7.6%, were far fewer than the 39.0%–71.6% reported for the same credential [ 7 , 25 , 27 ]. We did not find significant JS difference among educational levels which is similar to the report by Abadiga et al [ 7 ], but Admasu et al [ 27 ] found significant non-satisfaction among degree holders.…”

“…Factors that affect JS are different in different countries and vary from time to time [ 24 ]. In view of the stressful working conditions with consequential high turnover, absenteeism, tardiness, waste, grievances, and accidents [ 4 , 5 , 15 , 22 , 24 , 25 ], we designed this study to assess the JS and characterize its determinants among nurse anesthetists in clinical practice in Botswana with a goal of informing our findings to health policy makers and managers.…”

Job Attractiveness and Job Satisfaction of Dental Hygienists: From Japanese Dental Hygienists’ Survey 2019

“…The results from the SEM showed that factors related to the working environment significantly influenced factors of assured income regarding job attractiveness. Previous studies have also reported that turnover of healthcare professionals is caused by dissatisfaction with their work, but it is inferred that the factors causing dissatisfaction may differ depending on job content and educational background [ 16 , 20 ]. In particular, improvement in salary may improve the job satisfaction of dental hygienists in Japan.…”