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THE IMPACT OF BURNOUT ON TURNOVER INTENTION AMONG NURSES: THE MEDIATING ROLE OF JOB SATISFACTION

Yıl 2023, Cilt: 26 Sayı: 1, 1 - 28, 22.03.2023

Mohammed Yousef Alkhraishi Niusha Eivazzadeh Mehmet Yeşiltaş

Öz

Nursing is one of the most demanding profession, which plays a central role in all healthcare facilities. However, the nature of the work is very challenging that it often causes a state of emotional, physical, and mental exhaustion among these professionals which includes loss of motivation, emotional exhaustion, frustration, poor relationships with colleagues, longer working hours and lack of autonomy. Thus, a good environment is provided in the hospital with a safe and comfortable space for them to work without being stressed. Yet still, the nursing profession is facing another shortage era, which makes this problem even more pressing in addition to high demands of healthcare. Despite of existing stress, the retention of experienced staff nurses is paramount to ensure patient safety and quality of care. There is an absolute need for scientific investigations to look over nursing problems, particularly burnout and turnover intention. This research aims to analyze the correlation between burnout, job satisfaction, and turnover intentions among nurses in Madinat Zayed Hospital, where one of the pressing problems in management is the high bad attrition of nurses which negatively impacts the hospital finances and service quality. This study examines the causes and consequences of burnout among nurses, review the influence of empowering work conditions and how job satisfaction provide a mediating effect and will scrutinize the incivility of nurses' experiences of occupational burnout. A survey was conducted which was participated by 186 nurses in MZH out of 235 nurses, it focused on how they perceive burnout, job satisfaction, and turnover intention. statistical analyses were performed to test the hypotheses, namely is Linear Regression Analysis. The present study’s findings indicate a positive relationship between burnout and turnover, as well as a negative relationship between burnout and job satisfaction, On the other hand, negative relationship between job satisfaction and turnover intention for those who took part in the survey. The findings also revealed a partial negative mediating effect of job satisfaction on the relationship between burnout and turnover intention. This research can be useful to develop and enhance policies that may significantly reduce turnover intentions and sustain high-quality healthcare services in the UAE. Studying the relationships between psychosocial risks and health emergencies would be relevant in protecting nurses and other healthcare professionals.

Anahtar Kelimeler

Burnout Job Satisfaction Turnover Intention Madinat Zayed Hospital United Arab Emirates.

Kaynakça

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HEMŞİRELERDE TÜKENMİŞLİĞİN İŞTEN AYRILMA NİYETİ ÜZERİNE ETKİSİ: İŞ DOYUMU ARACILIK ROLÜ

Yıl 2023, Cilt: 26 Sayı: 1, 1 - 28, 22.03.2023

Mohammed Yousef Alkhraishi Niusha Eivazzadeh Mehmet Yeşiltaş

Öz

Hemşirelik, tüm sağlık kuruluşlarında merkezi bir rol oynayan en zorlu mesleklerden biridir. Bununla birlikte, hemşirelik mesleği doğası gereği çok zordur. Bu zorluk hemşireler arasında motivasyon kaybı, duygusal tükenme, hayal kırıklığı, meslektaşlarla zayıf ilişkiler, daha uzun çalışma saatleri, özerklik eksikliğini içeren duygusal, fiziksel ve zihinsel tükenme durumuna neden olur. Bundan dolayı hastanelerde hemşirelerin strese girmeden çalışabilecekleri güvenli ve rahat bir ortam sağlanması gerekir. Bugünlerde hemşirelik mesleğinde çalışanlardaki sayısal yetersizlik, bu konulardaki problemleri daha da artırmaktadır. Mevcut problemlere rağmen, hasta güvenliğini ve bakım kalitesini sağlamak için deneyimli hemşirelerin elde tutulması çok önemlidir. Hemşirelik mesleğindeki sorunlara, özellikle de tükenmişlik ve işten ayrılma niyetine yönelik bilimsel araştırmalara mutlak bir ihtiyaç vardır. Bu araştırma, yönetimdeki acil sorunlardan hastane finansmanını ve hizmet kalitesini olumsuz yönde etkileyen hemşirelerin yüksek işten ayrılma oranının olduğu Madinat Zayed Hastanesi'ndeki hemşireler arasında tükenmişlik, iş doyumu ve işten ayrılma niyetleri arasındaki ilişkiyi incelemeyi amaçlamaktadır. Bu çalışmada hemşireler arasında tükenmişliğin nedenlerinin ve sonuçlarının neler olduğu, çalışma koşullarının iyileştirilmesinin etkisi ve iş doyumunun nasıl aracı bir etki sağladığı araştırlmıştır. MZH'deki 235 hemşireden 186'sının katıldığı bir anket uygunlanmıştır. Bu anketteki sorularda hemşirelerin tükenmişlik, iş doyumu ve işten ayrılma niyetini nasıl algıladıklarına odaklanılmıştır. Hipotezleri test etmek için Lineer Regresyon Analizi yapılmıştır. Bu çalışmanın bulgularına göre, tükenmişlik ile işten ayrılma arasında pozitif, tükenmişlik ile iş doyumu arasında negatif bir ilişki olduğu, buna karşılık ankete katılanlar için iş doyumu ile işten ayrılma niyeti arasında negatif bir ilişki olduğu görülmektedir. Bulgular ayrıca, tükenmişlik ve işten ayrılma niyeti arasındaki ilişkide iş doyumunun kısmi negatif aracılık etkisi olduğunu ortaya koymuştur. Bu araştırmanın bulguları, Birleşik Arap Emirlikleri'ndeki sağlık işletmelerindeki hemşirelerin işten ayrılma niyetlerini önemli ölçüde azaltabilecek ve yüksek kaliteli sağlık hizmetlerini sürdürebilecek politikalar geliştirmesi konusunda sağlık yönetimine faydalı olabilir. Psikososyal riskler ve sağlıkla ilgili acil durumlar arasındaki ilişkilerin incelenmesi, hemşirelerin ve diğer sağlık profesyonellerinin korunması açısından uygun olacaktır.

Anahtar Kelimeler

Tükenmişlik iş doyumu işten ayrılma niyeti Madinat Zayed Hastanesi Birleşik Arap Emirlikleri.

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  • Sasso, L., Bagnasco, A., Catania, G., Zanini, M., Aleo, G., & Watson, R. (2019). Push and pull factors of nurses' intention to leave. Journal of Nursing Management, 27(5), 946-954.
  • Scanlan, J. N., & Still, M. (2019). Relationships between burnout, turnover intention, job satisfaction, job demands and job resources for mental health personnel in an Australian mental health service. BMC Health Services Research, 19(1), 1-11.
  • Scanlan, J. N., & Still, M. (2013). Job satisfaction, burnout and turnover intention in occupational therapists working in mental health. Australian Occupational Therapy Journal, 60(5), 310-318.
  • Seo, J. W., Kang, M. R., & Je, N. J. (2019). A study on the factors influencing burnout of psychiatric ward nurses-violence experience, violence coping, social support. Journal of The Korea Academia-Industrial Cooperation Society, 20(7), 393-405.
  • Shanafelt, T. D., Balch, C. M., Bechamps, G. J., Russell, T., Dyrbye, L., Satele, D., & Freischlag, J. A. (2009). Burnout and career satisfaction among American surgeons. Annals of Surgery, 250(3), 463-471.
  • Shimizu, T., Feng, Q., & Nagata, S. (2005). The relationship between turnover and burnout among the Japanese hospital nurses. The Journal of Occupational Health, 47(4), 334-336.
  • Shirey, M. R. (2006). Stress and coping in nurse managers: two decades of research. Nursing Economics, 24(4), 193.
  • Shirom, A., & Melamed, S. (2006). A comparison of the construct validity of two burnout measures in two groups of professionals. International Journal of Stress Management, 13(2), 176.
  • Shukla, U. N., & Kulshreshtha, S. K. (2020). United Arab Emirates as a global medical tourism destination: An explorative study. In Global Developments in Healthcare and Medical Tourism, 277-290.
  • Soliman, S. A. Y. (2017). Assessment of relationship between health service providers' satisfaction and customers' satisfaction in private sector (Doctoral Dissertation). Sudan University of Science & Technology, Sudan.
  • Soto-Rubio, A., Giménez-Espert, M. D. C., & Prado-Gascó, V. (2020). Effect of emotional intelligence and psychosocial risks on burnout, job satisfaction, and nurses’health during the covid-19 pandemic. International Journal of Environmental Research and Public Health, 17(21), 79-98.
  • Spooner-Lane, R., & Patton, W. (2007). Determinants of burnout among public hospital nurses. Australian Journal of Advanced Nursing, 25(1), 8-16.
  • Stanton Rich, H. M., & Iso Ahola, S. E. (1998). Burnout and leisure. Journal of Applied Social Psychology, 28(21), 1931-1950.
  • Stefanie, K., Suryani, E., & Maharani, A. (2020). Flexible work arrangement, work life balance, Kepuasan Kerja, dan Loyalitas Karyawan Pada Situasi Covid-19. Jurnal Ilmiah MEA (Manajemen, Ekonomi, & Akuntansi), 4(3), 1725-1750.
  • Tang, M., Jennie Soo, H. S., & Chuah, C. W. (2018). A comprehensive profile analysis of the effect of job embed dedness on turnover intention among new generation of rural migrant workers in China: Based on PLS-SEM. Advances in Social Sciences Research Journal, 5(8), 264-279.
  • Tourani, S., Khosravizadeh, O., Omrani, A., Sokhanvar, M., Kakemam, E., & Najafi, B. (2016). The relationship between organizational justice and turnover intention of hospital nurses in Iran. Materia Socio-Medica, 28(3), 205.
  • Trepanier, S., Early, S., Ulrich, B., & Cherry, B. (2012). New graduate nurse residency program: a cost-benefit analysis based on turnover and contract labor usage. Nursing Economics, 30(4), 207-215.
  • Vahey, D. C., Aiken, L. H., Sloane, D. M., Clarke, S. P., & Vargas, D. (2004). Nurse burnout and patient satisfaction. The Medical Care, 42(2), 57.
  • Van Bogaert, P., Kowalski, C., Weeks, S. M., & Clarke, S. P. (2013). The relationship between nurse practice environment, nurse work characteristics, burnout and job outcome and quality of nursing care: a cross-sectional survey. International Journal of Nursing Studies, 50(12), 1667-1677.
  • Van Bogaert, P., Timmermans, O., Weeks, S. M., van Heusden, D., Wouters, K., & Franck, E. (2014). Nursing unit teams matter: impact of unit-level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events—A cross-sectional survey. International journal of nursing studies, 51(8), 1123-1134.
  • Van den Heede, K., & Aiken, L. H. (2012). Nursing workforce a global priority area for health policy and health services research: a special issue. International Journal of Nursing Studies, 50(2), 141-142.
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  • Varjus, S. L., LeinoKilpi, H., & Suominen, T. (2011). Professional autonomy of nurses in hospital settings–a review of the literature. Scandinavian Journal of Caring Sciences, 25(1), 201-207.
  • Verdonk, P., Hooftman, W. E., Van Veldhoven, M. J., Boelens, L. R., & Koppes, L. L. (2010). Work-related fatigue: the specific case of highly educated women in the Netherlands. International Archives of Occupational and Environmental Health, 83(3), 309-321.
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  • Wang, E. (2017). Requests for cesarean deliveries: the politics of labor pain and pain relief in Shanghai, China. Social Science & Medicine, 173, 1-8.
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  • Wang, H., Tang, C., Zhao, S., Meng, Q., & Liu, X. (2017). Job satisfaction among health-care staff in township health centers in rural China: results from a latent class analysis. International Journal of Environmental Research and Public Health, 14(10), 1101.
  • Weng, H. C., Hung, C. M., Liu, Y. T., Cheng, Y. J., Yen, C. Y., Chang, C. C., & Huang, C. K. (2011). Associations between emotional intelligence and doctor burnout, job satisfaction and patient satisfaction. Medical Education, 45(8), 835-842.
  • Willan, J., King, A. J., Jeffery, K., & Bienz, N. (2020). Challenges for NHS hospitals during covid-19 epidemic. BMJ, 368, 1117.
  • Witte, H. D. (1999). Job insecurity and psychological well-being: Review of the literature and exploration of some unresolved issues. European Journal of work and Organizational psychology, 8(2), 155-177.
  • Wright, T. A., & Bonett, D. G. (1992). The effect of turnover on work satisfaction and mental health: Support for a situational perspective. Journal of Organizational Behavior, 13(6), 603-615.
  • Wu, F., Ren, Z., Wang, Q., He, M., Xiong, W., Ma, G., & Zhang, X. (2021). The relationship between job stress and job burnout: the mediating effects of perceived social support and job satisfaction. Psychology, Health & Medicine, 26(2), 204-211.
  • Yanchus, N. J., Periard, D., & Osatuke, K. (2017). Further examination of predictors of turnover intention among mental health professionals. Journal of Psychiatric and Mental Health Nursing, 24(1), 41-56.
  • Yang, H., Lv, J., Zhou, X., Liu, H., & Mi, B. (2017). Validation of work pressure and associated factors influencing hospital nurse turnover: a cross-sectional investigation in Shaanxi Province, China. BMC Health Services Research, 17(1), 1-11.
  • Yin, W., Wang, Z., Fan, Y., Tian, J., Qin, S., Sun, K., & Li, Y. (2008). Analysis of current situation and influencing factors of job burnout of doctors. Chin J Hosp Admin, 24(3), 184-187.
  • Ylitörmänen, T., Turunen, H., Mikkonen, S., & Kvist, T. (2019). Good nurse–nurse collaboration implies high job satisfaction: A structural equation modeling approach. Nursing Open, 6(3), 998-1005.
  • Zaccaro, S. J., Rittman, A. L., & Marks, M. A. (2001). Team leadership. The Leadership Quarterly, 12(4), 451-483.
  • Zhang, Y., Wu, J., Fang, Z., Zhang, Y., & Wong, F. K. Y. (2017). Newly graduated nurses' intention to leave in their first year of practice in Shanghai: A longitudinal study. Nursing Outlook, 65(2), 202-211.
Toplam 141 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Mohammed Yousef Alkhraishi Bu kişi benim 0000-0001-8336-6080

Niusha Eivazzadeh

Mehmet Yeşiltaş 0000-0003-0110-9684

Yayımlanma Tarihi 22 Mart 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 26 Sayı: 1

Kaynak Göster

APA Alkhraishi, M. Y., Eivazzadeh, N., & Yeşiltaş, M. (2023). THE IMPACT OF BURNOUT ON TURNOVER INTENTION AMONG NURSES: THE MEDIATING ROLE OF JOB SATISFACTION. Hacettepe Sağlık İdaresi Dergisi, 26(1), 1-28.
AMA Alkhraishi MY, Eivazzadeh N, Yeşiltaş M. THE IMPACT OF BURNOUT ON TURNOVER INTENTION AMONG NURSES: THE MEDIATING ROLE OF JOB SATISFACTION. HSİD. Mart 2023;26(1):1-28.
Chicago Alkhraishi, Mohammed Yousef, Niusha Eivazzadeh, ve Mehmet Yeşiltaş. “THE IMPACT OF BURNOUT ON TURNOVER INTENTION AMONG NURSES: THE MEDIATING ROLE OF JOB SATISFACTION”. Hacettepe Sağlık İdaresi Dergisi 26, sy. 1 (Mart 2023): 1-28.
EndNote Alkhraishi MY, Eivazzadeh N, Yeşiltaş M (01 Mart 2023) THE IMPACT OF BURNOUT ON TURNOVER INTENTION AMONG NURSES: THE MEDIATING ROLE OF JOB SATISFACTION. Hacettepe Sağlık İdaresi Dergisi 26 1 1–28.
IEEE M. Y. Alkhraishi, N. Eivazzadeh, ve M. Yeşiltaş, “THE IMPACT OF BURNOUT ON TURNOVER INTENTION AMONG NURSES: THE MEDIATING ROLE OF JOB SATISFACTION”, HSİD, c. 26, sy. 1, ss. 1–28, 2023.
ISNAD Alkhraishi, Mohammed Yousef vd. “THE IMPACT OF BURNOUT ON TURNOVER INTENTION AMONG NURSES: THE MEDIATING ROLE OF JOB SATISFACTION”. Hacettepe Sağlık İdaresi Dergisi 26/1 (Mart 2023), 1-28.
JAMA Alkhraishi MY, Eivazzadeh N, Yeşiltaş M. THE IMPACT OF BURNOUT ON TURNOVER INTENTION AMONG NURSES: THE MEDIATING ROLE OF JOB SATISFACTION. HSİD. 2023;26:1–28.
MLA Alkhraishi, Mohammed Yousef vd. “THE IMPACT OF BURNOUT ON TURNOVER INTENTION AMONG NURSES: THE MEDIATING ROLE OF JOB SATISFACTION”. Hacettepe Sağlık İdaresi Dergisi, c. 26, sy. 1, 2023, ss. 1-28.
Vancouver Alkhraishi MY, Eivazzadeh N, Yeşiltaş M. THE IMPACT OF BURNOUT ON TURNOVER INTENTION AMONG NURSES: THE MEDIATING ROLE OF JOB SATISFACTION. HSİD. 2023;26(1):1-28.
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