Linking nurses’ job security to job satisfaction and turnover intention during reform and privatization: A cross‐sectional survey

Falatah, Rawaih; Almuqati, Jamilah; Almuqati, Hala; Altunbakti, Khaleda

doi:10.1111/jonm.13279

Cited by 25 publications

(33 citation statements)

References 39 publications

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“…From another aspect, researchers have been developing nurse robots in the hope of easing the workload of nurses and solving their fatigue and turnover issues (Chang et al, 2021). At the same time, nursing supervisors should manage nurses with compassion, checking whether current rotating systems are reasonable and meeting the needs of nurses through communication in order to mitigate excessive workloads and prevent nurses from resigning (Falatah et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Influence of sleep fragmentation and fatigue on turnover of female nurses working rotating shifts

Chang

Wang

2021

Journal of Clinical Nursing

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Aims and objectives: To investigate whether the sleep quality and fatigue of female nurses working rotating shifts could be used to predict future turnover status.Background: Female nurses working rotating shifts often suffer from sleep problems and fatigue, and the turnover rates of nurses are generally higher than those of other hospital personnel.Design: A prospective study. Methods: We recruited a total of 198 female nurses working rotating shifts from December 2017 to March 2019. The nurses completed the Checklist Individual Strength (CIS) scale and wore an actigraph for seven consecutive days in order to collect their sleep parameters. Their turnover status was tracked until 31 May 2021 at which time 55 participants (27.8%) had resigned. The Cox proportional hazard model was used to analyse the factors influencing turnover. In addition, the study adhered to the STROBE checklist. Results:The results revealed significant differences between the nurses in the stillworking group and the resigned group in terms of the sleep quality parameters sleep efficiency (SE) and wake after sleep onset (WASO) as well as CIS scores. WASO was significantly correlated with intensity of fatigue, and fatigue was common among all of the nurses working rotating shifts. As time progressed, the sleep quality parameter WASO and CIS scores could be used to predict turnover status after 2.4 years. Conclusion:The results of this study indicated more sleep fragmentation and poor sleep efficiency in the resigned group. Sleep fragmentation was highly correlated with fatigue, and sleep fragmentation and fatigue could be used to predict turnover status. Relevance to clinical practice:We suggest that relevant hospital management pay more attention to the sleep conditions and fatigue of female nurses working rotating shifts when arranging personnel and schedules and offer them more understanding.

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Section: Discussionmentioning

confidence: 99%

Influence of sleep fragmentation and fatigue on turnover of female nurses working rotating shifts

Chang

Wang

2021

Journal of Clinical Nursing

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“…In addition, in a well-managed organization, receiving recognition and praise from the team would provide positive feedback to promote engagement. When nurses feel protected by the organization, they feel satisfied with their work and are less likely to leave ( 65 ). The self-factor is the nurse's resilience and ability to face an adverse event that affects the individual's perception and behavior toward the event.…”

Section: Discussionmentioning

confidence: 99%

The impact of nurses' sense of security on turnover intention during the normalization of COVID-19 epidemic: The mediating role of work engagement

Tang

Martins

Wang

et al. 2022

Front. Public Health

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BackgroundCOVID-19 pandemic has entered a normal stage in China. During this phase, nurses have an increased workload and mental health issues that threaten the sense of security. Poor sense of security may have a considerable impact on turnover intention through low work engagement. It was challenging to maintain the nurse workforce. Fewer studies have been conducted on the effect of nurses' sense of security on their turnover intention in that phase. This study aimed to investigate the interrelationship between nurses' sense of security, work engagement, and turnover intention during the normalization phase of the epidemic in China and to explore the impact of sense of security on turnover intention.MethodsA cross-sectional survey was conducted from September 2020 to May 2021 in Guangdong Province, China. Data were collected online using Sense of Security Scale for Medical Staff (SSS-MS), Utrecht Work Engagement Scale (UWES), and Turnover Intention Scale. Pearson's correlation analysis was used to assess the correlation between sense of security, work engagement, and turnover intention. The hypothesis model used multiple linear regression models and the bootstrapping procedure to analyze the relationship between these variables.ResultsData were collected from 2,480 nurses who met the inclusion criteria. Over half(64.5%) of nurses had a high and very high turnover intention. After controlling the demographic and working variables, sense of security (β = 0.291, P < 0.001) had a direct positive effect on work engagement. Sense of security (β = −0.447, P < 0.001) and work engagement (β = −0.484, P < 0.001) had a direct negative effect on turnover intention. Sense of security and all of its components were associated with turnover intention through the partially mediating effects of work engagement.ConclusionsNurses' turnover intention was at a high level during the normalization phase of the epidemic. Sense of security and its components act as positive resources to reduce turnover intention by improving work engagement. Policy makers and managers may pay attention to the needs of nurses' sense of security, which may be a new perspective to help managers reduce their turnover intention and stabilize the nurse team.

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“…Meanwhile, a sense of control, positive leadership, and support by nursing supervisors tend nurses to be less job insecurity and intention to leave the profession [ 41 , 42 ]. Previous studies showed that work environment [ 40 ], health care systems [ 43 ], and work conditions [ 16 ] were reported barriers of job security among nurses. Another study in CSE was found to be negatively associated with job security [ 44 ].…”

Section: Discussionmentioning

confidence: 99%

Relationships between core self-evaluation, leader empowering behavior, and job security among Jordan University Hospital nurses

et al. 2021

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Nurses are facing real stressors due to patients’ needs and leaders’ demands. The aim of this study is to explore the perceived level of core self-evaluation (CSE), leader empowering behavior (LEB), and job security among Jordan University Hospital nurses in Amman, the capital of Jordan. Furthermore, it investigates the relationship between the selected variables. Differences of gender, educational level, experience, and site of work are also examined with job security. Moreover, it evaluates the contribution of CSE, LEB, gender, educational level, experience, and site of work in predicting job security among Jordan University Hospital nurses. A descriptive cross-sectional design was adopted for this study. A convenience sample of 214 nurses from Jordan University Hospital was completed the CSE scale, LEB scale, and job security scale. Descriptive statistics, Pearson correlation coefficient, t-test, one-way analysis of variance, and stepwise regression were used to analyze the results. The results indicate that job security is found to be at high level, whereas LEB and CSE are found to be at moderate levels among nurses. Significant positive relationships are found between CSE, LEB, and job security. Male nurses and medical/surgical floors reported higher levels of job security than female nurses and intensive care units. Finally, the results show that LEB and gender are significant predictors of job security among nurses. We suggest that managers of nurses should apply leadership behaviors in order to increase their job security and career empowerment.

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Linking nurses’ job security to job satisfaction and turnover intention during reform and privatization: A cross‐sectional survey

Cited by 25 publications

References 39 publications

Influence of sleep fragmentation and fatigue on turnover of female nurses working rotating shifts

Influence of sleep fragmentation and fatigue on turnover of female nurses working rotating shifts

The impact of nurses' sense of security on turnover intention during the normalization of COVID-19 epidemic: The mediating role of work engagement

Relationships between core self-evaluation, leader empowering behavior, and job security among Jordan University Hospital nurses

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