Job satisfaction and turnover intention among public sector nurses: Is workload and burnout the issue?

Lenny Dwinijanti, M. F. Arrozi Adhikara, Rokiah Kusumapradja

Abstract


The growing rate of nurse turnover is unavoidable and inevitable. Nursing considered one of the most stressful occupations in the health industry. Unfortunately, there are limited studies published in Indonesia that explain this phenomenon among clinical nurses. This study aims to describe the nurse job satisfaction and turnover intention at public hospitals from workloads and burnout perspective. The design used in this study was quantitative with the survey approach. The data were collected by using simple random sampling from the hospital (cluster B) nurses with the total participant was 190 nurses. The result of this study shows that workload and burnout affect job satisfaction directly. The mediator role of job satisfaction in the effect of workload and burnout on turnover intention is significantly proved. Interestingly, this study failed to prove the effect of workload on turnover intention which means that although many nurses experienced a heavy workload, the majority of nurses in this study feel that the workloads are still reachable or even low due to their young aged. They tend to keep the job since it’s difficult to find any other opportunities. They will intend to leave their job only if they experienced a greater level of burnout and disenchantment.

Keywords


Workload; Burnout; Job Satisfaction; Turnover Intention; Healthcare

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References


Adhikara, A., Maslichah, & Diana, N. (2017). Mimetic action performed by individual investors at Indonesia stock exchange (IDX). International Journal of Applied Business and Economic Research, 15(25), 223–241.

Amponsah-Tawiah, K., Annor, F., & Arthur, B. G. (2016). Linking commuting stress to job satisfaction and turnover intention: The mediating role of burnout. Journal of Workplace Behavioral Health, 31(2), 104-123. https://doi.org/10.1080/15555240.2016.1159518

Bothma, C. F. C., & Roodt, G. (2013). The validation of the turnover intention scale. SA Journal of Human Resource Management, 11(1), 1-12. https://doi.org/10.4102/sajhrm.v11i1.507

Bunce, D., & Sisa, L. (2002). Age differences in perceived workload across a short vigil. Ergonomics, 45(13), 949–960. https://doi.org/10.1080/00140130210166483

Chen, K.-Y., Yang, C.-M., Lien, C.-H., Chiou, H.-Y., Lin, M.-R., Chang, H.-R., & Chiu, W.-T. (2013). Burnout, job satisfaction, and medical malpractice among physicians. International Journal of Medical Sciences, 10(11), 1471–1478. https://doi.org/10.7150/ijms.6743

De Simone, S., Planta, A., & Cicotto, G. (2018). The role of job satisfaction, work engagement, self-efficacy and agentic capacities on nurses’ turnover intention and patient satisfaction. Applied Nursing Research, 39, 130–140. https://doi.org/10.1016/j.apnr.2017.11.004

Dewanto, A., & Wardhani, V. (2018). Nurse turnover and perceived causes and consequences: A preliminary study at private hospitals in Indonesia. BMC Nursing, 17(2), 52. https://doi.org/10.1186/s12912-018-0317-8

Dommes, A. (2019). Street-crossing workload in young and older pedestrians. Accident Analysis & Prevention, 128, 175–184. https://doi.org/10.1016/j.aap.2019.04.018

Dysvik, A., & Kuvaas, B. (2010). Exploring the relative and combined influence of mastery‐approach goals and work intrinsic motivation on employee turnover intention. Personnel Review, 39(5), 622–638. https://doi.org/10.1108/00483481011064172

Hayes, L. J., O’Brien-Pallas, L., Duffield, C., Shamian, J., Buchan, J., Hughes, F., Spence Laschinger, H. K., North, N. (2012). Nurse turnover: A literature review – An update. International Journal of Nursing Studies, 49(7), 887–905. https://doi.org/10.1016/j.ijnurstu.2011.10.001

Ji, Y., Fu, P., Blythe, P. T., Guo, W., & Wang, W. (2015). An examination of the factors that influence drivers’ willingness to use the parking guidance information. KSCE Journal of Civil Engineering, 19(7), 2098-2107. https://doi.org/10.1007/s12205-015-0029-5

Kalliath, T., & Morris, R. (2002). Job satisfaction among nurses: A predictor of burnout levels. Journal of Nursing Administration, 32(12), 648-654. https://doi.org/10.1097/00005110-200212000-00010

Khamisa, N., Peltzer, K., Ilic, D., & Oldenburg, B. (2016). Work related stress, burnout, job satisfaction and general health of nurses: A follow-up study. International Journal of Nursing Practice , 22(6), 538-545. https://doi.org/10.1111/ijn.12455

Kovner, C. T., Brewer, C. S., Fatehi, F., & Jun, J. (2014). What does nurse turnover rate mean and what is the rate? Policy, Politics, and Nursing Practice, 15(3-4), 64-71. https://doi.org/10.1177/1527154414547953

Lavigne, G. L., Forest, J., & Crevier-Braud, L. (2012). Passion at work and burnout: A two-study test of the mediating role of flow experiences. European Journal of Work and Organizational Psychology, 21(4), 518–546. https://doi.org/10.1080/1359432X.2011.578390

Long, C. S., & Thean, L. Y. (2011). Relationship between leadership style, job satisfaction and employees’ turnover intention: A literature review. Research Journal of Business Management, 5(3), 91–100. https://doi.org/10.3923/rjbm.2011.91.100

McHugh, M. D., Kutney-Lee, A., Cimiotti, J. P., Sloane, D. M., & Aiken, L. H. (2011). Nurses’ widespread job dissatisfaction, burnout, and frustration with health benefits signal problems for patient care. Health Affairs, 30(2), 202-210. https://doi.org/10.1377/hlthaff.2010.0100

Murray, M. K. (2002). The nursing shortage: Past, present, and future. Journal of Nursing Administration, 32(2), 79-84. https://doi.org/10.1097/00005110-200202000-00005

Oliveira, A. M. de, Silva, M. T., Galvão, T. F., & Lopes, L. C. (2018). The relationship between job satisfaction, burnout syndrome and depressive symptoms. Medicine, 97(49), e13364. https://doi.org/10.1097/MD.0000000000013364

Pardiman, P. (2018). The effect of social capital and organizational commitment toward lecturer performance with islamic work ethics as a moderating role. JEMA: Jurnal Ilmiah Bidang Akuntansi Dan Manajemen, 15(1), 12-26. https://doi.org/10.31106/jema.v15i01.779

Piko, B. F. (2006). Burnout, role conflict, job satisfaction and psychosocial health among Hungarian health care staff: A questionnaire survey. International Journal of Nursing Studies, 43(3), 311-318. https://doi.org/10.1016/j.ijnurstu.2005.05.003

Rezaiean, A., Givi, M. E., Givi, H. E., & Nasrabadi, M. B. (2010). The relationship between organizational justice and organizational citizenship behaviors: The mediating role of organizational commitment, satisfaction and trust. Research Journal of Business Management, 4(2), 112-120. https://doi.org/10.3923/rjbm.2010.112.120

Richardson, G., & Lanis, R. (2007). Determinants of the variability in corporate effective tax rates and tax reform: Evidence from Australia. Journal of Accounting and Public Policy, 6(6), 689-704. https://doi.org/10.1016/j.jaccpubpol.2007.10.003

Roche, M. A., Duffield, C. M., Homer, C., Buchan, J., & Dimitrelis, S. (2015). The rate and cost of nurse turnover in Australia. Collegian, 22(4), 353-358. https://doi.org/10.1016/j.colegn.2014.05.002

Scanlan, J. N., & Still, M. (2013). Job satisfaction, burnout and turnover intention in occupational therapists working in mental health. Australian Occupational Therapy Journal, 57(2), 102-110. https://doi.org/10.1111/1440-1630.12067

Scanlan, J. N., Still, M., Stewart, K., & Croaker, J. (2010). Recruitment and retention issues for occupational therapists in mental health: balancing the pull and the push. Australian Occupational Therapy Journal, 60(5), 310-318. https://doi.org/10.1111/j.1440-1630.2009.00814.x

Schaufeli, W. B., & Greenglass, E. R. (2001). Introduction to special issue on burnout and health. Psychology & Health, 16(5), 501-510. https://doi.org/10.1080/08870440108405523

Seo, Y., Ko, J., & Price, J. . (2004). The determinants of job satisfaction among hospital nurses: a model estimation in Korea. International Journal of Nursing Studies, 41(4), 437–446. https://doi.org/10.1016/j.ijnurstu.2003.11.003

Sveinsdóttir, H., Biering, P., & Ramel, A. (2006). Occupational stress, job satisfaction, and working environment among Icelandic nurses: A cross-sectional questionnaire survey. International Journal of Nursing Studies, 43(7), 875–889. https://doi.org/10.1016/j.ijnurstu.2005.11.002

Utami, I., & Bonussyeani, N. E. S. (2009). Pengaruh job insecurity, kepuasan kerja, dan komitmen organisasional terhadap keinginan berpindah kerja. Jurnal Akuntansi Dan Keuangan Indonesia, 6(1), 117-139. https://doi.org/10.21002/jaki.2009.06

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. https://doi.org/10.1111/j.1365-2923.2011.03985.x

Yin, J. C. T., & Yang, K. P. A. (2002). Nursing turnover in Taiwan: A meta-analysis of related factors. International Journal of Nursing Studies, 39(6), 573–581. https://doi.org/10.1016/S0020-7489(01)00018-9

Ylitörmänen, T., Turunen, H., Mikkonen, S., & Kvist, T. (2019). Good nurse–nurse collaboration implies high job satisfaction: A structural equation modelling approach. Nursing Open, 6(3), 998-1005. https://doi.org/10.1002/nop2.279

Zeytinoglu, I. U., Denton, M., Davies, S., Baumann, A., Blythe, J., & Boos, L. (2007). Deteriorated external work environment, heavy workload and nurses’ job satisfaction and turnover intention. Canadian Public Policy, 33(Supplement 1), 531-547. https://doi.org/10.3138/0560-6GV2-G326-76PT

Zhang, Yimin, & Feng, X. (2011). The relationship between job satisfaction, burnout, and turnover intention among physicians from urban state-owned medical institutions in Hubei, China: A cross-sectional study. BMC Health Services Research, 11(1), 235. https://doi.org/10.1186/1472-6963-11-235

Zhang, Yuyu, & Kumada, T. (2017). Relationship between workload and mindwandering in simulated driving. PLoS ONE, 12(5). https://doi.org/10.1371/journal.pone.0176962




DOI: http://dx.doi.org/10.31106/jema.v17i1.4951

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