Cent Eur J Nurs Midw 2018, 9(4):915-923 | DOI: 10.15452/CEJNM.2018.09.0024

The effect of quality of work life and job control on organizational indifference and turnover intention of nurses: a cross-sectional questionnaire survey

Narjes Alsadat Nasabi*, Peivand Bastani
Health Human Resources Research Center, School of Management & Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran

Aim: Attracting and maintaining human resources is one of the most significant responsibilities in human resources management. The aim of this research was to study the effect of Quality of Work Life and Job Control on Turnover Intention and Organizational Indifference.

Design: Cross-sectional descriptive study.

Methods: The survey was conducted using four standard questionnaires. Data were collected from 395 nurses in Iranian public educational hospitals in 2017. SPSS and Amos 22.0 were used to analyze data and test the theoretical model at a level of significance of 0.5.

Results: The results indicated an average level of Quality of Work Life and Job Control, while the Turnover Intention level was higher than average, and participants reported a low level of Organizational Indifference. All hypotheses (except No. 2) were statistically significant, and the fitness indices [ϰ2=14.82 (df = 6; p = 0.037); ϰ2/df = 2.47; CFI = 0.94; IFI = 0.94; SRMR = 0.06; RMSEA = 0.06] indicated the soundness of the model.

Conclusion: Planning properly and effectively with regard to Quality of Work Life and Job Control can play a significant role in the retention and performance of nurses - serious concerns for health policy makers. Nursing policy makers and managers can use these results to increase the number of nurses intending to remain in the profession.

Keywords: job control, nurses, organizational indifference, quality of work life, turnover intention

Received: April 9, 2018; Accepted: July 8, 2018; Published: September 30, 2018  Show citation

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Alsadat Nasabi N, Bastani P. The effect of quality of work life and job control on organizational indifference and turnover intention of nurses: a cross-sectional questionnaire survey. Central European Journal of Nursing and Midwifery. 2018;9(4):915-923. doi: 10.15452/CEJNM.2018.09.0024.
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References

  1. AACN. Fact Sheet: Nursing shortage. 2017 [cited 2017 Jun 22]. Available from: https://www.aacnnursing.org/Portals/42/News/Factsheets/Nursing-Shortage-Factsheet-2017.pdf.
  2. Almalki MJ, FitzGerald G, Clark M. The relationship between quality of work life and turnover intention of primary health care nurses in Saudi Arabia. BMC Health Service Research. 2012;12:314. Go to original source... Go to PubMed...
  3. Bamberger P, Biron M, Meshoulam L. Human resource strategy: formulation, implementation and impact. 2nd ed. Routledge; 2014. Go to original source...
  4. Barlow KM, Zangaro GA. Meta-analysis of the reliability and validity of the Anticipated Turnover Scale across studies of registered nurses in the United States. Journal of Nursing Management. 2010;18(7):862-873. Go to original source... Go to PubMed...
  5. Bitanga ME, Austria M. Climbing the clinical ladder-one rung at a time. Nursing Management. 2013;44(5):23-24, 27. Go to original source... Go to PubMed...
  6. Brewer CS, Chao YY, Colder CR, Kovner CT, Chacko TP. A structural equation model of turnover for a longitudinal survey among early career registered nurses. International Journal of Nursing Studies. 2015;52(11):1735-1745. Go to original source... Go to PubMed...
  7. Büscher A, Sivertsen B, White J. Nurses and midwives: a force for health. WHO Regional Office for Europe; 2009.
  8. CFWI. Future nursing workforce projections. Starting the discussion. 2013 [cited 2017 Apr 26]. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/507491/CfWI_Future_nursing_workforce_projections_acc.pdf.
  9. Day A, Crown SN, Ivany M. Organisational change and employee burnout: The moderating effects of support and job control. Safety Science. 2017;100(Part A):4-12. Go to original source...
  10. Fernet C, Trépanier SG, Demers M, Austin S. Motivational pathways of occupational and organizational turnover intention among newly registered nurses in Canada. Nursing Outlook. 2017;65(4):444-454. Go to original source... Go to PubMed...
  11. Gao F, Newcombe P, Tilse C, Wilson J, Tuckett A. Challenge-related stress and felt challenge: predictors of turnover and psychological health in aged care nurses. Collegian. 2017;24(4):361-369. Go to original source...
  12. Gholipour A. Human resource management, foundations: concepts and applications. Samt: Tehran; 2011. (in Persian)
  13. Gillet N, Fouquereau E, Bonnaud-Antignac A, Mokounkolo R, Colombat P. The mediating role of organizational justice in the relationship between transformational leadership and nursesʼ quality of work life: a cross-sectional questionnaire survey. International Journal of Nursing Studies. 2013;50(10):1359-1367. Go to original source... Go to PubMed...
  14. Goldman A, Tabak N. Perception of ethical climate and its relationship to nursesʼ demographic characteristics and job satisfaction. Nursing Ethics. 2010;17(2):233-246. Go to original source... Go to PubMed...
  15. Gurková E, Soósova MS, Haroková S, ®iaková K, ©erfelová R, Zamboriová, M. Job satisfaction and leaving intentions of Slovak and Czech nurses. International Nursing Review. 2013;60(1):112-121. Go to original source... Go to PubMed...
  16. Hair JF, Black W, Babin B, Anderson R. Multivariate data analysis: a global perspective. New Jersey: Pearson Prentice Hall; 2010.
  17. Hayes LJ, OʼBrien-Pallas L, Duffield C, Shamian J, Buchan J, Hughes F, Laschinger HK, North N. Nurse turnover: a literature review - an update. International Journal of Nursing Studies. 2012;49(7):887-905. Go to original source... Go to PubMed...
  18. HWA. Health workforce 2025: Doctors, nurses and midwives. Health Workforce Australia; 2012.
  19. Jackson PR, Wall TD, Martin R, Davids K. New measures of job control, cognitive demand, and production responsibility. Journal of Applied Psychology. 1993;78(5):753-762. Go to original source...
  20. Kim S, Lee K. Predictors of turnover among new nurses using multilevel survival analysis. Journal of Korean Academy Nursing. 2016;46(5):733-743. Go to original source... Go to PubMed...
  21. Kim Y-S, Park K-Y. Influences of customer orientation, emotional labor, unit manager-nurse exchange and relational bonds on nursesʼ turnover intension. Journal of Korean Academy of Nursing Administration. 2016;22(4):396-405. Go to original source...
  22. Klenosky DB, Perry-Hill R, Mullendore ND, Prokopy LS. Distinguishing ambivalence from indifference: a study of attitudes toward land trusts among members and nonmembers. Land Use Policy. 2015;48:250-260. Go to original source...
  23. Kline RB. Principles and practice of atructural equation modeling (Methodology in the social sciences). New York: Guilford Press; 2015.
  24. Kubicek B, Korunka C, Tement S. Too much job control? Two studies on curvilinear relations between job control and eldercare workersʼ well-being. International Journal of Nursing Studies. 2014;51(12):1644-1653. Go to original source... Go to PubMed...
  25. Kurth AE, Jacob S, Squires AP, Sliney A, Davis S, Stalls S, Portillo CJ. Investing in nurses is a prerequisite for ensuring universal health coverage. Journal of the Association of Nurses in AIDS Care. 2016;27(3):344-354. Go to original source... Go to PubMed...
  26. Lagerlund M, Sharp L, Lindqvist R, Runesdotter S, Tishelman C. Intention to leave the workplace among nurses working with cancer patients in acute care hospitals in Sweden. European Journal of Oncology Nursing. 2015;19(6):629-637. Go to original source... Go to PubMed...
  27. Lee YW, Dai YT, Park CG, McCreary LL. Predicting quality of work life on nursesʼ intention to leave. Journal of Nursing Scholarship. 2013;45(2):160-168. Go to original source... Go to PubMed...
  28. Lin H. Revisiting the relationship between nurse staffing and quality of care in nursing homes: an instrumental variables approach. Journal of Health Economics. 2014;37:13-24. Go to original source... Go to PubMed...
  29. Liu J-Y, Yang J-P, Yang Y, Liu Y-H. The relationships between perceived organizational support, intention to remain, career success and self-esteem in Chinese male nurses. International Journal of Nursing Sciences. 2015;2(4):389-393. Go to original source...
  30. Manzano-García G, Ayala-Calvo JC. An overview of nursing in Europe: a SWOT analysis. Nursing Inquiry. 2014;21(4):358-367. Go to original source... Go to PubMed...
  31. Mollaabbasi H, Rezaeemanesh B, Salehi Sadaghiani J. A study on relationship between emotional intelligence and organizational indifference through organizational commitment: a case study of an Iranian firm. Management Science Letters. 2013;3:1327-1332. Go to original source...
  32. Monzani L, Espí-López GV, Zurriaga R, Andersen LL. Manual therapy for tension-type headache related to quality of work life and work presenteeism: Secondary analysis of a randomized controlled trial. Complementary Therapies in Medicine. 2016;25:86-91. Go to original source... Go to PubMed...
  33. Mosadeghrad AM. Quality of working life: an antecedent to employee turnover intention. International Journal of Health Policy Management. 2013a;1(1):43-50. Go to original source... Go to PubMed...
  34. Mosadeghrad AM. Occupational stress and turnover intention: implications for nursing management. International Journal of Health Policy Management. 2013b;1(2):169-176. Go to original source... Go to PubMed...
  35. Olusegun SO. Influence of job satisfaction on turnover intentions of library personnel in Selected Univerisities in South West Nigeria. Library Philosophy and Practice. 2013;914:1-22.
  36. Portoghese I, Galletta M, Coppola RC, Finco G, Campagna M. Burnout and workload among health care workers: the moderating role of job control. Safety and Health at Work. 2014;5(3):152-157. Go to original source... Go to PubMed...
  37. Simon M, Müller BH, Hasselhorn HM. Leaving the organization or the profession - a multilevel analysis of nursesʼ intentions. Journal of Advanced Nursing. 2010;66(3):616-626. Go to original source... Go to PubMed...
  38. Steinmetz S, de Vries DH, Tijdens KG. Should I stay or should I go? The impact of working time and wages on retention in the health workforce. Human Resources for Health. 2014;12:23. Go to original source... Go to PubMed...
  39. Surienty L, Ramayah T, Lo M-C, Tarmizi AN. Quality of work life and turnover intention: a Partial Least Square (PLS) approach. Social Indicators Research. 2014;119(1):405-420. Go to original source...
  40. Walton RE. Quality of life at work: what is it? Sloan Management Review. 1973;15:11-21.
  41. Wong CA, Spence Laschinger HK. The influence of frontline manager job strain on burnout, commitment and turnover intention: a cross-sectional study. International Journal of Nursing Studies. 2015;52(12):1824-1833. Go to original source... Go to PubMed...
  42. Yamaguchi Y, Inoue T, Harada H, Oike M. Job control, work-family balance and nursesʼ intention to leave their profession and organization: A comparative cross-sectional survey. International Journal of Nursing Studies. 2016;64:52-62. Go to original source... Go to PubMed...
  43. Yim HY, Seo HJ, Cho Y, Kim J. Mediating role of psychological capital in relationship between occupational stress and turnover intention among nurses at Veterans Administration Hospitals in Korea. Asian Nursing Research. 2017;11(1):6-12. Go to original source... Go to PubMed...

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