The Mediating Role of Job Satisfaction On Work Stress and Turnover Intention among Nurses in Community-Based Long-Term Care Facilities

Wednesday, 14 July 2010: 11:20 AM

Huai-Ting Kuo, MSN, PhD, Candidate
School of Nursing, National Yang-Ming University, Taipei, Taiwan
I. Chuan Li, DNS
Institute of Clinical and Community Health Nursing, National Yang-Ming University, Taipei, Taiwan

Learning Objective 1: The learner will be able to understand the relationship among variables of job satisfaction, work stress and turnover intention of nurses.

Learning Objective 2: The learner will be able to understand the mediating role of job satisfaction on work stress and turnover intention among long-term care nurses.

Purpose: As healthcare institutions face a nursing shortage and new generations of nurses enter the workforce, consideration of the factors that influence turnover is essential problem. Studies have found that job satisfaction was inversely related to work stress and high levels of turnover of long-term care nurses. However, little was known the mediating role of job satisfaction on work stress and turnover intention among long-term care nurses. This study aimed to understand the relationship among variables of job satisfaction, work stress and turnover intention and to explore the mediating role of job satisfaction on work stress and turnover intention among long-term care nurses.

Methods: A cross-sectional and correlational design was used in this study. All participants completed the self-report questionnaires. Multistage linear regression was used to test a mediation model.

Results: A sample of 173 (48.3 %) nurses participated form 110 long-term care facilities (under 50 beds) in the study. The workload is the highest domain among different domains of work stress for nurses, which may be related to a lack of adequate staffing and an increased administrative duty. Regression analysis revealed that the job satisfaction significantly mediated the relationship between work stress and turnover intention. Thirty-eight percent of the variance in turnover intention explained by work stress was accounted for by the mediation pathway.

Conclusion: Results of this study found that a higher job satisfaction decreased work stress and turnover intention among long-term care nurses significantly. These findings have implications for theoretical development and health policies related to intent-to-stay programs in long-term care facilities.