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Li F, Zhong J, He Z. Moral distress, moral resilience, and job embeddedness among pediatric nurses. Nurs Ethics 2023:9697330231218347. [PMID: 38128146 DOI: 10.1177/09697330231218347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2023]
Abstract
BACKGROUND Nurses often face ethical issues in their daily work that can have an impact on their level of job embeddedness. And positive job embeddedness is essential to reduce burnout among nurses and improve professional retention in the medical industry. However, few studies have focused on the relationship between moral distress, moral resilience, and job embeddedness. OBJECTIVES To investigate the relationship between moral distress, moral resilience, and job embeddedness, and explore the mediating role of moral resilience between moral distress and job embeddedness among nurses. DESIGN A quantitative, cross-sectional study. METHODS Nurses from a number of tertiary general hospitals in central China were surveyed and assessed using the Moral Distress Scale, the Nurse Moral Resilience Scale, and the nurse job embeddedness Scale from February to March 2023. The study was conducted in line with the 1964 Declaration of Helsinki. ETHICAL CONSIDERATION All study procedures were approved by the Ethics Committee of Hunan Normal University (No. 2023-313). FINDINGS Moral distress was positively correlated with moral resilience (β = 0.525, p < 0.01) and negatively correlated job embeddedness (β = -0.470, p < 0.01). Moral resilience partially mediated the relationship between moral distress with job embeddedness (β = -0.087, p < 0.01). DISCUSSION The findings reveal a relationship between moral distress, job embeddedness, and moral resilience among nurses. CONCLUSION Moral distress and moral resilience are important correlates of job embeddedness in nurses. Interventions to reduce moral distress and increase moral resilience may have potential benefits for improving nurses' job embeddedness. It is recommended that clinical nursing administrators create a favorable ethical atmosphere, educate nurses about ethics, and increase nurses' moral resilience.
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Affiliation(s)
| | | | - Ziyuan He
- Hunan Vocational College of Science and Technology
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Nauman S, Zheng C, Imam H. Fake it or make it to stay? A case of Pakistani frontline emergency rescue workers. INTERNATIONAL JOURNAL OF HUMAN RESOURCE MANAGEMENT 2022. [DOI: 10.1080/09585192.2022.2054286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Shazia Nauman
- Riphah School of Business & Management, Riphah International University, Lahore, Pakistan
| | - Connie Zheng
- Centre for Workplace Excellence, University of South, Adelaide, Australia
| | - Hassan Imam
- University of Education, Lahore, Pakistan
- Graduate School of Management, Kyoto University, Kyoto, Japan
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Sun X, Zhang M, Lu Z, Zhang Z, Zheng JC, Cheng L, Zeng L, Qian Y, Huang L. Turnover intention and related factors among resident physicians in China under the standardised residency training programme: a cross-sectional survey. BMJ Open 2022; 12:e061922. [PMID: 35410941 PMCID: PMC9003615 DOI: 10.1136/bmjopen-2022-061922] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
OBJECTIVES This study aimed at examining the extent of turnover intention among the Chinese resident physicians who entered the newly established national standardised residency training programme (SRTP), and exploring factors associated with their turnover intention. DESIGN Cross-sectional survey. SETTING Ten institutions from five geographical areas in China. METHODS 1414 residents were surveyed using paper-based questionnaires and scales regarding their demographics, work situation, attitudes towards SRTP, job satisfaction, psychological resilience, burnout and turnover intention in 2017. The turnover intention was described and compared between categorical groups. Linear regressions were used to select the factors associated with turnover intention. The structural equation model was used to capture the potential mediating effects. RESULTS The mean turnover intention score was 12.45 (SD=4.47). Nearly half (47.87%) of the residents had a high and very high level of turnover intention. Psychological resilience (β=0.066), burnout (β=0.141) and job satisfaction (β=0.022) were positively associated with turnover intention, while specialty (β=-0.135), year of training (β=-0.687), career in medicine (β=-2.191), necessity of training (β=-0.695) and satisfaction with income (β=-1.215) had negative associations with turnover intention. Working hours and nightshift interval indirectly were associated with turnover intention through the mediating effects of burnout. Career in medicine, necessity of training, satisfaction with income, and psychological resilience showed direct effects and indirect effects on turnover intention through burnout and job satisfaction as mediators. CONCLUSIONS The turnover intention among Chinese residents was prevalent and unignorable. Burnout was the major contributing factor, while year of training and positive attitudes towards training were protective factors. Burnout and job satisfaction also served as mediators. Interventions targeting these factors should be incorporated in the training programmes to keep a prosperous physician workforce.
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Affiliation(s)
- Xiaoting Sun
- Postdoctoral station, Shanghai Tenth People's Hospital Affiliated to Tongji University, Shanghai, China
- Department of Psychiatry, Tongji Hospital, Tongji University School of Medicine, Shanghai, China
- Tongji University School of Medicine, Shanghai, China
| | | | - Zhanghong Lu
- Teaching office, Renmin Hospital of Wuhan University, Wuhan, Hubei, China
| | - Zhaoyu Zhang
- Tongji University School of Medicine, Shanghai, China
| | | | - Liming Cheng
- Department of Orthopedics, Tongji Hospital, Tongji University School of Medicine, Shanghai, China
| | - Lianhua Zeng
- Tongji University School of Medicine, Shanghai, China
| | - Yingli Qian
- Tongji University School of Medicine, Shanghai, China
| | - Lei Huang
- Department of Psychiatry, Tongji Hospital, Tongji University School of Medicine, Shanghai, China
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Goliroshan S, Nobahar M, Raeisdana N, Ebadinejad Z, Aziznejadroshan P. The protective role of professional self-concept and job embeddedness on nurses' burnout: structural equation modeling. BMC Nurs 2021; 20:203. [PMID: 34666759 PMCID: PMC8524863 DOI: 10.1186/s12912-021-00727-8] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Accepted: 10/04/2021] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND Job embeddedness and professional self-concept are among the important nursing components, the existence of which help decrease occupational burnout among nurses. This study aimed to determine the protective role of Professional Self-concept and Job embeddedness on nurses'burnout. METHODS This descriptive, correlational study had a predictive design and was conducted on nurses working in training and healthcare centers of Babol University of Medical Sciences in 2019. In total, 308 nurses participated in this study and were selected by stratified random sampling. In addition, data were collected using demographic characteristics questionnaire, Professional Self-concept questionnaire, Job embeddedness scale and nurses' burnout questionnaire. Moreover, data analysis was performed in SPSS version 25 and Smart PLS version 3.3 using correlational statistics and structural equation modeling. RESULTS Both the variables of professional self-concept and job embeddedness, had a significant effect on nurses' burnout at 99% confidence level (P < 0.001) and the negative beta value for these two variables shows the inverse relationship between both professional self-concept and job embeddedness with nurses' burnout. The value of the coefficient of determination for burnout indicates that both the variables of professional self-concept and job embeddedness, together explain 78% of the changes in the variable of burnout. The beta coefficient for professional self-concept (- 0.50) is higher than the same coefficient for job embeddedness (- 0.42). As a result, the role of professional self-concept in predicting burnout of clinical nurses has been more than the role of job embeddedness. The indirect effect of professional self-concept on burnout of clinical nurses mediated by job embeddedness has been equal to - 0.347. As a result, it can be said that nurses' professional self-concept has a significant effect on nurses' burnout through mediation of job embeddedness. CONCLUSION According to the results of the study, Professional Self-concept had an effective role in nurses' burnout. In other words, the higher the Professional Self-concept of nurses, the lower their burnout. Therefore, it is suggested that effective interventional strategies be designed by nursing managers through better planning and a supportive workplace be established to improve Professional Self-concept among nurses and decrease their burnout.
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Affiliation(s)
- Soghra Goliroshan
- grid.486769.20000 0004 0384 8779Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran
| | - Monir Nobahar
- grid.486769.20000 0004 0384 8779Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran
- grid.486769.20000 0004 0384 8779Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran
- grid.486769.20000 0004 0384 8779Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran
| | - Nayyereh Raeisdana
- grid.486769.20000 0004 0384 8779Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran
- grid.486769.20000 0004 0384 8779Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran
| | - Zahra Ebadinejad
- grid.486769.20000 0004 0384 8779Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran
| | - Parvin Aziznejadroshan
- grid.411495.c0000 0004 0421 4102Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
- grid.411495.c0000 0004 0421 4102Faculty of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran
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Rahimnia F, Nosrati S, Eslami G. Antecedents and outcomes of job embeddedness among nurses. The Journal of Social Psychology 2021; 162:455-470. [PMID: 34180380 DOI: 10.1080/00224545.2021.1920360] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Embedding nurses in their jobs is associated with many positive results because they have to deal with varying patient needs and sometimes make close relationships with them. Having mentioned that, we have limited knowledge of antecedents and possible outcomes of job embeddedness. Accordingly, this study aimed to explore the mediating role of job embeddedness (JE) among this group in the relationship between Team-Member Exchange (TMX), Empowering Leadership (EL), and Perceived Organizational Support (POS) with Innovative Work Behavior (IWB). Data were gathered from a group of 800 nurses, who were working in fourteen different public hospitals in the northeast of Iran. Of 800 distributed questionnaires, 723 questionnaires were completely filled. Different statistical analysis methods, such as Confirmatory Factor Analysis (CFA), Pearson correlation coefficient, and Structural Equation Modeling (SEM), were used for data analysis. The results indicate the positive influence of TMX and POS on IWB through the mediating role of JE in this group. It is worth noting that the JE-mediated effect of EL on IWB was not significant.
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Affiliation(s)
- Fariborz Rahimnia
- Department of Management, Faculty of Economics and Administrative sciences, Ferdowsi University of Mashhad, Islamic Republic of Iran
| | - Saeid Nosrati
- Department of Management, Faculty of Economics and Administrative sciences, Ferdowsi University of Mashhad, Islamic Republic of Iran
| | - Ghasem Eslami
- Department of Management, Faculty of Economics and Administrative sciences, Ferdowsi University of Mashhad, Islamic Republic of Iran
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Shah IA, Yadav A, Afzal F, Shah SMZA, Junaid D, Azam S, Jonkman M, De Boer F, Ahammad R, Shanmugam B. Factors Affecting Staff Turnover of Young Academics: Job Embeddedness and Creative Work Performance in Higher Academic Institutions. Front Psychol 2020; 11:570345. [PMID: 33424682 PMCID: PMC7793728 DOI: 10.3389/fpsyg.2020.570345] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2020] [Accepted: 11/09/2020] [Indexed: 11/25/2022] Open
Abstract
Young academics have been facing a problem of high turnover rate due to missing links between the institutions’ policies and the performance. This study explores the effect of job embeddedness and community embeddedness on creative work performance and intentions to leave of young teaching staff in academic institutions in Pakistan. In this study, 300 qualified young academics from public and private universities were selected as subjects and asked to complete a questionnaire. Data were collected via mail-survey. A variance-based structural equation model is employed to measure the path model. The results show that the fit-dimension of organizational- and community-embeddedness, along with the moderating effect of organization size and the availability of nearby alternative jobs have a significant impact on improving perceived creative performance and reducing staff turnover intentions. This study suggests that organizations should focus on organizational-fit and community-fit constructs in their nurturing strategies to embed young teachers in their academic institutions. This study also suggests that monetary rewards only are relatively ineffective to improve retention. Hence, public and private sector universities should facilitate meaningful contributions from young teachers in creative work and provide opportunities for social interactions and personal development.
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Affiliation(s)
- Imran Ahmed Shah
- School of Management and Economics, University of Electronic Science and Technology of China, Chengdu, China
| | - Amit Yadav
- Department of Information and Software Engineering, Chengdu Neusoft University, Chengdu, China
| | - Farman Afzal
- Institute of Business and Management, University of Engineering and Technology, Lahore, Pakistan
| | | | - Danish Junaid
- School of Management and Economics, University of Electronic Science and Technology of China, Chengdu, China
| | - Sami Azam
- College of Engineering, IT & Environment, Charles Darwin University, Darwin, NT, Australia
| | - Mirjam Jonkman
- College of Engineering, IT & Environment, Charles Darwin University, Darwin, NT, Australia
| | - Friso De Boer
- College of Engineering, IT & Environment, Charles Darwin University, Darwin, NT, Australia
| | - Ronju Ahammad
- College of Engineering, IT & Environment, Charles Darwin University, Darwin, NT, Australia
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Choi JS, Kim KM. Effects of nursing organizational culture and job stress on Korean infection control nurses' turnover intention. Am J Infect Control 2020; 48:1404-1406. [PMID: 32289344 PMCID: PMC7151524 DOI: 10.1016/j.ajic.2020.04.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Turnover of professional nurses takes a heavy toll on providing high quality of medical services. The most influencial factor in turnover intention was job-stress. Meanwhile, relation-oriented culture was found to be a new factor affecting turnover intention. As well as efforts to establish a relation-oriented organizational culture, lowering and managing their task stress is needed to reduce infection control nurses' turnover intention.
This study's aim was to discern the nursing organizational culture and job stress, induced by infection control nurses (ICNs)’ working together, affects ICNs’ turnover intentions. Job stress was the most significant factor affecting ICNs’ turnover intention. To reduce ICNs’ turnover intention, their task stress needs to be lowered and managed. In particular, efforts should be made to establish a relation-oriented organizational culture that values positive relationships while enhancing their community spirit at the organization level.
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Zhang X, Bian L, Bai X, Kong D, Liu L, Chen Q, Li N. The influence of job satisfaction, resilience and work engagement on turnover intention among village doctors in China: a cross-sectional study. BMC Health Serv Res 2020; 20:283. [PMID: 32252746 PMCID: PMC7133112 DOI: 10.1186/s12913-020-05154-0] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2019] [Accepted: 03/25/2020] [Indexed: 12/29/2022] Open
Abstract
Background As the gatekeepers of rural residents’ health, teams of village doctors play a vital role in improving rural residents’ health. However, the high turnover of village doctors, both individually and collectively, threaten the stability of village medical teams. This research evaluated the influence of job satisfaction, resilience, and work engagement on the village doctors’ turnover intention, and explored the mediating role of work engagement and resilience between job satisfaction and the turnover intention of village doctors in China. Methods A quantitative study using a self-administered questionnaire containing mostly structured items was conducted among village doctors with a sample size of 2693 from 1345 rural clinics in Shandong province, China, during May and June 2019. All variables including demographic characteristics, job satisfaction, resilience, work engagement and turnover intention were based on available literature, and measured on a 5- or 6-point Likert scale. Such statistical methods as one-way ANOVA, bivariate correlation, exploratory factor analysis (EFA), and Structural Equation Modelling (SEM) were used. Results Up to 46.9% of the subjects had a higher turnover intention and more than 26.3% of them had a medium turnover intention. The job satisfaction of village doctors could not only have a direct negative effect on turnover intention (β = − 0.37, p < 0.001), but also have an indirect effect through work engagement (β = − 0.04,=< 0.001). Meanwhile, work engagement also had a direct negative impact on turnover intention (β = − 0.13, p < 0.001), and resilience had an indirect negative impact on turnover intention through work engagement (β = − 0.09, p < 0.001). The above results of this study strongly confirmed that job satisfaction, resilience, and work engagement were early, powerful predicators of village doctors’ turnover intention. Conclusion According to the results, the following should be taken seriously to improve job satisfaction: reasonable and fair income, effective promotion mechanism, fair social old-age security, reasonable workload, and strong psychological coping mechanisms for work stress. The turnover intention of village doctors could be reduced through improving job satisfaction, resilience and work engagement.
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Affiliation(s)
- Xuewen Zhang
- Department of Health and Social Behaviour, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, 610041, China.,School of Integrated Traditional Chinese and Western Medicine, Jining Medical University, Jining, 272067, China
| | - Liyan Bian
- School of Integrated Traditional Chinese and Western Medicine, Jining Medical University, Jining, 272067, China
| | - Xue Bai
- School of Integrated Traditional Chinese and Western Medicine, Jining Medical University, Jining, 272067, China
| | - Dezhong Kong
- School of Integrated Traditional Chinese and Western Medicine, Jining Medical University, Jining, 272067, China
| | - Li Liu
- Department of Health and Social Behaviour, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, 610041, China
| | - Qing Chen
- Department of Health and Social Behaviour, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, 610041, China
| | - Ningxiu Li
- Department of Health and Social Behaviour, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, 610041, China.
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Chegini Z, Asghari Jafarabadi M, Kakemam E. Occupational stress, quality of working life and turnover intention amongst nurses. Nurs Crit Care 2019; 24:283-289. [PMID: 30873678 DOI: 10.1111/nicc.12419] [Citation(s) in RCA: 36] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2018] [Revised: 12/10/2018] [Accepted: 01/07/2019] [Indexed: 01/19/2023]
Abstract
BACKGROUND Turnover intention is a frequent event in almost all institutions and is associated with unfavourable consequences for employees. AIM The aim of this study was to examine the relationship between occupational stress, quality of working life and turnover intention amongst nurses working in critical care units in Iran. DESIGN A cross-sectional survey design was used. METHOD The study was conducted in the critical care units of 10 hospitals in Tabriz, Iran, between July and November 2017 using a sample of 203 nurses. Data were obtained using a self-administered questionnaire, and multiple logistic regression analysis was performed to determine the factors impacting turnover intention. RESULTS Overall, 64% of nurses had an intention to leave their job; 82·8% of respondents reported their job to be highly stressful, and 81·2% reported their quality of working life to be low. Binary logistic regression analysis indicated that age (p = 0·006), clinical experience (p = 0·005), duty stressors (p = 0·040), interpersonal relations stressors, (p = 0·029) communication (p = 0·007), motivation (p = 0·006), job security (p = 0·040) and job pride (p = 0·011) were factors affecting turnover intention. CONCLUSION Occupational stress and quality of working life are associated with turnover intention amongst nurses working in critical care units. Further research is needed to determine the generalizability of these results to other settings and countries and to identify interventions that could reduce occupational stress and improve the quality of working life so that turnover intention might be reduced. RELEVANCE TO CLINICAL PRACTICE The findings of this research suggest that lower perceived occupational stress and higher quality of working life will result in less reported turnover intention in critical care unit nurses.
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Affiliation(s)
- Zahra Chegini
- Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.,Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
| | | | - Edris Kakemam
- School of Management and Medical Informatics, Tabriz University of Medical Science, Tabriz, Iran
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Exploring pharmacists' perceived job alternatives: Results from the 2014 National Pharmacist Workforce Survey. J Am Pharm Assoc (2003) 2017; 57:47-55. [DOI: 10.1016/j.japh.2016.09.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2015] [Revised: 09/20/2016] [Accepted: 09/22/2016] [Indexed: 11/18/2022]
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