Sujin Nam, Janet Yuen Ha Wong, Daniel Yee Tak Fong
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引用次数: 0
Abstract
Objectives: To investigate the factors influencing turnover intention among nurses, and to examine the association between psychological distress and turnover intention across different types of workplace bullying exposure.
Methods: A cross-sectional study was conducted with 188 registered nurses in Hong Kong, recruited through convenience sampling. Data collection took place from April 2020 to September 2021. Quantile regression analysis, which captures relationships that may be overlooked by ordinary least squares regression, was employed to explore the factors influencing turnover intention varied across different levels. This analysis examined the associations between demographic and work-related characteristics, work events, work environment features, affective states and turnover intention across quantiles ranging from 0.05 to 0.95.
Results: Quantile regression analysis revealed that only indirect or direct exposure to workplace bullying was positively associated with turnover intention at the 25th percentile, while both forms of exposure were significantly associated with turnover intention across all percentiles. The absence of workplace violence reporting procedures was positively associated with turnover intention at the highest quantile. Depressive symptoms were significantly associated with turnover intention at the 5th, 25th and 50th percentiles. Additionally, nurses exposed to both direct and indirect workplace bullying exhibited higher levels of psychological distress and turnover intention compared to those exposed to either form alone or those without exposure.
Conclusions: Exposure to workplace bullying, the absence of workplace violence reporting procedures, and depressive symptoms significantly contribute to turnover intention among nurses across different levels. To improve nurse retention and workforce sustainability, healthcare organisations should implement targeted interventions that address turnover risk at varying levels.
Relevance to clinical practice: These findings underscore the need for healthcare organisations to develop and enforce strategies aimed at preventing workplace bullying, providing comprehensive mental health support and establishing effective reporting mechanisms for workplace violence.
Patient and public contribution: No patient or public involvement.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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