The Effects of Job Stress on Turnover Intention of Public Hospital Nurses in Metro Manila
Erika Marie Hautea
Discipline: Human Resources Management
Abstract:
The pool of nurses in the Philippines continues to steadily
decrease. Lack of nurses creates understaffing problems
in hospitals and results in a heavier workload. These and
other working conditions faced by nurses show the amount
of stress they face daily. This creates job stress resulting in turnover
intentions. However, recently published literature shows that a person’s
job satisfaction can mediate this relationship. Hence, this study focused
on explaining the effect of job stress on turnover intention of public
hospital nurses as mediated by job satisfaction. The study focused on
public hospital nurses employed in Level 3 public hospitals in Metro
Manila.
Descriptive Statistics, Correlation Matrix, Linear and Multiple Linear
Regression, and Path Analysis were conducted. The quantitative data
was further substantiated through related literature and interviews.
The results of the study showed that nurses have a slight level of job
stress, a moderate level of job satisfaction, and a slight level of turnover
intention. Moreover, job stress had a positive effect on turnover
intention (direct effect). Additionally, job stress had a positive effect
on turnover intention as mediated by job satisfaction (indirect effect).
The findings show that turnover intention can be reduced by: 1.)
directly lessening job stress and 2.) decreasing job stress by increasing job satisfaction. Lastly, recommendations were given to hospital
management, future researchers, the academe, and the government
References:
- Aiken, L. H. , Cimiotti, J. P. , Sloane, D. M. , Smith, H. L. , Flynn, L. , & Neff, D. F. (2012). Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. The Journal of Nursing Administration, 42(10 Suppl), S10–S16. doi:10. 1097/01. NNA. 000.042.0390. 87789. 67
- Badilla, N. (2016). 200,000 registered nurses are jobless. Retrieved from https://www.manilatimes.net/2016/05/15/news/national/200000-registered-nurses-are-jobless/262211/262211/
- Brunetto, Y. , Shriberg, A. , Farr-Wharton, R. , Shacklock, K. , Newman, S. , & Dienger, J. (2013). The importance of supervisor-nurse relationships, teamwork, wellbeing, affective commitment, and retention of North American nurses. Journal of Nursing Management, 21(6), 827–837. doi:10. 1111/jonm. 12111
- Dones, L. B. P. & Paguio, J. (2016). Work environment of nurses in the Philippines: A preliminary study. Philippine Journal of Nursing, 56(2), 4-10. Retrieved from https://www.ResearchGate.net/publication/318493856_Work_environment_of_nurses_in_the_Philippines_A_preliminary_study
- Chung, E. K., Jung, Y., & Sohn, Y. W. (2017). A moderated mediation model of job stress, job satisfaction, and turnover intention for airport security screeners. Safety science, 98, 89-97.
- Gray-Toft, P., & Anderson, J. G. (1981). The nursing stress scale: development of an instrument. Journal of behavioral assessment, 3(1), 11-23.
- In Touch Community Services (n.d.). Crisis Line. Retrieved from https://www.in-touch.org/crisis-line.html
- My-CORD. (n.d.). Our core services. Retrieved from http://my-cord.org/#our-core-services
- Jou, R. C. , Kuo, C. W. , & Tang, M. L. (2013). A study of job stress and turnover tendency among air traffic controllers: The mediating effects of job satisfaction. Transportation Research Part E: Logistics and Transportation Review, 57, 95-104. doi: 10. 1016/j. tre. 2013. 01. 009
- Ladrido, P. (2019). The burden of being a public health worker in the Philippines. Retrieved from https://cnnphilippines.com/life/culture/2019/4/22/government-health-workers-Philippines.html
- Lavoie-Tremblay, M., Paquet, M., Marchionni, C., & Drevniok, U. (2011). Turnover intention among new nurses: A generational perspective. Journal for Nurses in Professional Development, 27(1), 39-45. doi: 10. 1097/NND. 0b013e31819945c1.
- Lina, J. D. (2018). Our overworked and unpaid/underpaid nurses badly need help. Retrieved from https://news.mb.com.ph/2018/02/26/our-overworked-and-unpaidunderpaid-nurses-badly-need-help/
- Lo, W. Y. , Chien, L. Y. , Hwang, F. M. , Huang, N. , & Chiou, S. T. (2018). From job stress to intention to leave among hospital nurses: A structural equation modelling approach. Journal of Advanced Nursing, 74(3), 677-688. doi: 10. 1111/jan. 13481
- Lorenzo, F. M. , Galvez-Tan, J. , Icamina, K. , & Javier, L. (2007). Nurse migration from a source country perspective: Philippine country case study. Health Services Research, 42(3 Pt 2), 1406–1418. doi: 10. 1111/j. 1475-6773. 2007. 00716. x
- Mariano-Ramos, M. (2014). Perception of selected nurses on their employment and on the nursing profession. The Trinitarian Researcher, 6:1. Retrieved from https://ejournals.ph/article.php?id=9975
- Mosadeghrad, A. M. (2013). Occupational Stress and Turnover Intention: Implications for Nursing Management. International Journal of Health Policy and Management, 1(2), 169–176. doi:10. 15171/ijhpm. 2013. 30
- Official Gazette. (2002). Republic Act No. 9173. Retrieved from https://www.officialgazette.gov.ph/2002/10/21/republic-act-no-9173/
- Perrin, M. E., Hagopian, A., Sales, A., and Huang, B. (2007). Nurse migration and its implications for Philippine hospitals. International Nursing Review, 54(3): 219–226. doi: 10. 1111/j. 1466-7657. 2007. 00567. x
- Philippine Statistics Authority (2016). Deaths in the Philippines, 2016. Retrieved from https://psa.gov.ph/content/deaths-philippines-2016
- Spector, P. E. (1985). Measurement of human service staff satisfaction: Development of the Job Satisfaction Survey. American Journal of Community Psychology, 13, 693-713.
- World Health Organization (2010). Workload Indicators of Staffing Needs. Retrieved from https://www.who.int/hrh/resources/WISN_Eng_UsersManual.pdf
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