Impact of job satisfaction and job burnout on nurses' turnover intention at X Regional Hospital

https://doi.org/10.22146/jcoemph.87883

Daniyah Fitriyah Puteri(1), Rizma Adlia Syakurah(2*)

(1) Universitas Sriwijaya
(2) Universitas Sriwijaya
(*) Corresponding Author

Abstract


 Introduction: As one of Indonesia's largest regional government-owned hospitals, Hospital X faces high nursing staff resignations, with turnover rates surpassing the ideal rate of 4%. Job dissatisfaction and burnout indication contribute to nurses' intention to leave. Consequently, this study analyses job satisfaction and burnout on nurses' turnover intention at X Regional Hospital. Methods: A cross-sectional study was conducted between November 14 and December 14, 2022. Data was obtained through Google Forms and distributed to 293 nurses with a total sampling technique. Data was analyzed using Structural Equation Modelling (SEM) with the assistance of SmartPLS 4 software. Results: As many as 274 respondents were declared willing to participate in this study. The job satisfaction has an insignificant negative influence on nurses' turnover intention. However, job satisfaction has a significant negative relationship with job burnout, and job burnout has a significant positive effect on nurse turnover intention and a significant adverse effect on job satisfaction. Demographic factors also significantly influence nurses' job satisfaction and job burnout. Then, in the indirect effect test, job burnout mediates the relationship between job satisfaction and nurses' intention to leave work. At the same time, demographics affect nurses' intention to leave work through their level of job burnout. Conclusion: However, the results indicate no significant influence of job burnout mediated by job satisfaction and demographic factors mediated by job satisfaction on turnover intention. Hence, HR management should support and implement proactive measures, including revising the SOP for nurse schedule exchanges. Additionally, counseling programs should be considered to address low personal achievement issues among nurses.

 

Keywords


Demographic; job satisfaction; job burnout; nurse; turnover intention

Full Text:

PDF


References

1. Direktorat Jenderal Tenaga Kesehatan. Rencana Kinerja Tahunan Direktorat Jenderal Tenaga Kesehatan. 2022; 38.

2. BPS Provinsi Sumatera Selatan. Jumlah Tenaga Kesehatan Menurut Kabupaten/Kota (Orang), 2020-2022. BPS Provinsi Sumatera Selatan.

3. Friandani WJ. Peran Perawat di Masa Pandemi Covid-19 – Rumah Sakit UNS. Rumah Sakit UNS, https://rs.uns.ac.id/peran-perawat-di-masa-pandemi-covid-19/ (2021, accessed 8 October 2022).

4. Suroso S, Hariyati RTS, Novieastari E. Pelayanan Keperawatan Prima Berbasis Budaya Berpengaruh terhadap Tingkat Kepuasan Pasien di Rumah Sakit. J Keperawatan Indones 2015; 18: 38–44.

5. Agustin I, Amin M, Yunike J, et al. QNWL (Quality of Nurse Work Life) Pada Masa Pandemi Covid-19 Pengaruhnya Terhadap Turnover Perawat. J Kesehat Poltekkes Palembang 2022; 17: 93–104.

6. Mahdi AF, Zin MZM, Nor MRM, et al. The Relationship Between Job Satisfaction and Turnover Intention. Am J Appl Sci 2012; 9: 1518–1526.

7. Mardiana I, Hubeis AVS, Panjaitan NK. Hubungan Kepuasan Kerja dengan Turnover Intentions pada Perawat Rumah Sakit Dhuafa. Manaj IKM J Manaj Pengemb Ind Kecil Menengah 2014; 9: 119–130.

8. Mayawati L. Pengaruh Kepuasan Kerja dan Job Insecurity terhadap Turnover Intention Perawat. Psikol Kreat Inov 2021; 1: 56–67.

9. Purba BB, Prima A, Simanjuntak A. Penyuluhan Tentang Turnover Perawat Covid 19 Dan Pemanfaatannya Dalam Pengambilan Kebijakan di Rumah Sakit Sembiring. J Pengabdi Masy Putri Hijau 2021; 2: 85–90.

10. Kuswadi. Cara Mengukur Kepuasan Karyawam. Jakarta: Elex Media Komputindo, 2004.

11. Adityarini D, Andry A, Adhikara M. A. Hallo Effect in the Turnover Intention of Nurses at Hospital ‘X’. J Medicoeticolegal dan Manaj Rumah Sakit 2020; 9: 85–99.

12. Wardhani FKW. Hubungan Antara Faktor-Faktor Stres di Tempat Kerja Dengan Turnover Intention Perawat di RSU Tangerang Selatan. Universitas Islam Negeri Syarif Hidayatullah Jakarta, https://repository.uinjkt.ac.id/dspace/bitstream/123456789/53715/1/FEBRILIANTI (2018).

13. Andarini E. Analisis Faktor Penyebab Burnout Syndrome dan Job Satisfaction Perawat di Rumah Sakit Petrokimia Gresik. Universitas Airlangga, https://repository.unair.ac.id/77964/2/TKP (2018).

14. Asepta UY, Pramitasari D. Pengaruh Job Stress dan Burnout Syndrome Terhadap Turnover Intention Pada Karyawan Wanita di Kota Malang. J Ris Manaj Sains Indones 2022; 13: 34–52.

15. Tourangeau AE, McGillis Hall L, Doran DM, et al. Measurement of nurse job satisfaction using the McCloskey/Mueller satisfaction scale. Nurs Res 2006; 55: 128–136.

16. Arini T. Budaya Keselamatan Pasien Berbasis Pemberdayaan Struktural Dengan Kepuasan Kerja Perawat. Universitas Airlangga, https://repository.unair.ac.id/77538/2/TKP (2018).

17. Maslach C, Jackson SE. The measurement of experienced burnout. J Occup Behav 1981; 2: 99–113.

18. Daniels A. Listening to New Zealand Nurses : a Survey of Intent to Leave, Job Satisfaction, Job Stress, and Burnout. Auckland University of Technology, 2004.

19. Trisni Widhianingtanti L, Van Luijtelaar G. The Maslach-Trisni Burnout Inventory: Adaptation for Indonesia. JP3I (Jurnal Pengukuran Psikol dan Pendidik Indones 2022; 11: 1–21.

20. Hayes B, Bonner A, Pryor J. Factors contributing to nurse job satisfaction in the acute hospital setting: A review of recent literature. J Nurs Manag 2010; 18: 804–814.

21. Lin PS, Viscardi MK, McHugh MD. Factors influencing job satisfaction of new graduate nurses participating in nurse residency programs: A systematic review. J Contin Educ Nurs 2014; 45: 439–450.

22. Rizany I, Hariyati RTS, Afifah E, et al. The Impact of Nurse Scheduling Management on Nurses' Job Satisfaction in Army Hospital: A Cross-Sectional Research. SAGE Open; 9. Epub ahead of print 2019. DOI: 10.1177/2158244019856189.

23. Zhai Y, Li R, Yan Z. Research on Application of Meticulous Nursing Scheduling Management Based on Data-Driven Intelligent Optimization Technology. Comput Intell Neurosci; 2022. Epub ahead of print 2022. DOI: 10.1155/2022/3293806.

24. Franita Yesi. Pendekatan Goal Programming pada Model Penjadwalan Perawat Multiobjektif dengan Mempertimbangkan Preferensi Perawat. Unnes J Math 2019; 8: 1–10.

25. Min A, Min H, Hong HC. Work schedule characteristics and fatigue among rotating shift nurses in hospital setting: An integrative review. J Nurs Manag 2019; 27: 884–895.

26. Dewanti NP, Jingga NA, Wahyudiono YDA. The Relationship between Work Shifts and Work Environment with Nurse Fatigue in the Emergency Department. Indones J Occup Saf Heal 2022; 11: 178–186.

27. Yestiana Y, Kurniati T, Hidayat AAA. Predictors of burnout in nurses working in inpatient rooms at a public hospital in Indonesia. Pan Afr Med J 2019; 33: 1–8.

28. Garde AH, Harris A, Vedaa Ø, et al. Working hour characteristics and schedules among nurses in three Nordic countries - A comparative study using payroll data. BMC Nurs 2019; 18: 1–10.

29. Rizany I, Sri Hariyati RT, Afiyanti E. Assessing nurses' satisfaction on their work-schedules: The case of a hospital in jakarta. J Heal Transl Med 2020; 23: 91–98.

30. Simunić A, Gregov L. Conflict between work and family roles and satisfaction among nurses in different shift systems in Croatia: A questionnaire survey. Arh Hig Rada Toksikol 2012; 63: 189–197.

31. Koning C. Does self-scheduling increase nurses' job satisfaction? An integrative literature review. Nurs Manage; 21. Epub ahead of print 2014. DOI: 10.7748/nm.21.6.24.e1230.

32. Leineweber C, Holendro Singh Chungkham, Lindqvist R, et al. Nurses' practice environment and satisfaction with schedule flexibility is related to intention to leave due to dissatisfaction: A multi-country, multilevel study. Int J Nurs Stud 2016; 58: 47–58.

33. Parola V, Coelho A, Neves H, et al. Burnout and Nursing Care: A Concept Paper. Nurs Reports 2022; 12: 464–471.

34. Alam A, Asim M. Relationship Between Job Satisfaction And Turnover Intention. Int J Hum Resour Stud 2019; 9: 163–194.

35. Setiyanto AI, Selvi NH. Pengaruh Kepuasan Kerja dan Komitmen Organisasi Terhadap Turnover Intention. J Akuntansi, Ekon dan Manaj Bisnis 2017; 5: 105–110.

36. Sari DP, Purwanto E. Pengaruh Efikasi Diri dan Upaya Terhadap Niatan Berhenti Dengan Mediasi Kinerja, Kepuasan Kerja dan Sindrom Kelelahan. J Manaj 2018; 15: 195–221.

37. Raharjo DS, Praditya Y, Limakrisna N. Determinants of Turnover Intention: An Empirical Study of the Effect of Job Satisfaction, Compensation, and Career Development. Cent Eur Manag J 2022; 30: 333–344.

38. Setya BDA. Pengaruh Kepuasan Kerja Terhadap Turnover Intention Dengan Burnout Sebagai Variabel Mediasi (Studi Pada Karyawan PT. ISH Telkom Group di Kota X). UIN Maulana Ibrahum Malang, http://etheses.uin-malang.ac.id/id/eprint/21310 (2020).

39. Survival. Pengaruh Stres Kerja Terhadap Keinginan Untuk Pindah Dimediasi Burnout Serta Peran Karakteristik Demografi Sebagai Variabel Moderasi (Studi Pada Medical Representative di Kota Malang). Universitas Brawijaya, repository.ub.ac.id (2017).

40. Mirza MN. Analisis Faktor Risiko dan Konsekuensi Burnout Pada Perawat di Rumah Sakit Swasta di Jakarta. J Kesehat Masy 2021; 9: 1–18.

41. Rosnania R. Faktor Determinan Terjadinya Burnout Pada Perawat Di Rsud Lamadukkelleng Kabupaten Wajo. Sebatik 2021; 25: 434–441.

42. Tadesse B, Muriithi G. The influence of employee demographic factors on job satisfaction: A case study of Segen Construction Company, Eritrea. African J Bus Manag 2017; 11: 608–618.

43. Lee SY, Kim CW, Kang JH, et al. Influence of the Nursing Practice Environment on Job Satisfaction and Turnover Intention. J Prev Med Public Heal 2014; 47: 258–265.

44. Saraswati IAP, Yanti NPED, Swedarma KE. Perbedaan Tingkat Kepuasan Kerja Perawat Berdasarkan Unit Kerja: Literature Review. Coping Community Publ Nurs 2021; 9: 450.

45. Odedokun SA. Differential Influence of Demographic Factors on Job Burnout among Police Officers in Ibadan, Oyo State. Mediterr J Soc Sci 2015; 6: 520–526.

46. Wang H, Jin Y, Wang D, et al. Job Satisfaction, Burnout, and Turnover Intention Among Primary Care Providers in Rural China: Results from structural equation modeling. BMC Fam Pract; 21. Epub ahead of print January 2020. DOI: 10.1186/S12875-020-1083-8.

47. Askiyanto M, Soetjipto BE, Suharto. The Effect of Workload, Work Stres and Organizational Climate on Turnover Intention with Work Satisfaction as an Intervening Variable. Eur J Bus Manag 2018; 10: 61-70–70.

48. Sundari PRS, Meria L. Pengaruh Beban Kerja Melalui Burnout dan Kepuasan Kerja Terhadap Turnover Intention. 2017. Epub ahead of print 2017. DOI: 10.34306/abdi.v3i2.785.

49. Putra DMBA, Mujiati NW. Peran Kepuasan Kerja Dalam Memediasi Pengaruh Stres Kerja dan Motivasi Kerja Terhadap Turnover Intention. E-Jurnal Manaj Univ Udayana 2019; 8: 4045.

50. Dewanto A, Wardhani V. Nurse Turnover and Perceived Causes and Consequences: a Preliminary Study at Private Hospitals in Indonesia. BioMed Cent Nurs 2017; 17: 1–15.

51. Kankaanranta T, Nummi T, Vainiomaki J, et al. The role of job satisfaction, job dissatisfaction and demographic factors on physicians' intentions to switch work sector from public to private. Health Policy, 83(1), 50–64 | 10.1016/j.healthpol.2006.11.010. Health Policy (New York) 2007; 83: 50–64.

52. Margarine NT, Marni E, Niriyah S. Hubungan Adversity Quotient dengan Kejadian Burnout pada Parawat di Ruang Rawat Inap Kelas 3. J Keperawatan Hang Tuah (Hang Tuah Nurs Journal) 2021; 2: 12–27.

53. Akova O, Cetin G, Cifci I. The Relation between Demographic Factors and the Turnover Intention in Pre-opening Hotel Businesses. Procedia - Soc Behav Sci 2015; 207: 377–384.

54. Emiroğlu BD, Akova O, Tanrıverdi H. The Relationship Between Turnover Intention and Demographic Factors in Hotel Businesses: A Study at Five Star Hotels in Istanbul. Procedia - Soc Behav Sci 2015; 207: 385–397.

55. AlBattat ARS, Som APM. Employee Dissatisfaction and Turnover Crises in the Malaysian Hospitality Industry. Int J Bus Manag; 8. Epub ahead of print 2013. DOI: http://dx.doi.org/10.5539/ijbm.v8n5p62.



DOI: https://doi.org/10.22146/jcoemph.87883

Article Metrics

Abstract views : 2008 | views : 1161

Refbacks

  • There are currently no refbacks.


Copyright (c) 2024 Journal of Community Empowerment for Health

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.