Determinan Turnover Intention Pada Perawat Bakti Timah Medika
Abstract
Background: Nurse turnover intention is a problem in the health service sector throughout the world because it is related to the large costs incurred by hospitals and the decline in the quality of health service human resources.
Aims: This research is aimed at finding out the magnitude of the impact that learning agility, job satisfaction and work stress have on the turnover intention of Bakti Timah Medika nurses.
Methods: The research design is quantitative causality. The number of respondents was 82 nurses taken using convenience sampling. SEM-PLS is used as a data analysis method.
Results: The findings in this study show that job satisfaction has a significant negative effect on turnover intention, while work stress has a significant positive effect on turnover intention. Learning agility was found to have no effect on nurse turnover intention.
Conclusion: Future researchers can use mediating variables such as job stress and job satisfaction to explain the influence of learning agility on turnover intention which is not significant in nurses. Management must further increase nurses' job satisfaction through increasing salaries and benefits, creating a comfortable work environment, improving nurses' welfare, improving the hospital management system. Management must pay attention to nurses' work stress by providing freedom in determining work schedules, reducing workload by adding personnel. In the end, all of these things are useful for reducing nurse turnover intention.
References
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De Meuse, K. P. (2023). A meta-analytic examination of the relationship between learning agility and general cognitive ability. Journal of Managerial Issues, 35(1), 18–33.
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Han, G., & Jekel, M. (2011). The mediating role of job satisfaction between leader‐member exchange and turnover intentions. Journal of Nursing Management, 19(1), 41–49.
Huang, W.-R., & Su, C.-H. (2016). The mediating role of job satisfaction in the relationship between job training satisfaction and turnover intentions. Industrial and Commercial Training, 48(1), 42–52.
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Kuo, H., Lin, K., & Li, I. (2014). The mediating effects of job satisfaction on turnover intention for long‐term care nurses in T aiwan. Journal of Nursing Management, 22(2), 225–233.
Labrague, L. J., De Los Santos, J. A. A., Falguera, C. C., Nwafor, C. E., Galabay, J. R., Rosales, R. A., & Firmo, C. N. (2020). Predictors of nurses’ turnover intention at one and five years’ time. International Nursing Review, 67(2), 191–198.
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Nissly, J. A., Barak, M. E. M., & Levin, A. (2005). Stress, social support, and workers’ intentions to leave their jobs in public child welfare. Administration in Social Work, 29(1), 79–100.
Poghosyan, L., Liu, J., Shang, J., & D’Aunno, T. (2017). Practice environments and job satisfaction and turnover intentions of nurse practitioners. Health Care Management Review, 42(2), 162–171.
Rindu, R., Lukman, S., Hardisman, H., Hafizurrachman, M., & Bachtiar, A. (2020). The relationship between transformational leadership, organizational commitment, work stress, and turnover intentions of nurse at private hospital in Indonesia. Open Access Macedonian Journal of Medical Sciences, 8(E), 551–557.
Roche, M. A., Duffield, C. M., Homer, C., Buchan, J., & Dimitrelis, S. (2015). The rate and cost of nurse turnover in Australia. Collegian, 22(4), 353–358.
Saputra, N. (2018). Does learning culture impact directly or indirectly on work engagement in the Indonesia oil palm industry. International Journal of Engineering & Technology, 7(3.30), 561–566.
Sorensen, L. C., & Ladd, H. F. (2020). The hidden costs of teacher turnover. Aera Open, 6(1), 2332858420905812.
Takase, M., Teraoka, S., & Kousuke, Y. (2015). Investigating the adequacy of the Competence‐Turnover Intention Model: how does nursing competence affect nurses’ turnover intention? Journal of Clinical Nursing, 24(5–6), 805–816.
Tongchaiprasit, P., & Ariyabuddhiphongs, V. (2016). Creativity and turnover intention among hotel chefs: The mediating effects of job satisfaction and job stress. International Journal of Hospitality Management, 55, 33–40.
Tripathi, A., Srivastava, R., & Sankaran, R. (2020). Role of learning agility and learning culture on turnover intention: an empirical study. Industrial and Commercial Training, 52(2), 105–120.
Widyastuti, R., Yustiawan, T., Putri, L. M., & Damayanti, N. A. (2019). Correlation between Employees’ Quality of Work Life with Turnover Intention at Holding Hospital. Indian Journal of Public Health Research & Development, 10(8).
Yadav, N., & Dixit, S. (2017). A conceptual model of learning agility and authentic leadership development: Moderating effects of learning goal orientation and organizational culture. Journal of Human Values, 23(1), 40–51.
Yildiz, B., Yildiz, H., & Ayaz Arda, O. (2021). Relationship between work–family conflict and turnover intention in nurses: A meta‐analytic review. Journal of Advanced Nursing, 77(8), 3317–3330.
Bedford, C. L. (2011). The Role of Learning Agility in Workplace Performance and Career Advancement. In University of Minnesota.
Berber, N., Gašić, D., Katić, I., & Borocki, J. (2022). The Mediating Role of Job Satisfaction in the Relationship between FWAs and Turnover Intentions. Sustainability, 14(8), 4502.
Castaneda, G. A., & Scanlan, J. M. (2014). Job satisfaction in nursing: A concept analysis. Nursing Forum, 49(2), 130–138.
Chao, M.-C., Jou, R.-C., Liao, C.-C., & Kuo, C.-W. (2015). Workplace stress, job satisfaction, job performance, and turnover intention of health care workers in rural Taiwan. Asia Pacific Journal of Public Health, 27(2), NP1827–NP1836.
Chen, H., Li, G., Li, M., Lyu, L., & Zhang, T. (2018). A cross-sectional study on nurse turnover intention and influencing factors in Jiangsu Province, China. International Journal of Nursing Sciences, 5(4), 396–402.
De Meuse, K. P. (2017). Learning agility: Its evolution as a psychological construct and its empirical relationship to leader success. Consulting Psychology Journal: Practice and Research, 69(4), 267.
De Meuse, K. P. (2023). A meta-analytic examination of the relationship between learning agility and general cognitive ability. Journal of Managerial Issues, 35(1), 18–33.
Demirtas, O., & Akdogan, A. A. (2015). The effect of ethical leadership behavior on ethical climate, turnover intention, and affective commitment. Journal of Business Ethics, 130, 59–67.
Dewanto, A., & Wardhani, V. (2018). Nurse turnover and perceived causes and consequences: a preliminary study at private hospitals in Indonesia. BMC Nursing, 17, 1–7.
Dilig-Ruiz, A., MacDonald, I., Varin, M. D., Vandyk, A., Graham, I. D., & Squires, J. E. (2018). Job satisfaction among critical care nurses: A systematic review. International Journal of Nursing Studies, 88, 123–134.
Duffield, C. M., Roche, M. A., Homer, C., Buchan, J., & Dimitrelis, S. (2014). A comparative review of nurse turnover rates and costs across countries. Journal of Advanced Nursing, 70(12), 2703–2712.
Dutta, S., & Khatri, P. (2017). Servant leadership and positive organizational behaviour: The road ahead to reduce employees’ turnover intentions. On the Horizon, 25(1), 60–82.
Fasbender, U., Van der Heijden, B. I. J. M., & Grimshaw, S. (2019). Job satisfaction, job stress and nurses’ turnover intentions: The moderating roles of on‐the‐job and off‐the‐job embeddedness. Journal of Advanced Nursing, 75(2), 327–337.
Fink, G. (2016). Stress, definitions, mechanisms, and effects outlined: Lessons from anxiety. In Stress: Concepts, cognition, emotion, and behavior (pp. 3–11). Elsevier.
Gheshlagh, R. G., Parizad, N., Dalvand, S., Zarei, M., Farajzadeh, M., Karami, M., & Sayehmiri, K. (2017). The prevalence of job stress among nurses in Iran: A meta-analysis study. Nursing and Midwifery Studies, 6(4), 143–148.
Ghosh, S., Muduli, A., & Pingle, S. (2021). Role of e-learning technology and culture on learning agility: An empirical evidence. Human Systems Management, 40(2), 235–248.
Glassman, K. S., & Withall, J. (2018). Nurse manager learning agility and observed leadership ability: A case study. Nursing Economics, 36(2), 74–82.
Han, G., & Jekel, M. (2011). The mediating role of job satisfaction between leader‐member exchange and turnover intentions. Journal of Nursing Management, 19(1), 41–49.
Huang, W.-R., & Su, C.-H. (2016). The mediating role of job satisfaction in the relationship between job training satisfaction and turnover intentions. Industrial and Commercial Training, 48(1), 42–52.
Kim, H., & Kim, E. G. (2021). A meta‐analysis on predictors of turnover intention of hospital nurses in South Korea (2000–2020). Nursing Open, 8(5), 2406–2418.
Kuo, H., Lin, K., & Li, I. (2014). The mediating effects of job satisfaction on turnover intention for long‐term care nurses in T aiwan. Journal of Nursing Management, 22(2), 225–233.
Labrague, L. J., De Los Santos, J. A. A., Falguera, C. C., Nwafor, C. E., Galabay, J. R., Rosales, R. A., & Firmo, C. N. (2020). Predictors of nurses’ turnover intention at one and five years’ time. International Nursing Review, 67(2), 191–198.
Lee, E., & Jang, I. (2020). Nurses’ fatigue, job stress, organizational culture, and turnover intention: A culture–work–health model. Western Journal of Nursing Research, 42(2), 108–116.
Lim, A. J. P., Loo, J. T. K., & Lee, P. H. (2017). The impact of leadership on turnover intention: The mediating role of organizational commitment and job satisfaction. Journal of Applied Structural Equation Modeling, 1(1), 27–41.
Liu, Y., Aungsuroch, Y., & Yunibhand, J. (2016). Job satisfaction in nursing: A concept analysis study. International Nursing Review, 63(1), 84–91. https://doi.org/10.1111/inr.12215
Muchtadin, M., & Sundary, Z. E. (2023). Pengaruh Komitmen Afektif, Stres Kerja, Work Engagement Terhadap Turnover Intention Perawat. Journal of Health Management Research, 2(2), 1–8.
Nissly, J. A., Barak, M. E. M., & Levin, A. (2005). Stress, social support, and workers’ intentions to leave their jobs in public child welfare. Administration in Social Work, 29(1), 79–100.
Poghosyan, L., Liu, J., Shang, J., & D’Aunno, T. (2017). Practice environments and job satisfaction and turnover intentions of nurse practitioners. Health Care Management Review, 42(2), 162–171.
Rindu, R., Lukman, S., Hardisman, H., Hafizurrachman, M., & Bachtiar, A. (2020). The relationship between transformational leadership, organizational commitment, work stress, and turnover intentions of nurse at private hospital in Indonesia. Open Access Macedonian Journal of Medical Sciences, 8(E), 551–557.
Roche, M. A., Duffield, C. M., Homer, C., Buchan, J., & Dimitrelis, S. (2015). The rate and cost of nurse turnover in Australia. Collegian, 22(4), 353–358.
Saputra, N. (2018). Does learning culture impact directly or indirectly on work engagement in the Indonesia oil palm industry. International Journal of Engineering & Technology, 7(3.30), 561–566.
Sorensen, L. C., & Ladd, H. F. (2020). The hidden costs of teacher turnover. Aera Open, 6(1), 2332858420905812.
Takase, M., Teraoka, S., & Kousuke, Y. (2015). Investigating the adequacy of the Competence‐Turnover Intention Model: how does nursing competence affect nurses’ turnover intention? Journal of Clinical Nursing, 24(5–6), 805–816.
Tongchaiprasit, P., & Ariyabuddhiphongs, V. (2016). Creativity and turnover intention among hotel chefs: The mediating effects of job satisfaction and job stress. International Journal of Hospitality Management, 55, 33–40.
Tripathi, A., Srivastava, R., & Sankaran, R. (2020). Role of learning agility and learning culture on turnover intention: an empirical study. Industrial and Commercial Training, 52(2), 105–120.
Widyastuti, R., Yustiawan, T., Putri, L. M., & Damayanti, N. A. (2019). Correlation between Employees’ Quality of Work Life with Turnover Intention at Holding Hospital. Indian Journal of Public Health Research & Development, 10(8).
Yadav, N., & Dixit, S. (2017). A conceptual model of learning agility and authentic leadership development: Moderating effects of learning goal orientation and organizational culture. Journal of Human Values, 23(1), 40–51.
Yildiz, B., Yildiz, H., & Ayaz Arda, O. (2021). Relationship between work–family conflict and turnover intention in nurses: A meta‐analytic review. Journal of Advanced Nursing, 77(8), 3317–3330.
Published
2024-03-01
How to Cite
MUCHTADIN, Muchtadin; SUNDARY, Zelvy Emmelya.
Determinan Turnover Intention Pada Perawat Bakti Timah Medika.
Journal of Health Management Research, [S.l.], v. 3, n. 1, p. 40-48, mar. 2024.
ISSN 2963-4229.
Available at: <https://www.adihusada.ac.id/jurnal/index.php/JHMR/article/view/482>. Date accessed: 30 sep. 2025.
doi: https://doi.org/10.37036/jhmr.v3i1.482.
Section
Artikel
Keywords
job satisfaction, job stress, learning agility, turnover intention
