How Interprofessional Collaboration and Transformational Leadership Affect Nurses’ Turnover Intention through Job Satisfaction
DOI:
https://doi.org/10.18196/jmmr.v10i3.12212Keywords:
Interprofessional collaboration, Job satisfaction, Transformational leadership, Turnover, Turnover intentionAbstract
Nursing turnover is problem for hospitals around the world, including at XYZ Hospital in Tangerang, Indonesia. Studies on the causes of turnover are required to reduce turnover effectively and efficiently. We aimed to study the effect of interprofessional collaboration and transformational leadership on turnover intention, with job satisfaction as intervening factor. This associative quantitative study gathered primary data obtained through survey on nurses at XYZ Hospital, Tangerang in April 2021, using Turnover Intention Scale-15, Interprofessional Collaboration Scale, Transformational Leadership Behavior Inventory, and McCloskey/Mueller Satisfaction Scale. Analysis was performed with Structural Equation Modeling (SEM) method. From a total of 95 subjects, we found that there was significant negative effect of Interprofessional Collaboration (β = -0.560, p = 0.004) and Transformational Leadership (β = ‑0.271, p = 0.031) on Turnover Intention through Job Satisfaction as intervening factor (β = -0.560, p = 0.004) and significant negative effect of Job Satisfaction on Turnover Intention (β = 0.808, p = 0.001). Also found was positive effect of Interprofessional Collaboration (β = 0.692, p <0.001) and Transformational Leadership (β = 0.335, p = 0.032) on Job Satisfaction. Therefore, promoting job satisfaction, interprofessional collaboration, and transformational leadership may be beneficial in reducing nursing turnover intention.
References
Alfiyah. (2015). Faktor-faktor yang berhubungan dengan turnover intention perawat di Brawijaya Women and Children Hospital Jakarta tahun 2013 [Tesis Sarjana, UIN Syarif Hidayatullah Jakarta]. https://repository.uinjkt.ac.id/dspace/handle/123456789/25923
Allen, I. E., & Seaman, C. A. (2007). Likert scales and data analyses. Quality progress, 40(7), 64–65.
Augusty, F. (2006). Metode penelitian manajemen: Pedoman penelitian untuk skripsi, tesis, dan disertasi ilmu manajemen. Universitas Diponegoro.
Avolio, B. J., & Bass, B. M. (2001). Developing potential across a full range of leadership: Cases on transactional and transformational leadership. Psychology Press.
Baik, D., & Zierler, B. (2019). RN job satisfaction and retention after an interprofessional team intervention. Western Journal of Nursing Research, 41(4), 615–630. https://doi.org/10.1177/0193945918770815
Barlow, K. (2013). A meta-analysis of transformational leadership and subordinate nursing personnel organizational commitment, job satisfaction, and turnover intentions [Disertasi Doktor, University of Maryland]. https://archive.hshsl.umaryland.edu/handle/10713/2797
Bass, B. M., & Riggio, R. E. (2006). Transformational leadership (2nd ed.). Lawrence Erlbaum Associates.
Boamah, S. A., Spence Laschinger, H. K., Wong, C., & Clarke, S. (2018). Effect of transformational leadership on job satisfaction and patient safety outcomes. Nursing Outlook, 66(2), 180–189. https://doi.org/10.1016/j.outlook.2017.10.004
Bothma, C. F. C., & Roodt, G. (2013). The validation of the Turnover Intention Scale. SA Journal of Human Resource Management, 11(1). https://doi.org/10.4102/sajhrm.v11i1.507
Byrne, B. M. (2010). Structural equation modeling with AMOS: Basic concepts, applications, and programming (2nd ed.). Routledge-Taylor and Francis.
Cheng, C., Bartram, T., Karimi, L., & Leggat, S. (2016). Transformational leadership and social identity as predictors of team climate, perceived quality of care, burnout and turnover intention among nurses. Personnel Review, 45(6), 1200–1216. https://doi.org/10.1108/PR-05-2015-0118
Choi, S. L., Goh, C. F., Adam, M. B. H., & Tan, O. K. (2016). Transformational leadership, empowerment, and job satisfaction: the mediating role of employee empowerment. Human Resources for Health, 14(1), 73. https://doi.org/10.1186/s12960-016-0171-2
Dessler, G. (2017). Human resource management (15th ed.). Pearson Prentice Hall.
Garson, G. D. (2013). Validity and reliability. Statistical Associates Publishers.
Gordon, P. A. (2017). Exploring generational cohort work satisfaction in hospital nurses. Leadership in Health Services, 30(3), 233–248. https://doi.org/10.1108/LHS-02-2016-0008
Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2019). Multivariate data analysis. Cengage Learning.
Hudgins, T. A. (2016). Resilience, job satisfaction and anticipated turnover in nurse leaders. Journal of Nursing Management, 24(1), E62–E69. https://doi.org/10.1111/jonm.12289
Jiang, H., Ma, L., Gao, C., Li, T., Huang, L., & Huang, W. (2017). Satisfaction, burnout and intention to stay of emergency nurses in Shanghai. Emergency Medicine Journal, 34(7), 448–453. https://doi.org/10.1136/emermed-2016-205886
Kaiser, S., Patras, J., & Martinussen, M. (2018). Linking interprofessional work to outcomes for employees: A meta-analysis. Research in Nursing & Health, 41(3), 265–280. https://doi.org/10.1002/nur.21858
Karlsson, A., Gunningberg, L., Bäckström, J., & Pöder, U. (2019). Registered nurses’ perspectives of work satisfaction, patient safety and intention to stay – a double‐edged sword. Journal of Nursing Management, 27(7), 1359–1365. https://doi.org/10.1111/jonm.12816
Kelly, L. (2018). An examination of the mediating effect of job satisfaction in the predictive relationship between transformational leadership and turnover intention in the United States service industry. [Disertasi Doktor, Capella University].
Kenaszchuk, C., Reeves, S., Nicholas, D., & Zwarenstein, M. (2010). Validity and reliability of a multiple-group measurement scale for interprofessional collaboration. BMC Health Services Research, 10(1), 83. https://doi.org/10.1186/1472-6963-10-83
Kreitner, R., & Kinicki, A. (2009). Organizational behavior (5th ed.). McGraw-Hill.
Mueller, C. W., & McCloskey, J. C. (1990). Nurses’ job satisfaction: A proposed measure. Nursing research, 39(2), 113–117. https://doi.org/10.1097/00006199-199003000-00014
Naseer, A., Perveen, K., Afzal, M., Waqas, A., & Gilani, S. (2017). The impact of leadership styles on staff nurses’ turnover intentions. Nursing, 3, 1133–1138. https://doi.org/10.21276/sjmps.2017.3.10.20
NSI Nursing Solutions. (2020). 2020 NSI national health care retention & RN staffing report. https://www.nsinursingsolutions.com/Documents/Library/NSI_National_Health_Care_Retention_Report.pdf
Piers, R. D., Versluys, K., Devoghel, J., Vyt, A., & Van Den Noortgate, N. (2019). Interprofessional teamwork, quality of care and turnover intention in geriatric care: A cross-sectional study in 55 acute geriatric units. International Journal of Nursing Studies, 91, 94–100. https://doi.org/10.1016/j.ijnurstu.2018.11.011
Pishgooie, A. H., Atashzadeh‐Shoorideh, F., Falcó‐Pegueroles, A., & Lotfi, Z. (2019). Correlation between nursing managers’ leadership styles and nurses’ job stress and anticipated turnover. Journal of Nursing Management, 27(3), 527–534. https://doi.org/10.1111/jonm.12707
Podsakoff, P. M., MacKenzie, S. B., & Bommer, W. H. (1996). Transformational leader behaviors and substitutes for leadership as determinants of employee satisfaction, commitment, trust, and organizational citizenship behaviors. Journal of Management, 22(2), 259–298. https://doi.org/10.1177/014920639602200204
Podsakoff, P. M., MacKenzie, S. B., Moorman, R. H., & Fetter, R. (1990). Transformational leader behaviors and their effects on followers’ trust in leader, satisfaction, and organizational citizenship behaviors. The Leadership Quarterly, 1(2), 107–142. https://doi.org/10.1016/1048-9843(90)90009-7
Reeves, S., Lewin, S., Espin, S., & Zwarenstein, M. (2010). Interprofessional teamwork for health and social care (H. Barr (ed.)). Wiley-Blackwell.
Robbins, S. P., & Coulter, M. A. (2018). Management (14th ed.). Pearson Education Limited.
Roodt, G. (2004). Turnover intentions. [Tidak dipublikasi]. University of Johannesburg.
Sojane, J. S., Klopper, H. C., & Coetzee, S. K. (2016). Leadership, job satisfaction and intention to leave among registered nurses in the North West and Free State provinces of South Africa. Curationis, 39(1). https://doi.org/10.4102/curationis.v39i1.1585
Susanti, R., Hasyim, & Rita, K. (2020). Turnover intention and behavior organizational citizenship on Indonesian hospital case. European Journal of Business and Management Research, 5(4). https://doi.org/10.24018/ejbmr.2020.5.4.434
Yang, Y. F. (2016). Examining competing models of transformational leadership, leadership trust, change commitment, and job satisfaction. Psychological Reports, 119(1), 154–173. https://doi.org/10.1177/0033294116657586
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