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Hemşirelerde İşe Gömülü Olma Algısı ve İşten Ayrılma Niyeti Arasındaki İlişkide İş Yaşam Kalitesinin Aracılık Rolü: Kesitsel Bir Çalışma

Year 2025, Volume: 59 Issue: 2, 323 - 334, 16.04.2025

Fatma Demirkaya , Ece Uysal Kasap , Hanife Tiryaki Şen

https://doi.org/10.51551/verimlilik.1589694

Abstract

Amaç: Çalışmanın amacı, hemşirelerde “işe gömülmüşlük” algısı, “iş yaşam kalitesi” ve “işten ayrılma niyeti” arasındaki ilişkileri incelemek ve “işe gömülmüşlük” algısı ile “işten ayrılma niyeti” arasındaki ilişkide “iş yaşam kalitesinin” etkisini belirlemektir.
Yöntem: Bu çalışma Haziran-Ağustos 2024 tarihlerinde yapılmıştır. Kesitsel tasarımdadır. İstanbul'daki bir kamu hastanesinde çalışan 244 hemşire, kolayda örnekleme yöntemi ile çalışmaya dahil edilmiştir. Veriler, "işe gömülmüşlük", "iş yaşam kalitesi" ve "işten ayrılma niyeti" algılarına ilişkin ölçekler kullanılarak toplanmıştır. Verilerin analizi için IBM SPSS 28.0 Hayes' PROCESS makrosu kullanılmıştır.
Bulgular: Hemşirelerde “iş yaşam kalitesi”, “işe gömülmüşlük” algısının “işten ayrılma niyeti” üzerindeki etkisine aracılık etmektedir. Bulgular klinik hemşireler arasında “işten ayrılma niyetinin” belirleyicileri hakkında önemli bir bakış açısı sağlamaktadır.
Özgünlük: Hemşirelerin işlerinde kalmalarını sağlayacak faktörleri belirlemek için daha fazla çalışmaya ihtiyaç vardır. Çalışmalar büyük ölçüde hemşirelik branş gruplarına (yoğun bakım, enfeksiyon, acil hemşireleri, birincil bakım vb.) odaklanmış olup birkaç çalışma genel klinik hemşirelerine odaklanmıştır. Çalışmalar işe gömülmüşlük algısı, iş yaşam kalitesi ve ayrılma niyeti arasındaki ilişkiyi incelemiş olsa da klinik hemşireler arasında bu üç değişkenin nedensel ilişkisini inceleyen bir çalışmaya rastlanmamıştır.

Keywords

Hemşirelik İşten Ayrılma Niyeti İşe Gömülmüşlük İş Yaşam Kalitesi İnsan Kaynakları Yönetimi

References

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Mediator Role of Quality Work Life in Relationship Between Perception of Job Embeddedness and Intention to Leave Work in Nurses: A Cross-Sectional Study

Year 2025, Volume: 59 Issue: 2, 323 - 334, 16.04.2025

Fatma Demirkaya , Ece Uysal Kasap , Hanife Tiryaki Şen

https://doi.org/10.51551/verimlilik.1589694

Abstract

Purpose: The aim of the study is to examine the relationships between the perception of “job embeddedness”, “quality of work life” and “intention to leave” among nurses and to determine the effect of “quality of work life” on the relationship between the perception of “job embeddedness” and “intention to leave”.
Methodology: This study was conducted between June and August 2024. It has a cross-sectional design. 244 nurses working in a public hospital in Istanbul were included in the study by convenience sampling method. Data were collected using scales regarding "job embeddedness", "quality of work life" and "intention to leave" perceptions. IBM SPSS 28.0 Hayes' PROCESS macro was used for data analysis.
Findings: “Quality of work life” among nurses mediates the effect of the perception of “job embeddedness” on “intention to leave”. The findings provide an important perspective on the determinants of “intention to leave” among clinical nurses.
Originality: More studies are needed to determine the factors that will enable nurses to stay in their jobs. Studies have largely focused on nursing specialty groups (intensive care, infection, emergency nurses, primary care, etc.), with a few studies focusing on general clinical nurses. Although studies have examined the relationship between perception of job embeddedness, quality of work life, and intention to leave, no study has been found that has examined the causal relationship of these three variables among clinical nurses.

Keywords

Nursing Intention to Leave Work Job Embeddedness Quality of Work Life Human Resources Management

References

  • Aiken, L.H., Clarke, S.P., Sloane, D.M., Sochalski, J.A., Busse, R., Clarke, H., Giovannetti, P., Hunt, J., Rafferty, A.M., Shamian, J. (2001). “Nurses’ Reports on Hospital Care in Five Countries”, Health Affairs, 20(3),43-53. https://doi.org/10.1377/hlthaff.20.3.43
  • Albougami, A. S., Almazan, J.U., Cruz, J.P., Alquwez, N., Alamri, M.S., Adolfo, C.A., Roque, M.Y. (2020). “Factors Affecting Nurses’ Intention to Leave Their Current Jobs in Saudi Arabia”, International Journal of Health Sciences,14(3), 33, 32536847.
  • Almalki, M.J., FitzGerald, G. and Clark, M. (2012). “The Relationship between Quality of Work Life and Turnover Intention of Primary Health Care Nurses in Saudi Arabia”, BMC Health Services Research, 12(1), 1-11. https://doi.org/10.1186/1472-6963-12-314
  • Başpınar, M.M., Zerafet, B., Demiray, S., Başar, H. and Adas, G.T. (2024). “A Hospital-Based Nursing Study on Intention to Leave and Nurse-Physician Collaboration”, Nursing Forum, 503988. https://doi.org/10.1155/2024/9503988
  • Bayer, N. and Gölbaşı, Z. (2021). “Nurses' Attitudes Towards Productivity and Affecting Factors”, Hacettepe University Faculty of Nursing Journal, 8(1), 1-7. https://doi.org/10.31125/hunhemsire.906603
  • Bilben, R. and Ekinci Demirelli, A. (2025).” Investigating the Effects of Job Stress and Burnout on Turnover Intention in Healthcare Workers Using Structural Equation Modeling”, Journal of Management Sciences, 23(55), 143-174. https://doi.org/10.35408/comuybd.1479435
  • Bingöl, Ü., Bilgin, N., Çetinkaya, A. and Kutlu, A. (2025). “Variables Predicting Job Stress and Turnover Intention of Nurses During The COVID-19 Pandemic in Turkey”, Journal of Advanced Nursing, 81, 878–886. https://doi.org/10.1111/jan.16287
  • Borhani, F., Arbabisarjou, A., Kianian, T. and Saber, S. (2016). “Evaluation of Predictable Productivity of Nurses Working in Kerman Medical Sciences University Training Hospitals Based on Work Life Quality Dimensions”,Global Health Sciences Journal, 8(10), 65–72. https://doi.org/10.5539/gjhs.v8n10p65
  • Brady, N., O'Connell, S., Gilligan, D., Madden, C., Gannon, L., Howson, V., Ball, J.E., Murphy, A., Griffiths, P., Duffield, C., Scott, P.A., Mc Carthy, V.J.C. and Drennan, J. (2025). “Planned Changes to Nurse Leadership, Staffing and Skill‐Mix: Impact on the Working Environment, Job Satisfaction and Intention to Leave”, Journal of Advanced Nursing. https://doi.org/10.1111/jan.16752
  • Choi, J.S. and Kim, K.M. (2015). “Job embeddedness Factors as a Predictor of Turnover Intention Among Infection Control Nurses in Korea”, American Journal of Infection Control, 43(11), 1213-1217. https://doi.org/10.1016/j.ajic.2015.06.017
  • Çam, O. and Yildirim, S. (2010). “Job Satisfaction in Nurses and Effective Factors: Review”, Turkiye Klinikleri Journal of Nursing Sciences, 2(1), 64-70.
  • Dechawatanapaisal, D. (2018). “Nurses' Turnover Intention: The Impact of Leader‐Member Exchange, Organizational Identification and Job Embeddedness”, Journal of Advanced Nursing, 74(6), 1380-1391. https://doi.org/10.1111/jan.13552
  • Devi, B.R. and Hajamohideen, O.M. (2018). “A Study on Quality of Work Life Among Nurses Working in Private Hospitals A Thanjavur, Tamilnadu”, IOSR Journal of Business and Management, 20(4), 61-63.
  • Dönmez, B., Sariçoban, S. and Ulusoy, H. (2024). “Evaluation of the Relationships Between Covid- 19 Fear, Excessive Workload and Intention to Leave Among Healthcare Workers: A Descriptive Study”,Gümüşhane University Journal of Health Sciences,13(1), 361-369. http://dx.doi.org/10.37989/gumussagbil.1410496
  • Duran, S., Çelik, İ., Demirel, B. C. and Bektaş, M. (2024). “The Effect of Family Support Levels of Nurses on Their Intention to Leave the Job During the COVID-19 Pandemic: A Cross-Sectional Study”, Gümüşhane University Journal of Health Sciences, 13(3), 1277-1285. http://dx.doi.org/10.37989/gumussagbil.1370150
  • Edwin, H.S., Trinkoff, A.M., Mills, M.E. and Zhu, S. (2024). “Psychological Distress Symptoms in Nurses and Their Intention to Leave: A Cross-Sectional Secondary Data Analysis”, Journal of Advanced Nursing, 1-14. https://doi.org/10.1111/jan.16290
  • Elshahat, E., Mostafa Shazly, M. and Abd-Elazeem, H. (2019). “Relationship between Quality of Work Life and Turnover Intention Among Staff Nurses”, Egyptian Journal of Health Care, 10(1), 178-193. https://doi.org/10.21608/ejhc.2019.28793
  • Eriksson, A., Jutengren, G. and Dellve L. (2021). “Job Demands and Functional Resources Moderating Assistant and Registered Nurses' Intention to Leave”, Nursing Open, 8(2), 870-881. https://doi.org/10.1002/nop2.694
  • Fasbender, U., Van der Heijden, B. and 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. https://doi.org/10.1111/jan.13842
  • Felps, W., Mitchell, T.R., Hekman, D.R., Lee, T., Holtom, B.C. and Harman, W.S. (2009). “Turnover Contagion: How Coworkers' Job Embeddedness and Job Search Behaviors Influence Quitting”. Academy of Management Journal, 52(3),545-561. http://dx.doi.org/10.5465/AMJ.2009.41331075
  • Griffeth, R.W., Hom, P.W. and Gaertner, S. (2000). “A Meta-Analysis of Antecedents and Correlates of Employee Turnover: Update, Moderator Tests, and Research Implications for The Next Millennium”, Journal of Management, 26(3), 463-488. http://dx.doi.org/10.1016/S0149-2063(00)00043-X
  • Hamaideh, S., Khait, A.A., Al-Modallal, H., Masa'deh, R., Hamdan-Mansour, A., AlBashtawy, M. (2024). “Professional Quality of Life, Job Satisfaction, and Intention to Leave Among Psychiatric Nurses”, Nursing Reports, 14(2), 719-732. https://doi.org/10.3390/nursrep14020055
  • Ibraheem, S. and Kora, H. (2015). “The Contribution of “job embeddedness” on Work Life Quality and Organizational Citizenship Behavior on British University in Egypt”. Education and Training (JAMET), 1(1), 3-23.
  • Inocian, E.P., Cruz, J.P., Saeed Alshehry, A., Alshamlani, Y., Ignacio, E.H. and Tumala, R.B. (2021). “Professional Quality of Life and Caring Behaviours Among Clinical Nurses During The COVID‐19 Pandemic”, Journal of Clinical Nursing, 6(10), https://doi.org/10.1111/jocn.15937
  • Javanmardnejad, S., Bandari, R., Heravi-Karimooi, M., Rejeh, N., Nia, H.S. and Montazeri, A. (2021). Happiness, Quality of Working Life, and Job Satisfaction Among Nurses Working in Emergency Departments in Iran”, Health and Quality of Life Outcomes, 19, 112. https://doi.org/10.1186/s12955-021-01755-3
  • Khan, N., Jackson, D., Stayt, L. and Walthall H. (2019). “Factors Influencing Nurses' Intentions to Leave Adult Critical Care Settings”, Nursing in Critical Care, 24(1). 24–32. https://doi.org/10.1111/nicc.12348
  • Kıran, E. (2017). “Örgütsel Sinizm ve İşe Gömülü Olmanın Psikolojik Sermaye ile İşten Ayrılma Niyeti Arasındaki İlişkideki Aracılık Rolü: Kamu Çalışanları Üzerine Bir Araştırma”, Master's Thesis, University of Mustafa Kemal, Hatay.
  • Lee, M.A., Ju, Y.H. and Lim, S.H. (2020). “A Study on the Intent to Leave and Stay Among Hospital Nurses in Korea: A Cross‐Sectional Survey”, Journal of Nursing Management, 28(2), 332-341. https://doi.org/10.1111/jonm.12929
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There are 45 citations in total.

Details

Primary Language English
Subjects Policy and Administration (Other)
Journal Section Araştırma Makalesi
Authors

Fatma Demirkaya 0000-0001-8318-3030

Ece Uysal Kasap 0000-0001-8973-0904

Hanife Tiryaki Şen 0000-0003-3350-1701

Publication Date April 16, 2025
Submission Date November 22, 2024
Acceptance Date February 6, 2025
Published in Issue Year 2025 Volume: 59 Issue: 2

Cite

APA Demirkaya, F., Uysal Kasap, E., & Tiryaki Şen, H. (2025). Mediator Role of Quality Work Life in Relationship Between Perception of Job Embeddedness and Intention to Leave Work in Nurses: A Cross-Sectional Study. Verimlilik Dergisi, 59(2), 323-334. https://doi.org/10.51551/verimlilik.1589694
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