Abstract
Purpose/objective: To determine how satisfied the nurses are in the Hematology/Oncology areas, to find what extent the expatriate nurses intend to leave their jobs, and to find the relationship between job satisfaction and turnover intention in Hematology/Oncology units. The focus of this study was on measuring the effect of the demographic characteristics of the participants on their intent to leave and to link those characteristics to their job satisfaction. Design: Quantitative descriptive cross sectional research. Method: Study instruments included questions related to demographic characteristics, intent to leave, and the McCloskey Mueller Satisfaction Scale. Data were extracted and analyzed using Statistical Package for Social Scientists (20.V). Univariate descriptive statistics were conducted on the sample's demographic characteristics including gender, age, marital status, nationality and educational level. Bivariate associations between intent to leave and demographic characteristics were tested using Pearson Chi-square. Differences in satisfaction scores between nurses with and without intent to leave were tested using t-test and ANOVA f-test. Results: A total of 223 (68.6% response rate) expatriate nurses employed in the Hematology/Oncology units were surveyed.104 (46.6%) of the participants reported intent to leave within the next 1-3 years. Leavers were less satisfied in all satisfaction subscales than the stayers. Significant Differences were found between marital status and nationalities on one side and intention to leave on the other side (P value=0.027, 0.014, respectively). Predictors of intent to leave were dissatisfaction with different job aspects. Implications for nursing: Findings can be utilized by nursing managers and policy makers to enhance job satisfaction and use it as predictor for intent to leave. Conclusion: Study results predict relationships between job satisfaction and intent to leave the employment within Hematology/Oncology areas or the organization.
Highlights
Turnover among nurses is a significant phenomenon that persists in health care organizations [1,2,3,4,5,6,7,8]
Study results predict relationships between job satisfaction and intent to leave the employment within Hematology/Oncology areas or the organization
This study has identified expatriate H/O nurses perceived job satisfaction and how this perception supports predictions of staff intending to leave highlighting multiple factors that impact that perception
Summary
Turnover among nurses is a significant phenomenon that persists in health care organizations [1,2,3,4,5,6,7,8]. It is a major issue both in the developed and the developing countries [9]. The shortage in the latter mentioned countries mostly happens as a result of nurses' emigration from middle and low income countries to the industrial countries [9]. Turnover negatively impacts the patient care as it is the leading cause of the shortage in "qualified and skilled nurses", at the same time; it adds more cost to the process of selection and training of the newly hired nurses [5]
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