Abstract
The turnover intention of healthcare workers is a threat to the competence of health services, especially during COVID-19 time. This study aimed to investigate the association between stress and turnover intention among healthcare workers in Saudi Arabia and whether social support could affect this association. In this cross-sectional study, healthcare workers in primary healthcare centers in Saudi Arabia responded to an online questionnaire assessing their sociodemographic and occupational history, stress levels using the Perceived Stress Scale-10 (PSS-10), social support using the Multidimensional Scale of Perceived Social Support (MSPSS), and turnover intention within the next few months. Path analysis was conducted to assess the mediating effect of social support on the association between stress and turnover intention. A total of 1101 healthcare workers (242 physicians, 340 nurses, 310 paramedics, and 209 administrative workers) participated in this study. The path between stress and support had a significant standardized regression weight (-.34, p < .05). The path between support and turnover had a significant standardized regression weight (.08, p < .05). The standardized total effect of stress on turnover without the impact of support was significant (-.39, p < .05). The direct effect of stress on turnover with the presence of support was significant (-.36, p < .05). The indirect effect of stress on turnover with the presence of support was significant (-.03, p < .05). Thus, there is evidence to show that support mediates the relationship between stress and support. Stress is associated with turnover intention among healthcare workers in Saudi Arabia. Social support had a mitigating effect on the relationship between stress and turnover intention.
Highlights
The World Health Organization declared coronavirus disease-19 (COVID-19) a pandemic
Stress level was found high among the healthcare workers in the primary health care centers
This result is supported by a systematic review study that found stress is a common problem among healthcare workers [9]
Summary
The World Health Organization declared coronavirus disease-19 (COVID-19) a pandemic. The pandemic has affected more than 100 countries since it started [1]. Within about a year and half of this declaration, the COVID-19 pandemic has resulted in more than 4.3 million fatalities worldwide and a vast economic crisis with millions of people losing their jobs. Stress and turnover intention countries responded to the spread of pandemics by imposing lockdowns, suspending schools, applying strict measures for social distancing, and preventing public gatherings. These decisions have been shown to create a global status of stress [2,3,4,5,6]
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