Abstract

BackgroundQuality of work life (QWL) has been found to influence the commitment of health professionals, including nurses. However, reliable information on QWL and turnover intention of primary health care (PHC) nurses is limited. The aim of this study was to examine the relationship between QWL and turnover intention of PHC nurses in Saudi Arabia.MethodsA cross-sectional survey was used in this study. Data were collected using Brooks’ survey of Quality of Nursing Work Life, the Anticipated Turnover Scale and demographic data questions. A total of 508 PHC nurses in the Jazan Region, Saudi Arabia, completed the questionnaire (RR = 87%). Descriptive statistics, t-test, ANOVA, General Linear Model (GLM) univariate analysis, standard multiple regression, and hierarchical multiple regression were applied for analysis using SPSS v17 for Windows.ResultsFindings suggested that the respondents were dissatisfied with their work life, with almost 40% indicating a turnover intention from their current PHC centres. Turnover intention was significantly related to QWL. Using standard multiple regression, 26% of the variance in turnover intention was explained by QWL, p < 0.001, with R2 = .263. Further analysis using hierarchical multiple regression found that the total variance explained by the model as a whole (demographics and QWL) was 32.1%, p < 0.001. QWL explained an additional 19% of the variance in turnover intention, after controlling for demographic variables.ConclusionsCreating and maintaining a healthy work life for PHC nurses is very important to improve their work satisfaction, reduce turnover, enhance productivity and improve nursing care outcomes.

Highlights

  • Quality of work life (QWL) has been found to influence the commitment of health professionals, including nurses

  • The findings of the present study indicated that the respondents were dissatisfied with their work life

  • Using the Anticipated Turnover Scale (ATS), about forty percent (40.4%, n = 205) of the respondent nurses indicated that they intended to leave their current employment. This finding supports the notion that turnover and turnover intention are high among nurses in general [43,44,45,46], and among nurses working in Saudi Arabia [47,48,49]

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Summary

Introduction

Quality of work life (QWL) has been found to influence the commitment of health professionals, including nurses. Reliable information on QWL and turnover intention of primary health care (PHC) nurses is limited. The loss of nurses leads to inadequate staffing, which in turn, may decrease morale and create more stress on the ‘stayers’ due to increased workloads [2,3,4]. This can lead to critical experiences in their work organisation while achieving the organisation’s goals” Research studies on QWL and turnover intention of primary health care (PHC) nurses are limited

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