The role of psychological empowerment and job satisfaction on turnover intentions directly and indirectly through affective commitment on registered nurses in healthcare industry of twin cities (Islamabad and Rawalpindi) of Pakistan
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2020-03-25 https://doi.org/10.14419/ijet.v9i2.30270 -
Psychological Empowerment, Job Satisfaction, Affective Commitment, Turnover Intentions, Registered Nurses, Structural Equation Modeling (Sem). -
Abstract
The shift from financial capital to the human capital has brought a significant change in the workplace and market. The role of nurses is getting crucial day by day and there is great need of retention of nurses in order to sustain the smooth operation of hospitals. Nurses’ turnover has gained much importance and has become a concern for the hospitals. Psychological empowerment plays a vital role in retention of the employees and in return leads to success of the organization. Proper psychological empowerment and job satisfaction build such an environment that leads to develop people and enhance their affective commitment in industry like service industry, particularly in healthcare industry where the first impression of an organization is portrayed by their nurses. Researchers and practitioners have paid much of their attention to understand this phenomenon. The aim of the study is to investigate the role of psychological empowerment and job satisfaction on nurses’ turnover intentions directly and indirectly through affective commitment. This study filled the gap by investigating such relationships in healthcare industry which has previously neglected, particularly at nurses level. A total of 520 questionnaires have been distributed in registered public and private hospitals located in twin cities of Pakistan. Structural Equation Modeling (SEM, AMOS) was employed to test hypotheses. This study showed relationships and interesting findings with mediation analysis. Findings of this study are important for top management of hospitals. In order to retain nurses, this study offers the theoretical and practical implications which could be used to enhance the affective commitment of nurses and reduce the turnover intentions.
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References
[1] World Health Organization (2014). Density of nursing and midwifery personnel.
[2] Abbasi, S., Hollman, K., & Hayes, R. (2008). Bad bosses and how not to be one. Information Management Journal, 42(1), 52-56.
[3] Aggarwal, A., Dhaliwal, R. S., & Nobi, K. (2018). Impact of Structural Empowerment on Organizational Commitment: The Mediating Role of Women’s Psychological Empowerment. The Journal of Business Perspective, 22(3), 284-294. https://doi.org/10.1177%2F0972262918786049.
[4] Ahmad, S. (2013). Paradigms of quality of work life. Journal of Human Values, 19(1), 73-82. https://doi.org/10.1177%2F0971685812470345.
[5] Ajzen, I., & Fishbein, M. (1977). Attitude-Behavior Relations: A Theoretical Analysis and Review of Empirical Research. Psychological Bulletin, 84(5), 888-918.
[6] Akgunduza, Y., & Bardakoglu, O. (2015). The impacts of perceived organizational prestige and organization identification on turnover intention: the mediating effect of psychological empowerment. Current Issues in Tourism, 20(14), 1510-1526. https://doi.org/10.1080/13683500.2015.1034094.
[7] Alam, A., & Asim, D. M. (2019). Relationship Between Job Satisfaction and Turnover Intention. International Journal of Human Resource Studies, 9(2), 163-194. https://doi.org/10.5296/ijhrs.v9i2.14618.
[8] Ali, R. M., & Wajidi, F. A. (2013). Factors influencing job satisfaction in Public Healthcare Sector of Pakistan. Global Journal of Management and Business Research, 13(8), 61-66
[9] Allen, N. J., & Meyer, J. P. (1996). Affective, Continuance, and Normative Commitment to the Organization: An Examination of Construct Validity. Journal of Vocational Behaviour, 49(3), 252-276. https://doi.org/10.1006/jvbe.1996.0043.
[10] Allen, N., Meyer, J., & Smith, C. (1993). Commitment to organizations and occupations: Extension and test of a three-component model. Journal of Applied Psychology, 78, 538-551.
[11] Almalki, M., FitzGerald, G., & Clark, M. (2011). The nursing profession in Saudi Arabia: An Overview. International Nursing Review, 58(3), 304-311. https://doi.org/10.1111/j.1466-7657.2011.00890.x.
[12] Alsam, N., Imran, R., Anwar, M., Hameed, Z., & Kafayat, A. (2013). The Impact of Work Family Conflict on Turnover Intentions: An Empirical Evidence from Pakistan. World Applied Sciences Journal, 24(5), 628-633. https://doi.org/10.5829/idosi.wasj.2013.24.05.13227.
[13] Alsaraireh, F., Griffin, M. T., Ziehm, S. R., & Fitzpatrick, J. J. (2014). Job satisfaction and turnover intention among Jordanian nurses in psychiatric units. International Journal of Mental Health Nursing, 23(5), 460-467. https://doi.org/10.1111/inm.12070.
[14] Applebaum, D., Fowler, S., Fiedler, N., Osinubi, O., & Robson, M. (2010). The impact of environmental factors on nursing stress, job satisfaction, and turnover intention. The Journal of Nursing Administration, 40(7/8), 323-328. https://dx.doi.org/10.1097%2FNNA.0b013e3181e9393b.
[15] Ashar, M., Ghafoor, M., Munir, E., & Hafeez, S. (2013). The impact of perceptions of training on employee commitment and turnover intention: Evidence from Pakistan. International Journal of Human Resource Studies, 3(1), 74-88. https://doi.org/10.5296/ijhrs.v3i1.2925.
[16] Bagozzi, R., Yi, Y., & Nassen, K. (1998). Representation of measurement error in marketing variables: Review of approaches and extension to three-facet designs. Journal of Econometrics, 89(1-2), 393-421. https://doi.org/10.1016/S0304-4076(98)00068-2.
[17] Bandura, A. (1986). The Explanatory and Predictive Scope of Self- Efficacy Theory. Journal of Social and Clinical Psychology, 4(3), 359-373. https://doi.org/10.1521/jscp.1986.4.3.359.
[18] Barbee, C., & Bott, V. (1991). Customer treatment as a mirror of employee treatment. Advanced Management Journal, 56(2), 27.
[19] Baron, R., & Kenny, D. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173.
[20] Bester, J., Stander, M. W., & Zy, L. E. (2014). Leadership empowering behaviour, psychological empowerment, organisational citizenship behaviours and turnover intention in a manufacturing division. SA Journal of Industrial Psychology, 41(1), 1-14. https://doi.org/10.4102/sajip.v41i1.1215.
[21] Bhatnagar, J. (2012). Management of innovation: role of psychological empowerment, work engagement and turnover intention in the Indian context. The International Journal of Human Resource Management, 23(5), 928–951. https://doi.org/10.1080/09585192.2012.651313.
[22] Blau, P. M. (1964). Justice in Social Exchange. Sociological Inquiry, 34(2), 193-206.
[23] Blegen, A. (1993). Nurses' job satisfaction : A meta-analysis of related variables. Nursing Research, 42(1), 36-41.
[24] Bowen, D., & Ostroff, C. (2004). Understanding HRM-firm performance linkages: The role of the strength of the HRM system. Academy of Management Review, 29(2), 203–221.
[25] Brief, A. (1998). Attitudes in and around organizations. Thousand Oaks: CA: Sage.
[26] Brunetto, Y., Teo, S. T., Shacklock, K., & Farrâ€Wharton, R. (2012). Emotional intelligence, job satisfaction, wellâ€being and engagement: explaining organisational commitment and turnover intentions in policing. Human Resource Management Journal, 22(4), 428-441. https://doi.org/10.1111/j.1748-8583.2012.00198.x.
[27] Bycio, P., Hackett, R., & Allen, J. (1995). Further assessments of Bass's (1985) conceptualization of transactional and transformational leadership. Journal of applied psychology, 80(4), 468-478.
[28] Cai, C., & Zhou, Z. (2009). Structural empowerment, job satisfaction, and turnover intention of Chinese clinical nurses. Nursing and Health Sciences, 11(4), 397–403. https://doi.org/10.1111/j.1442-2018.2009.00470.x.
[29] Cappelli, P. (2008). Talent Management for the twenty first century. Harvard Business Review, 74-81.
[30] Cassum, L. A. (2014). Verbal violence at workplace: A reality from Pakistani context. Journal of Nursing Education and Practice, 4(8), 20-25.
[31] Castle, N. G., Engberg, J., Anderson, R., & Men, A. (2007). Job Satisfaction of Nurse Aides in Nursing Homes: Intent to Leave and Turnover. The Gerontological Society of America, 47(2), 193-204. https://doi.org/10.1093/geront/47.2.193.
[32] Cavanagh, S. (1992). Job satisfaction of nursing staff working in hospitals. Journal of Advanced Nursing, 17(6), 704–711. https://doi.org/10.1111/j.1365-2648.1992.tb01968.x.
[33] Chan, Y. H., Taylor, R. R., & Markham, S. (2008). The Role of Subordinates' Trust in a Social Exchange driven Psychological Empowerment Process. Journal of Managrial Issues, 20(4), 444-467.
[34] Chan, Z., Tam, W., Lung, M., Wong, W., & Chau, C. (2012). A systematic literature review of nurse shortage and the intention to leave. Journal of Nursing Management, 21(4), 605-613. https://doi.org/10.1111/j.1365-2834.2012.01437.x.
[35] Cheˆnevert, D., Jourdain, G., & Vandenberghe, C. (2016). The role of high-involvement work practices and professional self-image in nursing recruits’ turnover: A three-year prospective study. International Journal of Nursing Studies, 53, 73-84. https://doi.org/10.1016/j.ijnurstu.2015.09.005.
[36] Chen, I.-H., Brown, R., Bowers, B. J., & Chang, W.-Y. (2015). Work-to-family conflict as a mediator of the relationship between job satisfaction and turnover intention. Journal of Advanced Nursing, 71(10), 2350-2363. https://doi.org/10.1111/jan.12706.
[37] Cohen, G., Blake, R. S., & Goodman, D. (2016). Does Turnover Intention Matter? Evaluating the Usefulness of Turnover Intention Rate as a Predictor of Actual Turnover Rate. Review of Public Personnel Administration, 36(3), 240–263. https://doi.org/10.1177%2F0734371X15581850.
[38] Conger, J. A., & Kanungo, R. N. (1988). The Empowerment Process: Integrating Theory and Practice. Academy ol Management Review, 13(3), 471- 482. https://doi.org/10.5465/amr.1988.4306983.
[39] Coomber, B., & Barriball, K. L. (2007). Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: a review of the research literature. International Journal of Nursing Studies, 44(2), 297-314. https://doi.org/10.1016/j.ijnurstu.2006.02.004.
[40] CORTESE, C. G. (2007). Job satisfaction of Italian nurses: an exploratory study. Journal of nursing management, 15(3), 303-312. https://doi.org/10.1111/j.1365-2834.2007.00694.x.
[41] Cowin, L. S., Johnson, M., Craven, R. G., & Marsh, H. W. (2008). Causal modeling of self-concept, job satisfaction and retention of nurses. International Journal of Nursing Studies, 45(10), 1449-1459. https://doi.org/10.1016/j.ijnurstu.2007.10.009.
[42] Cropanzano, R., Anthony, E. L., Daniels, S. R., & Hall, A. V. (2017). Social Exchange Theory: A Critical Review with Theoretical Remedies. Academy of Management Annals, 11(1), 479-516. https://doi.org/10.5465/annals.2015.0099.
[43] Cropanzano, R., & Mitchell, M. (2005). Social exchange theory: An interdisciplinary review. Journal of Management, 31(6), 874-900. https://doi.org/10.1177%2F0149206305279602.
[44] Cropanzano, R., Rupp, D., Mohler, C., & Schminke, M. (2001). Three roads to organizational justice. In G. R. Ferris (Ed.). Research in personnel and human resource management, 20, 1-123.
[45] Currie, E., & Hill, R. C. (2012). What are the reasons for high turnover in nursing? A discussion of presumed causal factors and remedies. International Journal of Nursing Studies, 49(9), 1180–1189. https://doi.org/10.1016/j.ijnurstu.2012.01.001.
[46] D’Amato, A., & Herzfeldt, R. (2008). Learning orientation, organizational commitment and talent retention across generations: A study of European managers. Journal of Managerial Psychology, 23(8), 929-953. https://doi.org/10.1108/02683940810904402.
[47] Economic Survey of Pakistan (2007-2008). Economic Adviser’s Wing, Finance Division, Government of Pakistan.
[48] Economic Survey of Pakistan (2017-2018). Economic Adviser’s Wing, Finance Division, Government of Pakistan.
[49] Eisenberger, R., Huntington, R., Hutchison, S., & Sowa, D. (1986). Perceived Organizational Support. Journal of Applied Psychology, 71(3), 500-507. https://psycnet.apa.org/doi/10.1037/0021-9010.71.3.500.
[50] Elangovan, A. (2001). Causal ordering of stress, satisfaction and commitment, and intention to quit: a structural equations analysis. Leadership & Organization Development Journal, 22(4), 159-165. https://doi.org/10.1108/01437730110395051.
[51] Esmaeili, N. (2016). Importance of Talent Management in Reducing Employees’ Turnover Intentions. International Journal of Humanities and Cultural Studies , 2019-2026.
[52] Fang, Y. (2001). Turnover propensity and its causes among Singapore nurses: an empirical study. International Journal of Human Resource Management, 12(5), 859–871.
[53] Farh, J. L., Tsui, A. S., Xin, K., & Cheng, B. S. (1998). The influence of relational demography and guanxi: The Chinese case. Organization science, 9(4), 471-488. https://doi.org/10.1287/orsc.9.4.471.
[54] Fleig-Palmer, M., & Rathert, C. (2015). Interpersonal mentoring and its influence on retention of valued health care workers: the moderating role of affective commitment. Health Care Management Review, 40(1), 56-64. https://Doi.10.1097/HMR.0000000000000011.
[55] Flinkman, M., Leino-Kilpi, H., & S.Salantera. (2010). Nurses Intention to Leave the Profession: Integrative Review. Journal of Advanced Nursing, 66(7), 1422-1434. https://doi.org/10.1111/j.1365-2648.2010.05322.x.
[56] Galletta, M., Portoghese, I., Carta, M. G., D’Aloja, E., & Campagna, M. (2016). The Effect of Nurse-Physician Collaboration on Job Satisfaction, Team Commitment, and Turnover Intention in Nurses. Research in Nursing and Health, 39(5), 375-385. https://doi.org/10.1002/nur.21733
[57] Galletta, M., Portoghese, I., Penna, M. P., Battistelli, A., & Saiani, L. (2011). Turnover intention among Italian nurses: The moderating roles of supervisor support and organizational support. Nursing and Health Sciences, 13(2), 184–191. https://doi.org/10.1111/j.1442-2018.2011.00596.x.
[58] Gardner, T. M., Wright, P. M., & Moynihan, L. M. (2011). The impact of motivation, empowerment and skill enhancing practices on aggregate voluntary turnover: The mediating effect of collective affective commitment. Personnel Psychology, 64(2), 315-350. https://doi.org/10.1111/j.1744-6570.2011.01212.x.
[59] Gkorezis, P., & Petridou, E. (2008). Employee psychological empowerment via intrinsic and extrinsic rewards. Academy of Health Care Management Journal, 4(1), 17-38.
[60] Grant, A., Dutton, J., & Rosso, B. (2008). Giving commitment: Employee support programs and the prosocial sensemaking process. Academy of Management Journal, 51(5), 898-918. https://doi.org/10.5465/amj.2008.34789652.
[61] Greenberg, J., & Baron, R. (1997). Behaviour in organizations: Understanding and managing the Human side of work. Prentice-Hall, New Jersey.
[62] Griffeth, R., Hom, P., & 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. https://doi.org/10.1177%2F014920630002600305.
[63] Gupta, S., & Pannu, H. (2013). A comparative study of job satisfaction in public & private sector. Indian Journal of Arts, 1(1), 3-6.
[64] Hair, J., Black, W., Babin, B., Anderson, R., & Tatham, R. (2009). Multivariate Data Analysis. . Upper Saddle River, NJ: Pearson Prentice Hall.
[65] Halter, M., Boiko, O., Pelone, F., Beighton, C., Harris, R., Gale, J., Gourlay, S., Drennan, V. (2017). The determinants and consequences of adult nursing staff turnover: a systematic review of systematic reviews. BMC Health Services Research.
[66] Han, K., Trinkoff, A. M., & Gurses, A. P. (2015). Work-related factors, job satisfaction and intent to leave the current job among United States nurses. Journal of Clinical Nursing, 24(21-22), 3224-3232. https://doi.org/10.1111/jocn.12987.
[67] Harmon, J., Scotti, D. J., Behson, S., Farias, G., Petzel, R., Neuman, J. H., (2003). Effects of High Involvement Work Systems on Employee Satisfaction and Service Costs in Veterans Healthcare. Journal of Healthcare Management, 48(6), 393-406.
[68] Hayes, L. J., O’Brien-Pallas, L., Duffield, C., Shamian, J., Buchan, J., Hughes, F., Laschinger, Heather K. S., North, N., Stone, P. W. (2006). Nurse turnover: A literature review. International Journal of Nursing Studies, 43(2), 237–263. https://doi.org/10.1016/j.ijnurstu.2005.02.007.
[69] Hayes, L., O’Brien-Pallas, L., Duffield, C., Shamian, J., Buchan, J., Hughes, F., Laschinger, Heather K. S., North, N. (2012). Nurse turnover: A literature review—An update. International Journal of Nursing Studies, 49(7), 887-905. https://doi.org/10.1016/j.ijnurstu.2011.10.001.
[70] Heijden, B. I., Peeters, M. C., Blanc, P. M., & Breukelen, J. W. (2018). Job characteristics and experience as predictors of occupational turnover intention and occupational turnover in the European nursing sector. Journal of Vocational Behavior, 108 (2018), 108–120. https://doi.org/10.1016/j.jvb.2018.06.008.
[71] Hellman, C. (1997). Job satisfaction and intent to leave. Journal of Social Psychology, 137(6), 677-689. https://doi.org/10.1080/00224549709595491.
[72] Homans, G. C. (1961). The Humanities and the Social Sciences. American Behavioural Scientist, 4(8), 3-6. https://doi.org/10.1177%2F000276426100400802.
[73] Hoppock, R. (1935). Job Satisfaction. New York: Harper and Brothers.
[74] Hussain, T., & Asif S. (2012). Is employees’ turnover intention driven by organizational commitment and perceived organizational support? Journal of Quality and Technology Management, 8(2), 01-10.
[75] Huyghebaert, T., Gillet, N., Becker, C., & Kerhardy, S., Fouquereau, E. (2017). Examining the effect of affective commitment to the supervisor on nurses’ psychological health as a function of internal locus of control. Journal of Nursing Management, 25(4), 297-306. https://doi.org/10.1111/jonm.12466.
[76] Iftikhar, M., Shahid, M. U., Shahab, M. H., Mobeen, M., & Qureshi, M. I. (2015). Exploring the Relationship among Organizational Citizenship Behavior, Psychological Empowerment and Turnover Intensions with the Mediating Role of Affective Commitment. International Review of Management and Marketing, 6(4S), 296-304.
[77] Islam, T., Khan, M. M., & Bukhari, F. H. (2016). The role of organizational learning culture and psychological empowerment in reducing turnover intention and enhancing citizenship behaviour. The Learning Organization, 23(2/3), 156-169. https://doi.org/10.1108/TLO-10-2015-0057.
[78] Ivancevich, J., & Matteson, M. (2002). Organizational Behaviour and Management. New York: NY: McGraw-Hill.
[79] Javed, M., Balouch, R., & Hassan, F. (2014). Determinants of Job Satisfaction and its Impact on Employee Performance and Turnover Intentions. International Journal of Learning & Development, 4(2), 120-140. https://Doi:10.5296/ijld.v4i2.6094.
[80] Jha, S. (2011). Influence of psychological empowerment on affective, normative and continuance commitment: A study in the Indian IT industry. Journal of Indian Business, 3(4), 263-282. https://doi.org/10.1108/17554191111180582.
[81] Joarder, M., Sharif, M., & Ahmmed, K. (2011). Mediating role of affective commitment in HRM practices and turnover intention relationship: A study in a developing context. Business & Economics Research Journal, 2(4), 135–158.
[82] Jones, C. (1990a). Staff nurse turnover costs: Part I, a conceptual model. Journal of Nursing Administration, 20(4), 18–23.
[83] Jones, C. (1990b). Staff nurse turnover costs: Part II, measurements and results. Journal of Nursing Administration, 20(5), 27–32.
[84] Kabene, S. M., Orchard, C., Howard, J. M., Soriano, M. A., & Leduc, R. (2006). The importance of human resources management in health care: a global context. Human resources for health, 4(1), 1-17.
[85] Kankaanranta, T., & Rissanen, P. (2008). Nurses’ intentions to leave nursing in Finland. The European Journal of Health Economics, 9(4), 333-342.
[86] Khawaja, H. (2013). Nursing shortage in Pakistan- Human resource management in health system.
[87] Khowaja, K., Merchant, R. J., & Hirani, D. (2005). Registered nurses perception of work satisfaction at a Tertiary Care University Hospital. Journal of Nursing Management, 13(1), 32-39. https://doi.org/10.1111/j.1365-2834.2004.00507.x.
[88] Kirk-Brown, A., & Dijk, P. V. (2015). An examination of the role of psychological safety in the relationship between job resources, affective commitment and turnover intentions of Australian employees with chronic illness. The International Journal of Human Resource Management, 27(14), 1626-1641. https://doi.org/10.1080/09585192.2015.1053964.
[89] Kitapci, O., Akdogan, C., & Dortyol, I. T. (2014). The impact of service quality dimensions on patient satisfaction, repurchase intentions and word-of-mouth communication in the public healthcare industry. Procedia-Social and Behavioral Sciences, 148 (2014), 161-169. https://doi.org/10.1016/j.sbspro.2014.07.030.
[90] Klerk, S. de., & Stander, M. W. (2014). Leadership Empowerment Behaviour, Work Engagement and Turnover Intention: The Role of Psychological Empowerment. Journal of Positive Management, 5(3), 28-45.
[91] Koberg, C. S., Boss, R. W., Senjem, J. C., & Goodman, E. A. (1999). Antecedents and Outcomes of Empowerment: Empirical Evidence from the Health Care Industry. Group and Organization Management, 24(1), 71-91. https://doi.org/10.1177%2F1059601199241005.
[92] Kwantes, C. (2009). Culture, job satisfaction and organizational commitment in India and the United States. Journal of Indian Business Research, 1(4), 196-212. https://doi.org/10.1108/17554190911013265.
[93] Kuo, H.-T., Lin, K.-C., & Li, I.-C. (2013). The mediating effects of job satisfaction on turnover intention for long term care nurses in Taiwan. Journal of Nursing Management, 22(2), 225-233. https://doi.org/10.1111/jonm.12044.
[94] Labrague, L. J., Gloe, D., McEnroe, D. M., Konstantinos, K., & Colet, P. (2018). Factors influencing turnover intention among registered nurses in Samar Philippines. Applied Nursing Research, 39(2018), 200-206. https://doi.org/10.1016/j.apnr.2017.11.027.
[95] Lambert, E., Hogana, N., & Bartona, S. (2001). The impact of job satisfaction on turnover intent: A test of a structural measurement model using a national sample of workers. The Social Science Journal, 38(2), 233-250. https://doi.org/10.1016/S0362-3319(01)00110-0.
[96] Larrabee, J., Janney, M., Ostrow, C., Withrow, M., Hobbs, G., & Burant, C. (2003). Predicting registered nurse job satisfaction and intent to leave. Journal of Nursing Administration, 33(5), 271–283.
[97] Laschinger, H., Finegan, J., Shamian, J., & Wilk, P. (2001). Impact of structural and psychological empowerment on job strain in nursing work settings: expanding Kanter's Model. Journal of Nursing Administration, 31(5), 260-272.
[98] Laschinger, H. K., Finegan, J. E., Shamian, J., & Wilk, P. (2004). A longitudinal analysis of the impact of workplace empowerment on work satisfaction. Journal of Organizational Behavior, 25(4), 527-545. https://doi.org/10.1002/job.256.
[99] Lashley, C. (1995). Towards an understanding of employee empowerment in hospitality services. International Journal of Contemporary Hospitality Management, 7(1), 27-32. https://doi.org/10.1108/09596119510078207.
[100] Lee, C., & Bruvold, N. (2003). Creating value for employees: Investment in employee development. International Journal of Human Resource Management, 14(6), 981-1000. https://doi.org/10.1080/0958519032000106173
[101] Liden, R. C., Wayne, S. J., & Sparrowe, R. T. (2000). An examination of the mediating role of psychological empowerment on the relations between the job, interpersonal relationships, and work outcomes. Journal of Applied Psychology, 85(3), 407-416. https://doi.org/10.1037/0021-9010.85.3.407
[102] Li, N., Zhang, L., Xiao, G., Chen, J., & Lu, Q. (2019). The relationship between workplace violence, job satisfaction and turnover intention in emergency nurses. International Emergency Nursing, 45, 50-55. https://doi.org/10.1016/j.ienj.2019.02.001.
[103] LO, W.-Y., CHIEN, L.-Y., HWANG, F.-M., HUANG, N., & CHIOU, S.-T. (2017). From job stress to intention to leave among hospital nurses: A structural equation modelling approach. Journal of Advanced Nursing, 74(3), 677-688. https://doi.org/10.1111/jan.13481.
[104] Locke, E. A. (1969). What is job satsiafaction. Organizational Behaviour and Human Performance, 4(4), 309-336. https://doi.org/10.1016/0030-5073(69)90013-0.
[105] Lockwood, C., & MacKinnon, D. (1998). Bootstrapping the standard error of the mediated effect. Proceedings of the 23rd Annual Meeting of SAS Users Group International (997–1002). Cary, NC: SAS Institute, Inc.
[106] Long, C. S., & Thean, L. Y. (2011). Relationship between leadership style, job satisfaction and employees’ turnover intention: A literature review. Research Journal of Business Management, 5(3), 91-100.
[107] Lu, H., While, A. E., & Barriball, K. L. (2005). Job satisfaction among nurses: a literature review. International Journal of Nursing Studies, 42(2), 211–227. https://doi.org/10.1016/j.ijnurstu.2004.09.003.
[108] Lu, H., While, A. E., & Barriball, K. L. (2007). Job satisfaction and its related factors: a questionnaire survey of hospital nurses in Mainland China. International Journal of Nursing Studies, 44(4), 574-588. https://doi.org/10.1016/j.ijnurstu.2006.07.007.
[109] Lum, L., Kervin, J., Clark, K., Reid, F., & Sirola, W. (1998). Explaining nursing turnover intent: job satisfaction, pay satisfaction, or organizational commitment? Journal of Organizational Behaviour, 19(3), 305-320. https://doi.org/10.1002/(SICI)1099-1379(199805)19:3%3C305::AID-JOB843%3E3.0.CO;2-N
[110] Ramalho Luz, C., Luiz de Paula, S. and de Oliveira, L. (2018). Organizational commitment, job satisfaction and their possible influences on intent to turnover. Revista de Gestão, 25(1), 84-101. https://doi.org/10.1108/REGE-12-2017-008
[111] Maister, D. (2001). Practice What You Preach. New York: The Free Press.
[112] Malik, M. I., Zaheer, A., Khan, M. A., & Ahmed, M. (2010). Developing and testing a model of burnout at work and turnover intensions among doctors in Pakistan. International journal of business and management, 5(10), 234-247.
[113] Malik, O. F., Sattar, A., Shahzad, A., & Faiz, R. (2017). Personal Bullying and Nurses’ Turnover Intentions in Pakistan: A Mixed Methods Study. Journal of Interpersonal Violence, 1-21. https://doi.org/10.1177%2F0886260517719903.
[114] Malik, O. F., Waheed, A., & Malik, K.-U.-R. (2010). The Mediating Effects of Job Satisfaction on Role Stressors and Affective Commitment. International Journal of Business and Management, 5(11), 223-235.
[115] Marquis, B. L., & Huston, C. J. (2009). Leadership roles and management functions in nursing: Theory and application. Lippincott Williams & Wilkins.
[116] Mehmood, N., Ahmad, U. N., Irum, S., & Ashfaq, M. (2016). Job Satisfaction, Affective Commitment, and Turnover Intentions among Front Desk Staff: Evidence from Pakistan. International Review of Management and Marketing, 6(4S), 305-309.
[117] Mensah, R., & Kosi, I. (2016 ). Organizational Commitment and Turnover Intentions of Clinical Laboratory Scientists in Ghana. European Journal of Business and Management, 8(2), 164-172.
[118] Meyer, J., & Herscovitch, L. (2001). Commitment in the Workplace: Toward a General Model. Human Resource Management Review, 11(3), 299-326. https://doi.org/10.1016/S1053-4822(00)00053-X.
[119] Meyer, J. P., & Allen, N. J. (1991). A Three-Component Conceptualization of Organizational Commitment. Human Resource Management Review, 1(1), 61-89. https://doi.org/10.1016/1053-4822(91)90011-Z.
[120] Meyer, J. P., & Allen, N. J. (1997). Commitment in the Workplace:Theory, Research and Application. Thousand Oaks London New Dehli: Sage Publications-International Educational and Professional Publisher.
[121] Meyer, J. P., & Allen, N. J. (1984). Testing the "Side-Bet Theory" of Organizational Commitment: Some Methodological Considerations. Journal of Applied Psychology, 69(3), 372-378. https://psycnet.apa.org/doi/10.1037/0021-9010.69.3.372.
[122] Meyer, J., Stanley, D., Herscovitch, L., & Topolnytsky, L. (2002). Affective, continuance, and normative commitment to the organization: A meta-analysis of antecedents, correlates, and consequences. Journal of Vocational Behavior, 61(1), 20-52. https://doi.org/10.1006/jvbe.2001.1842
[123] Mobley, W. H., Griffeth, R. W., Hand, H. H., & Meglino, B. M. (1979). Review and conceptual analysis of the employee turnover process. Psychological Bulletin, 86(3), 493–522. https://doi.org/10.1037/0033-2909.86.3.493
[124] Mosadeghrad, A. M., Ferlie, E., & Rosenberg, D. (2008). A study of the relationship between job satisfaction, organizational commitment and turnover intention among hospital employees. Health Services Management Research, 21(4), 211–227. https://doi.org/10.1258%2Fhsmr.2007.007015.
[125] Mowday, R., Porter, L., & Steers, R. (1982). Employee-organization Linkages: The Psychology of Commitment, Absenteeism, and Turnover. New York: Academic Press.
[126] Mowday, R, T., Steers, R. M., & Porter, L. W. (1979). The Measurement of Organizational Commitment. Journal of Vocational Behaviour, 14(2), 224-247. https://doi.org/10.1016/0001-8791(79)90072-1.
[127] Munir, Y., Ghafoor, M., & Rasli, A. (2018). Perception of ethical climate and turnover intention among nursing staff: does organizational cynicism mediate? International Journal of Human Rights in Healthcare, 11(5), 319-332. https://doi.org/10.1108/IJHRH-07-2017-0028
[128] National Health Care Retention & RN Staffing Report (2019). NSI Nursing Solutions, Inc.
[129] Naz, S., & Gul, S. (2014). Moderating Role of Organizational Commitment between Communication Satisfaction and Turnover Intentions Among Nurses . Pakistan Journal of Psychological Research, 29(1), 39-52.
[130] Newman, A., Thanacoody, R., & Hui, W. (2011). The impact of employee perceptions of training on organizational commitment and turnover intentions: a study of multinationals in the Chinese service sector. The International Journal of Human Resource Management, 22(8), 1765-1787. https://doi.org/10.1080/09585192.2011.565667.
[131] Ngo-Henha, P. E. (2017). A Review of Existing Turnover Intention Theories. International Journal of Economics and Management Engineering , 11(11), 2760-2767.
[132] Nursing world: Recruitment and Retention of Nurses (2013). American Nurses Association.
[133] Oyeleye, O., Hanson, P., O’Connor, N., & Dunn, D. (2013). Relationship of Workplace Incivility, Stress, and Burnout on Nurses’ Turnover Intentions and Psychological Empowerment. The Journal of Nursing Administration, 43(10), 536-542. https://doi.10.1097/NNA.0b013e3182a3e8c9.
[134] Parasuraman, S. (1982). Predicting turnover intentions and turnover behavior: A multivariate analysis. Journal of Vocational Behavior, 21(1), 111-121. https://doi.org/10.1016/0001-8791(82)90056-2.
[135] Pathak, D., & Srivastava, S. (2017). What makes employees stay? Role of psychological empowerment in organisational commitment-turnover intentions relationship: a study on Indian managers. International Journal of Indian Culture and Business Management, 14(2), 180-197.
[136] Perreira, T. A., Berta, W., & Hebert, M. (2018). The Employee Retention Triad in Healthcare: Exploring Relationships among Organizational Justice, Affective Commitment and Turnover Intention. Journal of Clinical Nursing, 27(7-8), 1451-1461. https://doi.org/10.1111/jocn.14263.
[137] Peterson, S. (2004). Toward a theoretical model of employee turnover: A human resource development perspective. Human Resource Development Review, 3(3), 209-227. https://doi.org/10.1177%2F1534484304267832.
[138] Preacher, K., & Hayes, A. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879-891.
[139] Preacher, K., & Hayes, A. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, Computers, 36(4), 717-731.
[140] Preacher, K., Rucker, D., & Hayes, A. (2007). Addressing moderated mediation hypotheses: Theory, methods, and prescriptions. Multivariate Behavioral Research, 42(1), 185-227. https://doi.org/10.1080/00273170701341316.
[141] Price, J. (2001). Reflections on the determinants of voluntary turnover. International Journal of Manpower, 22(7), 600-624. https://doi.org/10.1108/EUM0000000006233.
[142] Pronovost, P., Berenholtz, S., Dorman, T., Lipsett, P. A., Simmonds, T., & Haraden, C. (2003). Improving communication in the ICU using daily goals. Journal of critical care, 18(2), 71-75. https://doi.org/10.1053/jcrc.2003.50008.
[143] Rainey, H. (1997). Understanding and Managing Public Organizations. Jossey-Bass, San Francisco, CA.
[144] Ramoo, V., Abdullah, K. L., & Piaw, C. Y. (2013). The relationship between job satisfaction and intention to leave current employment among registered nurses in a teaching hospital. Journal of Clinical Nursing, 22(21-22), 3141–3152. https://doi.org/10.1111/jocn.12260.
[145] Rana, T. M., Salaria, M. R., Herani, G. M., & Amin, M. (2009). Identifying Factors Playing Important Role in the Increasing Employees’ Turnover Rate: A Case of Telecom Industry in Pakistan. Indus Journal of Management and Social Sciences, 3(2), 80-89.
[146] Rathert, C., & May, D. R. (2007). Health care work environments, employee satisfaction, and patient safety: Care provider perspectives. Health care management review, 32(1), 2-11.
[147] Richardson, L. (2019). The Relationship between Leader Empowering Behaviors and Employees' Structural and Psychological Empowerment among Mental Health Professionals (Doctoral dissertation, Grand Canyon University).
[148] Roelen, C., Magerøy, N., Rhenen, W. van., Groothoff, J., Klink, J. van., Pallesen, S., Bjorvatn, B., Moen, B. (2013). Low job satisfaction does not identify nurses at risk of future sickness absence: Results from a Norwegian cohort study. International Journal of Nursing Studies, 50(3), 366-373. https://doi.org/10.1016/j.ijnurstu.2012.09.012.
[149] Rothrock, J. C. (2007). Attracting and Keeping New Graduates. AORN Journal, 85(6), 1063-1064.
[150] Rousseau, D. (1989). Psychological and Implied Contracts in Organizations. Employee Responsibilities and Rights Journal, 2(2), 121-139.
[151] Saha, S., & Kumar, S. P. (2018). Organizational culture as a moderator between affective commitment and job satisfaction: Empirical evidence from Indian public sector enterprises. International Journal of Public Sector Management, 31(2), 184-206. https://doi.org/10.1108/IJPSM-03-2017-0078.
[152] Sajjad, A., Ghazanfar, H., & Ramzan, M. (2013). Impact of motivation on employee turnover in telecom sector of Pakistan. Journal of Business Studies Quarterly, 5(1), 76-92.
[153] Salahudin, S. N., Alwi, M. N., Baharuddin, S. S., & Samad, N. I. (2016). Generation Y: Organizational Commitment and Turnover Intention. The European Proceedings of Social and Behavioural Sciences, 448-456. https://doi.org/10.15405/epsbs.2016.11.02.41.
[154] Sarmiento, T. P., Laschinger, H. K.S, & Iwasiw, C. (2003). Nurse educators’ workplace empowerment, burnout, and job satisfaction: testing Kanter’s theory. Issues and Innovations in Nursing Education, 46(2), 134-143. https://doi.org/10.1111/j.1365-2648.2003.02973.x.
[155] Scholl, R. (1981). Differentiating Commitment From Expectancy as a Motivating Force. Academy of Management Review, 6(4), 589-599. https://doi.org/10.5465/amr.1981.4285698.
[156] Shah, S. H., & Beh, L.-S. (2016). The Impact of Motivation Enhancing Practices and Mediating Role of Talent Engagement on Turnover Intentions: Evidence from Malaysia. International Review of Management and Marketing, 6(4), 823-835. https://dergipark.org.tr/en/pub/irmm/issue/32102/355696.
[157] Shah, S. M., Ali, R., Dahri, A. S., Brohi, N. A., Maher, Z. A., & Hameed, W. u. (2018). Determinants of Job Satisfaction among Nurses: Evidence from South Asian Perspective. International Journal of Academic Research in Business and Social Sciences, 8(5), 19-26. http://dx.doi.org/10.6007/IJARBSS/v8-i5/4082.
[158] Shahzad, A., & Malik, R. K. (2014). Workplace Violence: An Extensive Issue for Nurses in Pakistan—: A Qualitative Investigation. Journal of Interpersonal Violence, 29(11), 2021-2034. https://doi.org/10.1177%2F0886260513516005.
[159] Shazali, N. A., Habidin, N. F., Ali, N., Khaidir, N. A., & Jamaludin, N. H. (2013). Lean healthcare practice and healthcare performance in Malaysian healthcare industry. International Journal of Scientific and Research Publications, 3(1), 1-5.
[160] Siqueira, M. (2008). Medidas do Comportamento Organizacional: ferramentas de diagnóstico e de gestão. Porto Alegre: Artmed, 27, 114-115.
[161] Spector, P. E. (1985). Measurement of Human Service Staff Satisfaction: Development of the Job Satisfaction Survey. American Journal of Community Psychology, 13(6), 693-713. https://doi.org/10.1007/BF00929796.
[162] Spreitzer, G. M. (1995). Psychological Empowerement in the WorkPlace: Dimensions, Measurement and Validation. Academy of Management Journal, 38(5), 1442-1465. https://doi.org/10.5465/256865.
[163] Steel, R. P., & Lounsbury, J. W. (2009). Turnover process models: Review and synthesis of a conceptual literature. Human Resource Management Review, 19(4), 271-282. https://doi.org/10.1016/j.hrmr.2009.04.002.
[164] Strachota, E., Normandin, P., O’Brien, N., Clary, M., & Krukow, B. (2003). Reasons registered nurses leave or change employment status. Journal of Nursing Administration, 33(2), 111-117.
[165] Tett, R.P., & Meyer, J. P. (1993). Job satisfaction, organizational commitment, turnover intention, and turnover: path analysis based on meta-analytic findings. Personnel Psychology, 46 (2), 259-293. https://doi.org/10.1111/j.1744-6570.1993.tb00874.x.
[166] The Express Tribune. Chauhan, Nisma (7, December 2014). Nursing in Pakistan: Handle with care.
[167] Thomas, K. W., & Velthouse, B. A. (1990). Cognitive Elements of Empowerment: An "Interpretive" Model of Intrinsic Task Motivation. Academy of Management Review, 15(4), 666-681. https://doi.org/10.5465/amr.1990.4310926.
[168] Tzeng, H-M. Ketefian, S., & Redman, R.W. (2002). Relationship of nurses’ assessment of organizational culture, job satisfaction, and patient satisfaction with nursing care. International Journal of Nursing Studies, 39(1), 79–84. https://doi.org/10.1016/S0020-7489(00)00121-8.
[169] Tzeng, H.-M. (2002). The influence of nurses’working motivation and job satisfaction on intention to quit: an empirical investigation in Taiwan. International Journal of Nursing Studies, 39(8), 867–878. https://doi.org/10.1016/S0020-7489(02)00027-5.
[170] Tzeng, H., Yang, C., & Lee, S. (2001). Brief report: the. relationship between patient satisfaction and health care providers’job satisfaction: an exploratory study on the 11 metropolitan public health care institutions in Taiwan. Hospital (Taiwan), 34(4), 16–23.
[171] Wagner, J. I.J., Cummings, G., Smith, D. L., Olson, J., Anderson, L., & Warren, S. (2010). The relationship between structural empowerment and psychological empowerment for nurses: a systematic review. Journal of Nursing Management, 18(4), 448-462. https://doi.org/10.1111/j.1365-2834.2010.01088.x.
[172] Waldman, J. D., Kelly, F., Arora, S., & Smith, H. L. (2004). The Shocking Cost of Turnover in Health Care. Health Care Management Review, 29(1), 2-7.
[173] Withey, M. (1988). Antecedents of value based and economic organizational commitment. In S.L. McShane (Ed.). Proceedings of the Annual Meeting of the Administrative Science Association of Canada: Organizational Behavior, 9, 124-133.
[174] Villiers, J. R.de., & Stander, M. W. (2011). Psychological Empowerment, Work Engagement and Turnover Intention: The Role of Leader Relations and Role Clarity in a Financial Institution. Journal of Psychology in Africa, 21(3), 405–412. https://doi.org/10.1080/14330237.2011.10820474.
[175] Vroom, V. (1964). Work and Motivation. New York: John Wiley.
[176] Yang, C. C., & Lin, C. Y. Y. (2009). Does intellectual capital mediate the relationship between HRM and organizational performance? Perspective of a healthcare industry in Taiwan. The International Journal of Human Resource Management, 20(9), 1965-1984. https://doi.org/10.1080/09585190903142415.
[177] Yin, J-C.T., & Yang, K-P.A. (2002). Nursing turnover in Taiwan: a meta-analysis of related factors. International Journal of Nursing Studies, 39(6), 573–581. https://doi.org/10.1016/S0020-7489(01)00018-9.
[178] Yücel, İ. (2012). Examining the Relationships among Job Satisfaction, Organizational Commitment, and Turnover Intention: An Empirical Study. International Journal of Business and Management, 7(20), 44-58. https://doi:10.5539/ijbm.v7n20p44.
Fornell, C., & Larcker, D.F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18(1), 39-50. https://doi.org/10.1177%2F002224378101800104
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Rafiq, N., Syed Haider Ali Shah, D., Sajjad, S., & Ahmed Salem Alyafei, S. (2020). The role of psychological empowerment and job satisfaction on turnover intentions directly and indirectly through affective commitment on registered nurses in healthcare industry of twin cities (Islamabad and Rawalpindi) of Pakistan. International Journal of Engineering & Technology, 9(2), 314-325. https://doi.org/10.14419/ijet.v9i2.30270Received date: 2019-12-29
Accepted date: 2020-03-06
Published date: 2020-03-25