Enferm Clin. 2019;29(S2):780---784
www.elsevier.es/enfermeriaclinica
The perception discrepancy of nurse turnover in
hospital
Tinuk Ervariawati
a,b
, Krisna Yetti
a,*
, Enie Novieastari
a
, Kuntarti Kuntarti
a
a
Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia
b
Sayidiman Magetan Hospital, East Java, Indonesia
Received 13 November 2018; accepted 17 April 2019
Available online 11 July 2019
KEYWORDS
Nurse perception;
Manager;
Institutional director
and board;
Nurse turnover
Abstract
Objective: The objective of this study was to explore the meaning of turnover under the
perception of nurses, managers, and institutional director and board.
Method: The design used in this study was qualitative with case study approach. The data
were collected from three participant groups: (1) nurses left hospital X in Bogor, West Java,
Indonesia through an in-depth interview; (2) managers through Focus Group Discussion (FGD);
and (3) institutional director and board through an in-depth interview. The total participant
was 17, consisting of 6 nurses, 6 managers, and 5 institutional directors and board. Colaiizi’s
method was applied for the analysis.
Results: This study resulted in 10 themes, consisting of three themes from nurse participants,
one theme from manager participants, three themes from the institutional director and board,
two themes from nurses and managers, and one theme from the manager and institutional
director and board. The themes were as follows: (1) the existence of nurse regulation and mana-
gement; (2) the lack of optimal regulation socialization; (3) the cause of voluntary turnover;
(4) the workload increase as the impact of turnover; (5) the nurses’ perception and expectation
to hospital management; (6) the internal and external factors that influence nurse turnover;
(7) the implementation of vision, mission, and policy from the institution; (8) the requirement
and expected nurse competence; (9) the vigilance of turnover and its consequences; (10) the
material and non-material effort and innovation.
Conclusion: There were some similarities and differences of themes identified about nurse
turnover based on the perception of nurses, managers, and institutional director and board.
The result of this study suggested that equalizing perception is necessary to build togetherness
among co-workers.
© 2019 Elsevier Espa˜ na, S.L.U. All rights reserved.
Peer-review under responsibility of the scientific committee of the Second International Nursing Scholar Congress (INSC 2018) of Faculty
of Nursing, Universitas Indonesia. Full-text and the content of it is under responsibility of authors of the article.
*
Corresponding author.
E-mail address: krisna@ui.ac.id (K. Yetti).
https://doi.org/10.1016/j.enfcli.2019.04.118
1130-8621/© 2019 Elsevier Espa˜ na, S.L.U. All rights reserved.