826 © 2020 Annals of Medical and Health Sciences Research
Original Article Original Article
Introduction
The shortage of nursing staf has become a global problem.
[1]
In addition, the work difculty in nursing, aging nurses,
increased tendency to quit job, and reduced job satisfaction have
exacerbated this problem.
[2-4]
The shortage of nursing staf is
particularly signifcant in the intensive care unit. Nurses working
in intensive care units are more likely to quit job, because they
work in difcult work environment that is associated with futile
care and ethical dilemmas.
[5]
This exacerbates the shortage of
nurses and decreases the quality of services and the safety of
patients in intensive care units. Quitting is one of the factors that
contribute to the shortage of nursing staf. Studies have shown
that shortage of nursing staf is associated with the Intention
to Leave. The Intention to Leave is defned as the subjective
evaluation of a person’s probability to leave the organization
in the short term.
[6]
It is also defned as planning to quit in less
than one year.
[7]
Due to the strong correlation that exists between
the Intention to Leave and the high turnover, it is an indicator
that can be used to assess the tendency of nurses to quit job.
How to Cite this Article: Salehi T, et al. Relationship between Healthy
Work Environment, Job Satisfaction and Anticipated Turnover
among Nurses in Intensive Care unit (ICUs). Ann Med Health Sci
Res. 2020;10: 826-825.
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Relatonship between Healthy Work Environment, Job
Satsfacton and Antcipated Turnover among Nurses in
Intensive Care unit (ICUs)
Tahmine Salehi
1
*, Mahmood Barzegar
2
, Mir saeed Yekaninejad
3
and Hadi Ranjbar
4
1
Assistant Professor; Department of Nursing Management, Nursing Care Research Center (NCRC), School of Nursing
and Midwifery, Iran University of Medical Sciences, Tehran, Iran;
2
Department of ICU, Chamran Hospital, Tehran, Iran;
3
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran;
4
Mental Health Research Center, Psychosocial Health Research Institute, Iran University of Medical Science, Tehran, Iran
Abstract
Background and Aim: Shortage of nursing workforce and tendency to quit job are
among major problems of health systems all across the world. They also have a
negative impact on the quality of care. Intensive care nurses work in specialized and
highly stressful workplaces, and their perceptions on the health of their workplace
can afect their job satisfaction and their tendency to quit work. The purpose of this
study was to determine the relationship between the Healthy Work Environment, job
satisfaction and anticipated turnover among ICU nurses. Methods: This cross-sectional
study was descriptive – correlational, and was conducted on 270 nurses working in
intensive care units of teaching hospitals afliated to Tehran University of Medical
Sciences, who had been selected by simple randomized method. Data collection
tools included demographic information form, Healthy Work Environment (AACN,
2005), Minnesota job satisfaction questionnaire and Anticipated Turnover Scale, ATS,
to determine Intention to leave. Data analysis was done in SPSS-16 software using
Pearson correlation, ANOVA, Chi-square and linear regression tests. Results: Healthy
Work Environment had a signifcant and positive relationship with job satisfaction
(r = 0.831, p <0.001), and a signifcant but inverse relationship with intention to leave
(r = -0.558, p <0.001). Marital status had the greatest correlation with job satisfaction
and Healthy Work Environment (β = 0.25, p = 0.01), as well as intention to leave job
(p <0.001, β = 0.223). Conclusion: Given that healthier workplace is associated with
higher job satisfaction and less tendency to quit job, managers can adopt appropriate
strategies to improve the health of workplace in intensive care units, and promote job
satisfaction and reduce the intention of nurses to leave their job.
Keywords: Healthy Work Environment; Job Satisfaction; Intention to Leave; Nurse;
Intensive care unit
Corresponding author:
Tahmine Salehi, No 702, Department
of Nursing Management, School of
Nursing & Midwifery, Iran University
of Medical Sciences (I.U.M.S), Rashid
Yasemi Ave., Vali Asr Blvd., Tehran,
Iran,
Tel: +98-2143651714;
E-mail: salehi.t@iums.ac.ir
[8,9]
The high prevalence of tendency to leave among nurses
prevents healthcare organizations from achieving their goals.
[10]
The tendency to quit nursing is a global problem and many
studies have been done on this subject. For example, the results
of a study by Lutzen et al conducted on nurses working in
psychiatric ward showed that, 71.42% of nurses were thinking
about leaving the nursing profession every day.
[11]
According to
the results of a study conducted in Iran, 52.2% of nurses tended
to quit their job and 40% of them had very high tendency to quit
their job.
[12]
Job satisfaction is one of the factors that can be associated with
Intention to leave the job. It is defned as the feeling or emotional