The Struggling Nightingales: Determinants of Resilience and Intention to Stay Among Nurses in a Type C Hospital In Gianyar, Bali, Indonesia

Authors

  • Made Ary Puspitasari Fakultas Kedokteran, Universitas Udayana, Denpasar, Indonesia
  • Gede Sri Darma Master of Management Study Program, Undiknas Graduate School, Denpasar, Bali, Indonesia
  • Agung Nova Mahendra Department of Pharmacology and Therapy, Faculty of Medicine, Udayana University, Denpasar, Bali, Indonesia

DOI:

https://doi.org/10.59188/eduvest.v4i7.1348

Keywords:

Determinants, Resilience, Intention to Stay, Burnout, Job Satisfaction, Nurses, Type C Private Hospital

Abstract

Intention to stay in the nursing profession is a complex phenomenon related to hospital operational management. This study aimed to investigate the relationship between various potential determinants in influencing the intention to stay in nurses who work at a type C private hospital in Gianyar, Bali, Indonesia. This research was an questionnaires-based analytical descriptive study, involving nurses (work period more than one year) from all medical units in the hospital. The relationships between determinants were modeled and analyzed using path analysis. In conclusion, age and work experience have a significant negative influence on burnout levels, while the work environment has a significant negative influence on burnout. Additionally, age and work experience have a significant positive influence on job satisfaction, which is mediated by burnout. Furthermore, job satisfaction has a significant positive influence on resilience, which in turn has a significant positive influence on intention to stay.

References

Athifahsari, H., Ardani, M. H., Mu'in, M., Warsito, B. E., & Sulisno, M. (2022). Resilience in Nurses during the Covid-19 Pandemic. Journal of Nursing Care Management, 6(2), 68-75. https://doi.org/10.33655/mak.v6i2.132

Atrianah, Dimala, C. P., & Wulandari, C. R. (2023). Resilience as a Mediator of the Effect of Job Stress on Burnout to Lecturers and Education Personnel. Journal of Psychology: Scientific Journal of the Faculty of Psychology, Yudharta University Pasuruan, 10(2), 380-393. https://doi.org/10.35891/jip.v10i2.4155

Boamah, S. A., Spence Laschinger, H. K., Wong, C., & Clarke, S. (2018). Effect of transformational leadership on job satisfaction and patient safety outcomes. Nursing Outlook, 66(2), 180-189. https://doi.org/10.1016/j.outlook.2017.10.004

Choi, H.-J., Yang, C. M., Lee, S. Y., Lee, H.-J., & Jang, S. H. (2022). Mental Health and Quality of Life for Disaster Service Workers in a Province under COVID-19. Journal of Clinical Medicine, 11(6), 85-91. https://doi.org/10.3390/jcm11061600

Clark, P., Crawford, T. N., Hulse, B., & Polivka, B. J. (2021). Resilience, Moral Distress, and Workplace Engagement in Emergency Department Nurses. Western Journal of Nursing Research, 43(5), 442-451. https://doi.org/10.1177/0193945920956970

Doucette, J. N., & Pabico, C. (2018). Nursing Management partners with ANCC's Pathway to Excellence® Program. Nursing Management, 49(4), 13-15. https://doi.org/10.1097/01.NUMA.0000531175.85470.99

Galanis, P., Moisoglou, I., Katsiroumpa, A., Vraka, I., Siskou, O., Konstantakopoulou, O., Meimeti, E., & Kaitelidou, D. (2023). Increased Job Burnout and Reduced Job Satisfaction for Nurses Compared to Other Healthcare Workers after the COVID-19 Pandemic. Nursing Reports (Pavia, Italy), 13(3), 1090-1100. https://doi.org/10.3390/nursrep13030095

Hamdiah, D. (2021). Factors Related to Job Satisfaction of Health Workers at Kasemen and Kilasah Health Centers in Serang City. Scientific Journal of Nursing, 2(3), 8-13.

Hughes, V. (2019). Nurse leader impact: A review. Nursing Management, 50(4), 42-49. https://doi.org/10.1097/01.NUMA.0000554338.47637.23

Indrian, E., Mulyana, D., & Abdullah, Y. (2023). The Effect of Burnout and Work Life Balance on Job Satisfaction and Its Implications for Performance (Survey of Nurses at Prasetya Bunda Hospital in Tasikmalaya). Intellectual Journal 2023, 2(1), 27-37.

Labrague, L. J., & De los Santos, J. A. A. (2020). COVID-19 anxiety among front-line nurses: Predictive role of organizational support, personal resilience and social support. Journal of Nursing Management, 28(7), 1653-1661. https://doi.org/10.1111/jonm.13121

Lotfi, Z., Atashzadeh-Shoorideh, F., Mohtashami, J., & Nasiri, M. (2018). Relationship between ethical leadership and organizational commitment of nurses with perception of patient safety culture. Journal of Nursing Management, 26(6), 726-734. https://doi.org/10.1111/jonm.12607

McCay, R., Lyles, A. A., & Larkey, L. (2018). Nurse leadership style, nurse satisfaction, and patient satisfaction a systematic review. Journal of Nursing Care Quality, 33(4), 361-367. https://doi.org/10.1097/NCQ.0000000000000317

Merrill, K. C. (2015). Leadership Style and Patient Safety: Implications for Nurse Managers. Journal of Nursing Administration, 45(6), 319-324. https://doi.org/10.1097/NNA.0000000000000207

Nuari, N. A. (2017). Resilience of Efficacy of Nurses Based on Stress Level and Job Satisfaction. Journal of Health, 8(3), 375. https://doi.org/10.26630/jk.v8i3.642

Park, K., & Jang, A. (2022). Factors Affecting the Resilience of New Nurses in Their Working Environment. International Journal of Environmental Research and Public Health, 19(9), 1-9. https://doi.org/10.3390/ijerph19095158

Protopappa, A., Moisoglou, I., Lamia, G. H., Meimeti, E., & Galanis, P. (2023). Nurses' Work Environment and Practice as a Predictor of Burnout. Pakistan Journal of Medicine and Dentistry, 12(May), 2-9. https://doi.org/10.36283/pjmd12-2/002

Rn, I. M., & Rn, A. Y. (2020). The work environment of haemodialysis nurses and its mediating role in burnout. Renal Care, 47(July), 1-8. https://doi.org/10.1111/jorc.12353

Sagherian, K., Steege, L. M., Cobb, S. J., & Cho, H. (2020). Insomnia, fatigue and psychosocial well-being during the COVID-19 pandemic: A cross-sectional survey of hospital nursing staff in the United States. Journal of Clinical Nursing, September 2020, 5382-5395. https://doi.org/10.1111/jocn.15566

Sihvola, S., Nurmeksela, A., Mikkonen, S., Peltokoski, J., & Kvist, T. (2023). Resilience, job satisfaction, intentions to leave nursing and quality of care among nurses during the COVID-19 pandemic - a questionnaire study. BMC Health Services Research, 23(1), 1-11. https://doi.org/10.1186/s12913-023-09648-5

Subiyono, K. (2022). The Relationship of Burnout with Job Satisfaction of Nurses in the Inpatient Room of Rsu Wh. SENTRI: Journal of Scientific Research, 1(1), 215-222. https://doi.org/10.55681/sentri.v1i1.223

Sulistiana, I. N., & Sri Darma, G. (2023). Digital Leadership, Work-Life Balance, Compensation, Job Satisfaction, and Employee Engagement. Quantitative Economics and Management Studies (QEMS), 4(5), 981-993.

Susilawati, N. K., & Darma, G. S. (2019). the Most Important Factors That Determine Turnover Intention. Russian Journal of Agricultural and Socio-Economic Sciences, 94(10), 249-256. https://doi.org/10.18551/rjoas.2019-10.32

Swandewi, M. A., Kadek, N., Suarningsih, A., Oka, M., & Kamayani, A. (2021). AN OVERVIEW OF THE RESILIENCE OF NURSES AT THE BALI MANDARA REGIONAL GENERAL HOSPITAL DURING THE COVID-19 PANDEMIC. Journal of Mental Nursing (JKJ), 9(4), 779-786.

Tabur, A., Choudhury, A., Emhan, A., & Mengenci, C. (2022). Clinicians' Social Support, Job Stress, and Intent to Leave. Healtthcare, 10(229), 1-9. https://www.mdpi.com/2227-9032/10/2/229

Taufiqurrahman, M., Asmaningrum, N., & Purwandari, R. (2020). Analysis of Determinants of Individual Characteristics of Nursing Personnel with Job Satisfaction in the Inpatient Room of Dr. H. Koesnadi Bondowoso General Hospital. E-Journal of Health Library, 2(3), 507-514.

Wokas, A., Dewi, S., & Sriatmi, A. (2023). The Relationship between Burnout and Resilience of Nurses: Scoping Review. Community of Publishing in Nursing (COPING), 11(4), 321-327.

Yu, H., Huang, C., Chin, Y., Shen, Y., Chiang, Y., Chang, C., & Lou, J. (2021). The mediating effects of nursing professional commitment on the relationship between social support, resilience, and intention to stay among newly graduated male nurses: A cross-sectional questionnaire survey. International Journal of Environmental Research and Public Health, 18(14), 1-13. https://doi.org/10.3390/ijerph18147546

Zaini, M. (2021). Nurse Resilience During the COVID-19 Pandemic. Journal of Mental Nursing (JKJ): National Nurses Association of Indonesia, 9(4), 779-786.

Downloads

Published

2024-07-25