A hospital-based nursing study on intention to leave job and nurse–physician collaboration

Melike Mercan Baspinar, Zerafet Birer, Sevgi Demiray, Hakan Basar, Gokhan Tolga Adas

Keywords: Nursing, nurse-physician collaboration, intention to leave, job satisfaction

Aim:

Determining the roles and relationships of nurses, physicians, and managers of hospitals on intention to leave and job satisfaction is essential for high-quality, cost-effective and better health systems. This study was purposed to determine the relationship between intention to leave and job satisfaction versus nurse-physician collaboration.

Method:

A cross-sectional survey design was used to collect data. The data was gathered using: sociodemographic variables, region of childhood, priorities on job expectations, self-score of job satisfaction level (0-10 points), intention to leave scale score, and nurse-physician collaboration scale score.

Results:

In total, 325 nurses aged 29.71±6.39 years and had an experience of 7.88±7.15 years were enrolled. The situation of participating in visits with doctor-nurse together and working experience time in the institution were significant on job satisfaction self-score (p= 0.012 and p= 0.027, respectively). It has been demonstrated that the job satisfaction self-score has a positive relationship with a high level of socioeconomic and physical environment in workplace environment characteristics (p=0.035; r=0.117) and a negative relationship with intention to leave the job (p<0.001; r= -0.502) There was no significant correlation between the intention to leave and the nurse-physician collaboration scores (p= 0.370; r= -0.050). Based on childhood geography demographics, nurses from the Aegean region had the highest intention to leave ( p= 0.214 ) and the lowest job satisfaction score ( p= 0.359 ), although it was not statistically significant

Conclusions:

A negative relationship was determined between intention to leave and job satisfaction of nurses independent of nurse-physician collaboration. The fact that the intention to leave is different according to childhood regions showed the need to investigate cultural differences that cannot be measured, such as upbringing.

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