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Abusive supervision and turnover intention: Mediating effects of psychological empowerment of nurses.

ABSTRACT: Objective:This study aims to determine the mediating effects of psychological empowerment on abusive supervision and turnover intention as perceived by nurses to provide information to change the status of nurse turnover. Methods:A cross-sectional survey (a questionnaire examining perceptions of abusive supervision, measurement of psychological empowerment, and questionnaire for turnover intention) was used to collect data. A total of 1127 clinical nurses, who were recruited through convenience sampling, participated in the survey. Results:Nurses' average perceived abusive supervision, psychological empowerment, and turnover intention scores were 1.62 ± 0.95, 3.24 ± 0.83, and 14.17 ± 3.78, respectively. Psychological empowerment was found to mediate the relationship between abusive supervision and turnover intention (P < 0.01). Turnover intention tends to be stronger and psychological empowerment reduced when nurse managers adopt an abusive leadership style. Conclusions:Nurses' psychological empowerment is an intermediary variable that predicts the relationship between abusive supervision and turnover intention. Nurse managers should manage abusive supervision to increase nurses' psychological empowerment and decrease turnover intention.

SUBMITTER: Lyu D

PROVIDER: S-EPMC6608667 | biostudies-other | 2019 Apr

REPOSITORIES: biostudies-other

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Abusive supervision and turnover intention: Mediating effects of psychological empowerment of nurses.

Lyu Dongmei D Ji Lingling L Zheng Qiulan Q Yu Bo B Fan Yuying Y

International journal of nursing sciences 20181224 2

<h4>Objective</h4>This study aims to determine the mediating effects of psychological empowerment on abusive supervision and turnover intention as perceived by nurses to provide information to change the status of nurse turnover.<h4>Methods</h4>A cross-sectional survey (a questionnaire examining perceptions of abusive supervision, measurement of psychological empowerment, and questionnaire for turnover intention) was used to collect data. A total of 1127 clinical nurses, who were recruited throu ...[more]

PMID: 31406892

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Project description:AimsThis study investigated health problems, turnover intention, and actual turnover among shift work nurses. While turnover intention is often used as a proxy variable for turnover, the relationship between these variables requires clarification. This study tested for relevant associations using prospective longitudinal data with a time lag of 12 months. We also tested for associations between health problems (sleep disturbance, fatigue, and depression) and turnover intentions/turnover, with a focus on the mediating role of turnover intention.MethodsThis study conducted a secondary analysis of data from the Shift Work Nurses' Health and Turnover project, which is a prospective longitudinal cohort study. We analyzed health problems, turnover intention, and actual turnover. The data were analyzed via descriptive statistics, the Pearson's chi-squared test, independent t-test, univariable logistic regression, multiple logistic regression, and causal mediation.ResultsParticipants included 491 shift work female nurses. Of these, 112 (22.8%) had turnover intention, while 38 (7.7%) left their jobs within the 12-month period of investigation. Of the 112 with turnover intention, 22 left their jobs (OR 5.68. 95% CI 2.84-11.36). The logistic regression analysis showed that sleep disturbance and fatigue were associated with turnover intentions and actual turnover, while depression was only associated with turnover intention. The causal mediation analysis showed that turnover intention mediated the relationship between health problems (sleep disturbance and fatigue) and actual turnover (sleep disturbance OR 1.31, 95%CI = 1.02-1.60; fatigue OR 2.11, 95%CI = 1.50-2.68); sleep disturbance had a natural direct effect on actual turnover (OR 2.66, 95%CI,2.07-3.21).ConclusionTurnover intention strongly predicted actual turnover. Sleep disturbances may result in turnover, even in cases without existing turnover intention. These findings highlight the need for early interventions aimed at preventing and alleviating sleep disturbances for shift work female nurses.

Dataset Information

Abusive supervision and turnover intention: Mediating effects of psychological empowerment of nurses.

Publications

Abusive supervision and turnover intention: Mediating effects of psychological empowerment of nurses.

Similar Datasets

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