Job satisfaction and intention to leave in nursing: the influence of professional empowerment

Authors

  • Olga Moura Ramos Universidade Católica Portuguesa, Porto, Portugal | Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal https://orcid.org/0000-0002-0039-2433
  • Jacinta Gomes Universidade Católica Portuguesa, Porto, Portugal | Universidade Fernando Pessoa, Porto, Portugal https://orcid.org/0000-0003-3401-9589
  • Ana Galvão Instituto Politécnico de Bragança, Bragança, Portugal | UICISA: E - Unidade de Investigação em Ciências da Saúde: Enfermagem, Coimbra, Portugal https://orcid.org/0000-0001-9978-9563
  • Maria José Gomes Instituto Politécnico de Bragança, Bragança, Portugal | UICISA: E - Unidade de Investigação em Ciências da Saúde: Enfermagem, Coimbra, Portugal https://orcid.org/0000-0001-9825-8293

DOI:

https://doi.org/10.29352/mill0216e.37744

Keywords:

nursing; personnel retention; job satisfaction; power psychological; health organizations

Abstract

Introduction: Job satisfaction and the intention to quit nursing are strongly related to organizational policies that promote structural empowerment and the psychological capital of workers.

Objective: To evaluate job satisfaction, intention to quit, and professional empowerment in nurses in clinical practice in health organizations; to evaluate the association between professional empowerment, job satisfaction, and intention to quit among nurses.

Methods: Observational, cross-sectional, and correlational study with a quantitative approach. A convenience sample of 308 nurses in clinical practice. The data collection instrument consists of a sociodemographic and professional characterization questionnaire, a job satisfaction survey, an anticipated turnover scale, conditions for workplace effectiveness questionnaire II, and a psychological empowerment instrument.

Results: Nurses with an average age of 40.15 years (±9.38) and who had been practicing for 16.19 years (±9.30) took part in the study. There was a significant positive relationship between job satisfaction and all the dimensions of professional empowerment (0.255<r<0.660), except for the competence dimension of the Psychological Empowerment Instrument (r=0.097; p>0.088). For the intention to quit, negative relationships were obtained with all the dimensions of structural and psychological empowerment (-0.352<r<-0.176).

Conclusion: Nurses' professional satisfaction is associated with a lower intention to leave. Professionally empowered nurses have the necessary conditions to believe in their ability to contribute to organizational decisions, with a better perception of their impact on results.

Downloads

References

Al Zamel, L. G., Lim Abdullah, K., Chan, C. M., & Piaw, C. Y. (2020). Factors influencing nurses’ intention to leave and intention to stay: An integrative review. Home Health Care Management & Practice, 32(4), 218–228. https://doi.org/10.1177/1084822320931363

Conger, J. A., & Kanungo, R. N. (1988). The empowerment process: Integrating theory and practice. Academy of Management Review, 13(3), 471–482. https://doi.org/10.2307/258093

de Oliveira, D. R., Griep, R. H., Portela, L. F., & Rotenberg, L. (2017). Intention to leave profession, psychosocial environment and self-rated health among registered nurses from large hospitals in Brazil: A cross-sectional study. BMC Health Services Research, 17(1), 21. https://doi.org/10.1186/s12913-016-1949-6

de Sul, S. I. R., & Lucas, P. R. M. B. (2020). Translation and validation of the anticipated turnover scale for the Portuguese cultural context. Nursing Open, 7(5), 1475–1481. https://doi.org/10.1002/nop2.521

Han, K., Trinkoff, A. M., & Gurses, A. P. (2015). Work‐related factors, job satisfaction and intent to leave the current job among United States nurses. Journal of Clinical Nursing, 24(21–22), 3224–3232. https://doi.org/10.1111/jocn.12987

İspir Demir, Ö., Yıldırım, A., Sönmez, B., & Duygulu, S. (2023). Relationship between structural empowerment and nurse and patient-reported outcomes: The mediating role of control over nursing practices. Western Journal of Nursing Research, 45(7), 634–645. https://doi.org/10.1177/01939459231169146

Kanter, R. M. (1993). Men and women of the corporation (2nd ed.). Basic Books.

Kelly, C., Barattucci, M., & Ahmad, M. S. (2022). Job satisfaction as a mediator between structural empowerment and intent-to-leave: A study of critical care nurses. Intensive & Critical Care Nursing, 70, 103194. https://doi.org/10.1016/j.iccn.2021.103194

Khan, M. S., Elahi, N. S., & Abid, G. (2021). Workplace incivility and job satisfaction: Mediation of subjective well-being and moderation of forgiveness climate in health care sector. European Journal of Investigation in Health, Psychology and Education, 11(4), 1107–1119. https://doi.org/10.3390/ejihpe11040082

Kim, H., & Kim, E. G. (2021). A meta‐analysis on predictors of turnover intention of hospital nurses in South Korea (2000–2020). Nursing Open, 8(5), 2406–2418. https://doi.org/10.1002/nop2.872

Laschinger, H. K., Finegan, J., Shamian, J., & Wilk, P. (2001). Impact of structural and psychological empowerment on job strain in nursing work settings: Expanding Kanter’s model. The Journal of Nursing Administration, 31(5), 260–272. https://doi.org/10.1097/00005110-200105000-00006

Lee, T. S., Tzeng, W., & Chiang, H. (2019). Impact of coping strategies on nurses’ well‐being and practice. Journal of Nursing Scholarship, 51(2), 195–204. https://doi.org/10.1111/jnu.12467

Li, H., Shi, Y., Li, Y., Xing, Z., Wang, S., Ying, J., Zhang, M., & Sun, J. (2018). Relationship between nurse psychological empowerment and job satisfaction: A systematic review and meta‐analysis. Journal of Advanced Nursing, 74(6), 1264–1277. https://doi.org/10.1111/jan.13549

Liu, Y., Duan, Y., & Guo, M. (2023). Turnover intention and its associated factors among nurses: A multi-center cross-sectional study. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1141441

Lyu, X. C., Huang, S. S., Ye, X. M., Zhang, L. Y., Zhang, P., & Wang, Y. J. (2024). What influences newly graduated registered nurses’ intention to leave the nursing profession? An integrative review. BMC Nursing, 23(1). https://doi.org/10.1186/s12912-023-01685-z

Malheiro, J., & Veloso, A. (2014). A satisfação laboral e a confiança organizacional em três empresas de tecnologias da informação: Um estudo exploratório. Investigação e Intervenção em Recursos Humanos, 1. https://doi.org/10.26537/iirh.v0i1.1904

Niskala, J., Kanste, O., Tomietto, M., Miettunen, J., Tuomikoski, A., Kyngäs, H., & Mikkonen, K. (2020). Interventions to improve nurses’ job satisfaction: A systematic review and meta‐analysis. Journal of Advanced Nursing, 76(7), 1498–1508. https://doi.org/10.1111/jan.14342

Orlowska, A., & Laguna, M. (2023). Structural and psychological empowerment in explaining job satisfaction and burnout in nurses: A two-level investigation. Journal of Nursing Management, 2023. https://doi.org/10.1155/2023/9958842

Prati, G., & Zani, B. (2016). A moderated multilevel study of work-to-family conflict, empowerment, and turnover intentions. Quality & Quantity, 50(5), 2279–2292. https://doi.org/10.1007/s11135-015-0262-5

Sarıköse, S., & Göktepe, N. (2022). Effects of nurses’ individual, professional and work environment characteristics on job performance. Journal of Clinical Nursing, 31(5–6), 633–641. https://doi.org/10.1111/jocn.15921

Spector, P. E. (1985). Measurement of human service staff satisfaction: Development of the Job Satisfaction Survey. American Journal of Community Psychology, 13(6), 693–713. https://doi.org/10.1007/BF00929796

Teixeira, A. C., Nogueira, M. A. A., & Alves, P. J. P. (2016). Structural empowerment in nursing: Translation, adaptation and validation of the Conditions of Work Effectiveness Questionnaire II. Revista de Enfermagem Referência, 4(10), 39–47. https://doi.org/10.12707/RIV16014

Teixeira, A., Nogueira, M. A., & Alves, P. (2016). Empoderamento psicológico em enfermagem: Tradução, adaptação e validação do “Psychological Empowerment Instrument.” Revista Portuguesa de Enfermagem de Saúde Mental, 16. https://doi.org/10.19131/rpesm.0154

Woodward, K. F. (2020). Individual nurse empowerment: A concept analysis. Nursing Forum, 55(2), 136–143. https://doi.org/10.1111/nuf.12407

Yasin, Y. M., Kerr, M. S., Wong, C. A., & Bélanger, C. H. (2020). Factors affecting job satisfaction among acute care nurses working in rural and urban settings. Journal of Advanced Nursing, 76(9), 2359–2368. https://doi.org/10.1111/jan.14449

Published

2025-04-14

How to Cite

Moura Ramos, O., Gomes, J., Galvão, A., & Gomes, M. J. (2025). Job satisfaction and intention to leave in nursing: the influence of professional empowerment . Millenium - Journal of Education, Technologies, and Health, 2(16e), e37744. https://doi.org/10.29352/mill0216e.37744

Issue

Section

Life and Healthcare Sciences