Prediction Model of Desire to Retreat on Nursing in Hospitals Based on Work Environment, Organizational Commitment, Work Satisfaction and Work Stress in Indonesia


Ahead of the opening of the Asean Economic Community (AEC) in the field of health services, the growth of hospitals in Indonesia, especially private hospitals, has increased by 5% every year. It allows the transfer of nurses to other hospitals, both domestic and abroad, and also lack of nurses at the hospital. The purpose
of this study was to develop a prediction model in measuring turnover intention (desire to withdraw) among nurses in Indonesia based on predictors of work environment predictors, organizational commitment, job satisfaction, and job stress. This study used a cross-sectional design involving 88 samples of nurses in type
C private hospitals in Depok, Indonesia. The data that has been obtained is then analyzed by Structural Equation Model (SEM) using Smart-PLS software. The analysis shows that job satisfaction and work environment have a significant relationship to organizational commitment, the work environment has a significant relationship on job satisfaction, and organizational commitment and work environment have a
significant relationship to turnover intentions. Furthermore, this study also shows that it is important for hospitals to build high organizational commitment to nurses that will have an impact on their attitude that can prevent the desire to retreat, in addition to organizational commitment must also create a comfortable physical and non-physical work environment when working and cause job satisfaction for nurses. In conclusion, this study proposes that hospital policymakers must define the hospital’ strengths within the internal and external environment to create high commitment and job satisfaction and a conducive work environment to reduce the incidence of desire to withdraw to the nurse.

Keywords: retreat, nurse, environment, organizational commitment, satisfaction.

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