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

Abstract

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.

References
[1] Ministry of Health, Republic of Indonesia, 2014 Data and Information, 2015.


[2] Philippines Overseas Employment Administration, 2008 - 2012 Overseas Employment Statistics, 2008 - 2012 Overseas Employment Statistics. [online]. Available: http://www.poea.gov.ph/stats/2012_Stats.pdf.


[3] Deloitte, 2014 Global Health Care Sector Outlook: Shared Challenges, Shared Opportunities, 2014 Global Health Care Sector Outlook: Shared Challenges, Shared Opportunities, 2014. [Online]. Available: https://www2.deloitte.com/ie/en/pages/life-sciencesand-healthcare/articles/2014-global-health-care outlook.html.


[4] L. O’Brien-Pallas, G. T. Murphy, J. Shamian, X. Li, and L. J. Hayes, Impact and Determinants of Nurse Turnover: A Pan-Canadian Study, J. Nurs. Manag., Vol. 18, no. 8, pp. 1073–1086, 2010.


[5] S. T. Hunt, Nursing Turnover: Costs, Causes, & Solutions, South San Francisco, 2009.


[6] A. Hauck, M. T. Q. Griffin, and J. Fitzpatrick, ”Structural Empowerment and Anticipated Turnover among Critical Care Nurses,” J. Nurs. Manag., Vol. 19, pp. 269– 276, 2011.


[7] S. M. Rahman et al., Factors Affecting Recruitment and Retention of Community Health Workers in a Newborn Care Intervention in Bangladesh, Hum. Resour. Health, vol. 8, no. 12, 2010.


[8] F. El-Jardali, H. Dimassi, N. Dumit, D. Jamal, and G. Mouro, ”A National Cross-Sectional Study on Nurses” Intent to Leave and Job Satisfaction in Lebanon: Implications for Policy and Practice, BMC Nurs., Vol. 8, no. 3, pp. 1–13, 2009.


[9] D. Gillies, Nursing Management: A Systems Approach, 3rd ed. W.B. Saunders Company, 1994.


[10] A. G. Caesary, N. A. Wessiani, and B. Santosa, Factor Analysis that Affects Turnover Intention of Outbound Call Agents of PT. Infomedia Nusantara Uses the Structural Equation Modeling Method, Surabaya, 2011.


[11] Y. Tamalero, B. Swasto, and D. Hamid, The Influence of Job Characteristics and Job Satisfaction on Organizational Commitment and Intention to Quit, J. Provit, vol. 6, no. 2, 2012.


[12] Y. S. Foon, L. Chee-Leong, and S. Osman, An Exploratory Study on Turnover Intention among Private Sector Employees, Int. J. Bus. Manag., Vol. 5, no. 8, pp. 57–64, 2010.


[13] S. Jha, Determinants of Employee Turnover Intentions: A Review, Manag. Today, vol. 9, no. 2, pp. 26–33, 2009.


[14] H. T. Nguyen, A Literature Review on Nursing Turnover and its Financial Implications, University of Pittsburgh, 2006.


[15] A. M. Mosadeghrad, E. Ferlie, and D. Rosenberg, A Study of the Relationship between Job Satisfaction, Organizational Commitment and Turnover Intention among Hospital Employees, Heal. Serv. Management. Res., Vol. 21, no. March 2016, pp. 211–227, 2008.


[16] Y. Zhang and X. Feng, The Relationship between Job Satisfaction, Burnout, and Turnover in the Intention of Physicians from Urban State-Owned Medical Institutions in Hubei, China: A Cross-Sectional Study, BMC Health Serv. Res., Vol. 11, no. 1, p. 235, 2011.


[17] D. Gillies, Nursing Management a System Approach, 3 Sub Edits. Philadelphia: W.B. Saunders Company, 1998.


[18] Y. Ilyas, Hospital HR Planning: Theory, Method and Formula, Revised Edition. Depok: Faculty of Public Health, Universitas Indonesia, 2011.


[19] R. Hoyle, Structural Equation Modeling: Concepts, Issues, and Applications, 1st ed. SAGE Publications, 1995.


[20] J. F. Hair, G. T. Hult, C. M. Ringle, and M. Sarstedt, A Primary on Partial Least Squares of Structural Equation Modeling (PLS-SEM), 2nd ed. SAGE Publications, 2016.’


[21] D. S. F. N. Applebaum and F. O. M. R. Osinubi, The Impact of Environmental Factors on Nursing Stress, Job Satisfaction, and Turnover Intention, J Nurs Adm, vol. 40, no. 0, pp. 323–328, 2014.


[22] The Joint Commission, the Implementation Guide for the NQF Endorsed NursingSensitive Care. 2009.


[23] Y. Wang et al., Nurses’ Practice Environment and Their Job Satisfaction: A Study on Nurses Caring for Older Adults in Shanghai, PLoS One, vol. 10, no. 9, pp. 1–13, 2015.


[24] B. A. Lansiquot, S. Tullai-Mcguinness, and E. Madigan, Among Hospital-Based Turnover Intention Registered Nurses in the Eastern Caribbean, J. Nurs. Scholarsh., Vol. 44, no. 2, pp. 187–193, 2012.


[25] R. T. Mowday, R. M. Steers, and L. W. Porter, The Measurement of Organizational Commitment, vol. 247, pp. 224–247, 1979.


[26] A. Yatnikasari, The Relationship of the Retention Program with the Commitment of Implementing Nurse Organizations at Harapan Kita Hospital, Universitas Indonesia, Depok, 2010.


[27] D. J. Weiss, R. V Dawis, G. W. England, and L. H. Lofquist, Manual for the Minnesota Satisfaction Questionnaire. Minnesota studies in Vocational Rehabilitation. Minneapolis: Industrial Relations Center, University of Minnesota, 1967.


[28] R. D. Arvey, T. J. Bouchard, N. L. Segal, and L. M. Abraham, Job Satisfaction: Environmental and Genetic Components, vol. 74, no. 2, pp. 187–192, 1989.


[29] H. Martins and T. Proenca, Minnesota Satisfaction Questionnaire - Psychometric Properties and Validation in Population of Hospital Hospital Workers, Econ. Manag., Vol. 471, no. October, pp. 1–20, 2012.


[30] Z. H. Talasaz, S. N. Saadoldin, and M. T. Shakeri, The Relationship between Job Satisfaction and Job Performance among Midwives Working in Healthcare Centers of Mashhad, Iran, J. midwifery Reprod. Heal., Vol. 2, no. 3, pp. 157–164, 2014.


[31] T. Kelly, Nurse Practitioner Job Satisfaction Survey, Baltimore, USA, 2015.


[32] T. a. Beehr and J. E. Newman, Job Stress, Employee Health, and Organizational Effectiveness: a Facet Analysis, Model, and Literature Review, Press. Psychol., Vol. 31, no. 3, pp. 665–699, 1978.


[33] M. I. Khuzaeni and S. Djumahir, The Influence of Work Culture, Work Stress to the Job Satisfaction and Employees Performance in the State Treasury Service Office in Jakarta, Indonesia, IOSR J. Bus. Manag., Vol. 9, no. 2, pp. 49–54, 2013.


[34] M. Iqbal and M. A. Waseem, Impact of Job Stress on Job Satisfaction among Air Traffic Controllers of Civil Aviation Authority: An Empirical Study from Pakistan, Int. J. Hum. Resour. Stud., Vol. 2, no. 2, pp. 53–71, 2012.


[35] R. P. Tett and J. P. Meyer, Job Satisfaction, Organizational Commitment, Turnover Intention, and Turnover: Path-Based Analyzes on Meta-Analytic Findings, Press. Psychol., Vol. 46, no. 2, 1993.


[36] U. Schäffer, 221. Turnover Intentions, DUV, 2008, pp. 298-299.


[37] N. Bu, C. A. Mckeen, and W. Shen, The International Journal of Human Behavior Indicators of Turnover Intention: the Case of Young Professionals in China, Int. J. Hum. Resour. Manag., No. September 2014, pp. 37–41, 2014.