Skip to main content
Top
Published in: BMC Health Services Research 1/2012

Open Access 01-12-2012 | Research article

The relationship between quality of work life and turnover intention of primary health care nurses in Saudi Arabia

Authors: Mohammed J Almalki, Gerry FitzGerald, Michele Clark

Published in: BMC Health Services Research | Issue 1/2012

Login to get access

Abstract

Background

Quality of work life (QWL) has been found to influence the commitment of health professionals, including nurses. However, reliable information on QWL and turnover intention of primary health care (PHC) nurses is limited. The aim of this study was to examine the relationship between QWL and turnover intention of PHC nurses in Saudi Arabia.

Methods

A cross-sectional survey was used in this study. Data were collected using Brooks’ survey of Quality of Nursing Work Life, the Anticipated Turnover Scale and demographic data questions. A total of 508 PHC nurses in the Jazan Region, Saudi Arabia, completed the questionnaire (RR = 87%). Descriptive statistics, t-test, ANOVA, General Linear Model (GLM) univariate analysis, standard multiple regression, and hierarchical multiple regression were applied for analysis using SPSS v17 for Windows.

Results

Findings suggested that the respondents were dissatisfied with their work life, with almost 40% indicating a turnover intention from their current PHC centres. Turnover intention was significantly related to QWL. Using standard multiple regression, 26% of the variance in turnover intention was explained by QWL, p < 0.001, with R2 = .263. Further analysis using hierarchical multiple regression found that the total variance explained by the model as a whole (demographics and QWL) was 32.1%, p < 0.001. QWL explained an additional 19% of the variance in turnover intention, after controlling for demographic variables.

Conclusions

Creating and maintaining a healthy work life for PHC nurses is very important to improve their work satisfaction, reduce turnover, enhance productivity and improve nursing care outcomes.
Appendix
Available only for authorised users
Literature
1.
go back to reference Hayes LJ, O'Brien-Pallas L, Duffield C, Shamian J, Buchan J, Hughes F, Spence Laschinger HK, North N, Stone PW: Nurse turnover: A literature review. Int J Nurs Stud. 2006, 43 (2): 237-263. 10.1016/j.ijnurstu.2005.02.007.CrossRefPubMed Hayes LJ, O'Brien-Pallas L, Duffield C, Shamian J, Buchan J, Hughes F, Spence Laschinger HK, North N, Stone PW: Nurse turnover: A literature review. Int J Nurs Stud. 2006, 43 (2): 237-263. 10.1016/j.ijnurstu.2005.02.007.CrossRefPubMed
2.
go back to reference Aiken LH, Clarke SP, Sloane DM, Sochalski JA, Busse R, Clarke H, Giovannetti P, Hunt J, Rafferty AM, Shamian J: Nurses’ reports on hospital care in five countries. Health Aff. 2001, 20 (3): 43-53. 10.1377/hlthaff.20.3.43.CrossRef Aiken LH, Clarke SP, Sloane DM, Sochalski JA, Busse R, Clarke H, Giovannetti P, Hunt J, Rafferty AM, Shamian J: Nurses’ reports on hospital care in five countries. Health Aff. 2001, 20 (3): 43-53. 10.1377/hlthaff.20.3.43.CrossRef
3.
go back to reference Borda RG, Norman IJ: Factors influencing turnover and absence of nurses: A research review. Int J Nurs Stud. 1997, 34 (6): 385-394. 10.1016/S0020-7489(97)00031-X.CrossRef Borda RG, Norman IJ: Factors influencing turnover and absence of nurses: A research review. Int J Nurs Stud. 1997, 34 (6): 385-394. 10.1016/S0020-7489(97)00031-X.CrossRef
4.
go back to reference Ingersoll GL, Olsan T, Drew-Cates J, DeVinney BC, Davies J: Nurses' job satisfaction, organizational commitment, and career intent. J Nurs Adm. 2002, 32 (5): 250-263. 10.1097/00005110-200205000-00005.CrossRefPubMed Ingersoll GL, Olsan T, Drew-Cates J, DeVinney BC, Davies J: Nurses' job satisfaction, organizational commitment, and career intent. J Nurs Adm. 2002, 32 (5): 250-263. 10.1097/00005110-200205000-00005.CrossRefPubMed
5.
go back to reference Rothrock JC: Attracting and keeping new graduates. AORN. 2007, 85 (6): 1063-1064. 10.1016/j.aorn.2007.05.003.CrossRef Rothrock JC: Attracting and keeping new graduates. AORN. 2007, 85 (6): 1063-1064. 10.1016/j.aorn.2007.05.003.CrossRef
6.
go back to reference Jones CB: The costs of nurse turnover: Part 1: An economic perspective. J Nurs Adm. 2004, 34 (12): 562-570.CrossRefPubMed Jones CB: The costs of nurse turnover: Part 1: An economic perspective. J Nurs Adm. 2004, 34 (12): 562-570.CrossRefPubMed
7.
go back to reference Gifford BD, Zammuto RF, Goodman EA: The relationship between hospital unit culture and nurses’ quality of work life. J Healthc Manag. 2002, 47 (1): 13-25.PubMed Gifford BD, Zammuto RF, Goodman EA: The relationship between hospital unit culture and nurses’ quality of work life. J Healthc Manag. 2002, 47 (1): 13-25.PubMed
8.
go back to reference Hsu MY, Kernohan G: Dimensions of hospital nurses’ quality of working life. J Adv Nurs. 2006, 54 (1): 120-131. 10.1111/j.1365-2648.2006.03788.x.CrossRefPubMed Hsu MY, Kernohan G: Dimensions of hospital nurses’ quality of working life. J Adv Nurs. 2006, 54 (1): 120-131. 10.1111/j.1365-2648.2006.03788.x.CrossRefPubMed
9.
go back to reference Brooks BA: Development of an instrument to measure quality of nurses’ worklife. PhD thesis. 2001, University of Illinois at Chicago: Health Sciences Center Brooks BA: Development of an instrument to measure quality of nurses’ worklife. PhD thesis. 2001, University of Illinois at Chicago: Health Sciences Center
10.
go back to reference Brooks BA, Storfjell J, Omoike O, Ohlson S, Stemler I, Shaver J, Brown A: Assessing the quality of nursing work life. Nurs Adm Q. 2007, 31 (2): 152-157.CrossRefPubMed Brooks BA, Storfjell J, Omoike O, Ohlson S, Stemler I, Shaver J, Brown A: Assessing the quality of nursing work life. Nurs Adm Q. 2007, 31 (2): 152-157.CrossRefPubMed
12.
go back to reference Abu-Zinadah S: Nursing situation in Saudi Arabia. 2006, Riyadh: Saudi Nursing Board, Saudi Commission for Health Specialties Abu-Zinadah S: Nursing situation in Saudi Arabia. 2006, Riyadh: Saudi Nursing Board, Saudi Commission for Health Specialties
13.
go back to reference World Health Organisation: Country cooperation strategy for WHO and Saudi Arabia 2006–2011. 2006, Cairo: World Health Organization, Regional Office for the Eastern Mediterranean World Health Organisation: Country cooperation strategy for WHO and Saudi Arabia 2006–2011. 2006, Cairo: World Health Organization, Regional Office for the Eastern Mediterranean
14.
go back to reference Al Juhani AM, Kishk NA: Job satisfaction among primary health care physicians and nurses in Al-Madinah Al-Munawwarah. J Egypt Public Health Assoc. 2006, 81 (3–4): 165-180.PubMed Al Juhani AM, Kishk NA: Job satisfaction among primary health care physicians and nurses in Al-Madinah Al-Munawwarah. J Egypt Public Health Assoc. 2006, 81 (3–4): 165-180.PubMed
15.
go back to reference El-Gilany A, Al-Wehady A: Job satisfaction of female Saudi nurses. East Mediterr Health J. 2001, 7 (1/2): 31-37.PubMed El-Gilany A, Al-Wehady A: Job satisfaction of female Saudi nurses. East Mediterr Health J. 2001, 7 (1/2): 31-37.PubMed
16.
go back to reference Brooks BA, Anderson MA: Defining quality of nursing work life. Nurs Eco. 2005, 23 (6): 319-326. Brooks BA, Anderson MA: Defining quality of nursing work life. Nurs Eco. 2005, 23 (6): 319-326.
17.
go back to reference Alamri AS, Rasheed MF, Alfawzan NM: Reluctance of Saudi youth towards the nursing profession and the high rate of unemployment in Saudi Arabia: Causes and effects. 2006, Riyadh: King Saud University, (in Arabic) Alamri AS, Rasheed MF, Alfawzan NM: Reluctance of Saudi youth towards the nursing profession and the high rate of unemployment in Saudi Arabia: Causes and effects. 2006, Riyadh: King Saud University, (in Arabic)
18.
go back to reference Al-Khaldi Y, Al-Sharif A: Availability of resources of diabetic care in primary health care settings in Aseer region, Saudi Arabia. Saudi Med J. 2002, 23 (12): 1509-1513.PubMed Al-Khaldi Y, Al-Sharif A: Availability of resources of diabetic care in primary health care settings in Aseer region, Saudi Arabia. Saudi Med J. 2002, 23 (12): 1509-1513.PubMed
19.
go back to reference Almalki M, Fitzgerald G, Clark M: The healthcare system in Saudi Arabia: An overview. East Mediterr Health J. 2011, 7 (10): 784-793. Almalki M, Fitzgerald G, Clark M: The healthcare system in Saudi Arabia: An overview. East Mediterr Health J. 2011, 7 (10): 784-793.
20.
go back to reference Almalki MJ: Quality of work life and turnover intention in primary healthcare organisations: A cross-sectional study of registered nurses in Saudi Arabia. PhD thesis. 2012, Queensland University of Technology: Faculty of Health Almalki MJ: Quality of work life and turnover intention in primary healthcare organisations: A cross-sectional study of registered nurses in Saudi Arabia. PhD thesis. 2012, Queensland University of Technology: Faculty of Health
21.
go back to reference Ministry of Health: Health statistical year book. 2009, Riyadh: Ministry of Health Ministry of Health: Health statistical year book. 2009, Riyadh: Ministry of Health
22.
go back to reference Mor Barak ME, Nissly JA, Levin A: Antecedents to retention and turnover among child welfare, social work, and other human service employees: What can we learn from past research? A review and meta-nalysis. Soc Serv Rev. 2001, 75 (4): 625-661. 10.1086/323166.CrossRef Mor Barak ME, Nissly JA, Levin A: Antecedents to retention and turnover among child welfare, social work, and other human service employees: What can we learn from past research? A review and meta-nalysis. Soc Serv Rev. 2001, 75 (4): 625-661. 10.1086/323166.CrossRef
23.
go back to reference Bluedorn A: A unified model of turnover from organizations. Human Relations. 1982, 35 (2): 135-153. 10.1177/001872678203500204.CrossRef Bluedorn A: A unified model of turnover from organizations. Human Relations. 1982, 35 (2): 135-153. 10.1177/001872678203500204.CrossRef
24.
go back to reference Hinshaw AS, Atwood JR: Anticipated turnover among nursing staff study: Final report. 1984, Tucson, AZ: National Centre for Nursing Research and National Institute of HealthUniversity of Arizona Hinshaw AS, Atwood JR: Anticipated turnover among nursing staff study: Final report. 1984, Tucson, AZ: National Centre for Nursing Research and National Institute of HealthUniversity of Arizona
25.
go back to reference Armstrong RA: Mandated staffing ratios: Effect on nurse work satisfaction, anticipated turnover, and nurse retention in an acute care hospital. PhD thesis. 2004, George Mason University: Dissertation Abstracts International Armstrong RA: Mandated staffing ratios: Effect on nurse work satisfaction, anticipated turnover, and nurse retention in an acute care hospital. PhD thesis. 2004, George Mason University: Dissertation Abstracts International
26.
go back to reference Beecroft PC, Kunzman L, Krozek C: RN internship: Outcomes of a one-year pilot program. J Nurs Adm. 2001, 31 (12): 575-582. 10.1097/00005110-200112000-00008.CrossRefPubMed Beecroft PC, Kunzman L, Krozek C: RN internship: Outcomes of a one-year pilot program. J Nurs Adm. 2001, 31 (12): 575-582. 10.1097/00005110-200112000-00008.CrossRefPubMed
27.
go back to reference Brady-Schwartz DC: Satisfaction with organizational characteristics, job satisfaction, and intent to leave current positions: A comparison of Magnet and non-Magnet hospital staff registered nurses. PhD thesis. 2003, Touro University International Brady-Schwartz DC: Satisfaction with organizational characteristics, job satisfaction, and intent to leave current positions: A comparison of Magnet and non-Magnet hospital staff registered nurses. PhD thesis. 2003, Touro University International
28.
go back to reference Chaaban HA: Job satisfaction, organizational commitment and turnover intent among nurse anesthetists in Michigan. PhD thesis. 2006, Capella University Chaaban HA: Job satisfaction, organizational commitment and turnover intent among nurse anesthetists in Michigan. PhD thesis. 2006, Capella University
29.
go back to reference Cox KB: The effects of unit morale and interpersonal relations on conflict in the nursing unit. J Adv Nurs. 2001, 35 (1): 17-25. 10.1046/j.1365-2648.2001.01819.x.CrossRefPubMed Cox KB: The effects of unit morale and interpersonal relations on conflict in the nursing unit. J Adv Nurs. 2001, 35 (1): 17-25. 10.1046/j.1365-2648.2001.01819.x.CrossRefPubMed
30.
go back to reference Miller PE: The relationship between job satisfaction and intention to leave: A study of hospice nurses in a for-profit corporation. PhD thesis. 2007, Capella University Miller PE: The relationship between job satisfaction and intention to leave: A study of hospice nurses in a for-profit corporation. PhD thesis. 2007, Capella University
31.
go back to reference Miller PE: The relationship between job satisfaction and intention to leave of hospice nurses in a for-profit corporation. Journal of Hospice & Palliative Nursing. 2008, 10 (1): 56-64. 10.1097/01.NJH.0000306711.65786.75.CrossRef Miller PE: The relationship between job satisfaction and intention to leave of hospice nurses in a for-profit corporation. Journal of Hospice & Palliative Nursing. 2008, 10 (1): 56-64. 10.1097/01.NJH.0000306711.65786.75.CrossRef
32.
go back to reference Wilson AA: Impact of management development on nurse retention: Leadership for the future. Nurs Adm Q. 2005, 29 (2): 137-145.CrossRefPubMed Wilson AA: Impact of management development on nurse retention: Leadership for the future. Nurs Adm Q. 2005, 29 (2): 137-145.CrossRefPubMed
33.
go back to reference Barlow KM, Zangoro GA: Meta-analysis of the reliability and validity of the Anticipated Turnover Scale across studies of registered nurses in the United States. J Nurs Manag. 2010, 18 (7): 862-873. 10.1111/j.1365-2834.2010.01171.x.CrossRefPubMed Barlow KM, Zangoro GA: Meta-analysis of the reliability and validity of the Anticipated Turnover Scale across studies of registered nurses in the United States. J Nurs Manag. 2010, 18 (7): 862-873. 10.1111/j.1365-2834.2010.01171.x.CrossRefPubMed
34.
go back to reference Khani A, Jaafarpour M, Dyrekvandmogadam A: Quality of nursing work life. Journal of Clinical and Diagnostic Research. 2008, 2 (6): 1169-1174. Khani A, Jaafarpour M, Dyrekvandmogadam A: Quality of nursing work life. Journal of Clinical and Diagnostic Research. 2008, 2 (6): 1169-1174.
35.
go back to reference Zadeh YS, Mansoori H, Farid D: Study of the relation between quality of work life and productivity of human resources in health care institutes: A case study among nurses in Shahid Sadughi Hospital in Yazd. Journal of Urmia Nursing and Midwifery Faculty. 2008, 6 (2): 61-70. Zadeh YS, Mansoori H, Farid D: Study of the relation between quality of work life and productivity of human resources in health care institutes: A case study among nurses in Shahid Sadughi Hospital in Yazd. Journal of Urmia Nursing and Midwifery Faculty. 2008, 6 (2): 61-70.
36.
go back to reference Clarke P, Brooks B: Quality of nursing worklife: Conceptual clarity for the future. Nurs Sci Q. 2010, 23 (4): 301-305. 10.1177/0894318410380268.CrossRefPubMed Clarke P, Brooks B: Quality of nursing worklife: Conceptual clarity for the future. Nurs Sci Q. 2010, 23 (4): 301-305. 10.1177/0894318410380268.CrossRefPubMed
37.
go back to reference Cha E-S, Kim KH, Erlen JA: Translation of scales in cross-cultural research: Issues and techniques. J Adv Nurs. 2007, 58 (4): 386-395. 10.1111/j.1365-2648.2007.04242.x.CrossRefPubMed Cha E-S, Kim KH, Erlen JA: Translation of scales in cross-cultural research: Issues and techniques. J Adv Nurs. 2007, 58 (4): 386-395. 10.1111/j.1365-2648.2007.04242.x.CrossRefPubMed
39.
go back to reference Brooks BA, Anderson MA: Nursing work life in acute care. J Nurs Care Qual. 2004, 19 (3): 269-275. 10.1097/00001786-200407000-00014.CrossRefPubMed Brooks BA, Anderson MA: Nursing work life in acute care. J Nurs Care Qual. 2004, 19 (3): 269-275. 10.1097/00001786-200407000-00014.CrossRefPubMed
40.
go back to reference Nasl Saraji G, Dargahi H: Study of quality of work life (QWL). Iran J Public Health. 2006, 35 (4): 8-14. Nasl Saraji G, Dargahi H: Study of quality of work life (QWL). Iran J Public Health. 2006, 35 (4): 8-14.
41.
go back to reference Hanlon M, Gladstein D: Improving the quality of work life in hospitals: A case study. Hosp Health Serv Adm. 1984, 29 (5): 94-107.PubMed Hanlon M, Gladstein D: Improving the quality of work life in hospitals: A case study. Hosp Health Serv Adm. 1984, 29 (5): 94-107.PubMed
43.
go back to reference Gardulf A, Soderstrom I-L, Orton M-L, Eriksson LE, Arnetz B, Nordstrom G: Why do nurses at a university hospital want to quit their jobs?. J Nurs Manag. 2005, 13 (4): 329-337. 10.1111/j.1365-2934.2005.00537.x.CrossRefPubMed Gardulf A, Soderstrom I-L, Orton M-L, Eriksson LE, Arnetz B, Nordstrom G: Why do nurses at a university hospital want to quit their jobs?. J Nurs Manag. 2005, 13 (4): 329-337. 10.1111/j.1365-2934.2005.00537.x.CrossRefPubMed
44.
go back to reference Rambur B, Palumbo MV, McIntosh B, Mongeon J: A statewide analysis of RNs’ intention to leave their position. Nurs Outlook. 2003, 51 (4): 182-188. 10.1016/S0029-6554(03)00115-5.CrossRefPubMed Rambur B, Palumbo MV, McIntosh B, Mongeon J: A statewide analysis of RNs’ intention to leave their position. Nurs Outlook. 2003, 51 (4): 182-188. 10.1016/S0029-6554(03)00115-5.CrossRefPubMed
45.
go back to reference Coomber B, Barriball KL: Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: A review of the research literature. Int J Nurs Stud. 2007, 44 (2): 297-314. 10.1016/j.ijnurstu.2006.02.004.CrossRefPubMed Coomber B, Barriball KL: Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: A review of the research literature. Int J Nurs Stud. 2007, 44 (2): 297-314. 10.1016/j.ijnurstu.2006.02.004.CrossRefPubMed
46.
go back to reference Chan M, Luk A, Leong S, Yeung S, Van I: Factors influencing Macao nurses’ intention to leave current employment. J Clin Nurs. 2009, 18 (6): 893-901.PubMed Chan M, Luk A, Leong S, Yeung S, Van I: Factors influencing Macao nurses’ intention to leave current employment. J Clin Nurs. 2009, 18 (6): 893-901.PubMed
48.
go back to reference Zaghloul AA, Al-Hussaini MF, Al-Bassam NK: Intention to stay and nurses’ satisfaction dimensions. Journal of Multidisciplinary Healthcare. 2008, 1: 51-58.CrossRefPubMedPubMedCentral Zaghloul AA, Al-Hussaini MF, Al-Bassam NK: Intention to stay and nurses’ satisfaction dimensions. Journal of Multidisciplinary Healthcare. 2008, 1: 51-58.CrossRefPubMedPubMedCentral
49.
go back to reference Saeed KS: Factors which influence nurses’ intention to leave the hospital, Riyadh City, Saudi Arabia. Journal of King Saud University. 1995, 7 (Administrative Sciences-2): 85-105. Saeed KS: Factors which influence nurses’ intention to leave the hospital, Riyadh City, Saudi Arabia. Journal of King Saud University. 1995, 7 (Administrative Sciences-2): 85-105.
50.
go back to reference Shah MA, Al-Enezi N, Chowdhury RI, Al Otabi M: Determinants of job satisfaction among nurses in Kuwait. Aust J Adv Nurs. 2004, 21 (4): 10-16.PubMed Shah MA, Al-Enezi N, Chowdhury RI, Al Otabi M: Determinants of job satisfaction among nurses in Kuwait. Aust J Adv Nurs. 2004, 21 (4): 10-16.PubMed
51.
go back to reference McCarthy G, Tyrrell MP, Lehane E: Intention to ‘leave’ or ‘stay’ in Nursing. J Nurs Manag. 2007, 15 (3): 248-255. 10.1111/j.1365-2834.2007.00648.x.CrossRefPubMed McCarthy G, Tyrrell MP, Lehane E: Intention to ‘leave’ or ‘stay’ in Nursing. J Nurs Manag. 2007, 15 (3): 248-255. 10.1111/j.1365-2834.2007.00648.x.CrossRefPubMed
52.
go back to reference Camerino D, Conway PM, Van der Heijden BIJM, Estryn-Behar M, Consonni D, Gould D, Hasselhorn HM, Group tN-S: Low-perceived work ability, ageing and intention to leave nursing: A comparison among 10 European countries. J Adv Nurs. 2006, 56 (5): 542-552. 10.1111/j.1365-2648.2006.04046.x.CrossRefPubMed Camerino D, Conway PM, Van der Heijden BIJM, Estryn-Behar M, Consonni D, Gould D, Hasselhorn HM, Group tN-S: Low-perceived work ability, ageing and intention to leave nursing: A comparison among 10 European countries. J Adv Nurs. 2006, 56 (5): 542-552. 10.1111/j.1365-2648.2006.04046.x.CrossRefPubMed
53.
go back to reference Kudo Y, Satoh T, Hosoi K, Miki T, Watanabe M, Kido S, Aizawa Y: Association between intention to stay on the job and job satisfaction among Japanese Nurses in small and medium-sized private hospitals. J Occup Health. 2006, 48: 504-513. 10.1539/joh.48.504.CrossRefPubMed Kudo Y, Satoh T, Hosoi K, Miki T, Watanabe M, Kido S, Aizawa Y: Association between intention to stay on the job and job satisfaction among Japanese Nurses in small and medium-sized private hospitals. J Occup Health. 2006, 48: 504-513. 10.1539/joh.48.504.CrossRefPubMed
54.
go back to reference Shader K, Broome ME, Broome CD, West ME, Nash M: Factors influencing satisfaction and anticipated turnover for nurses in an academic medical centre. J Nurs Adm. 2001, 31 (4): 210-216. 10.1097/00005110-200104000-00010.CrossRefPubMed Shader K, Broome ME, Broome CD, West ME, Nash M: Factors influencing satisfaction and anticipated turnover for nurses in an academic medical centre. J Nurs Adm. 2001, 31 (4): 210-216. 10.1097/00005110-200104000-00010.CrossRefPubMed
55.
go back to reference Letvak S, Buck R: Factors influencing work productivity and intent to stay in nursing. Nurs Eco. 2008, 26 (3): 159-165. Letvak S, Buck R: Factors influencing work productivity and intent to stay in nursing. Nurs Eco. 2008, 26 (3): 159-165.
56.
go back to reference Hinshaw AS, Atwood JR: Testing a theoretical model for job satisfaction and anticipated turnover of nursing staff. Nurs Res. 1985, 34 (6): 21-23. Hinshaw AS, Atwood JR: Testing a theoretical model for job satisfaction and anticipated turnover of nursing staff. Nurs Res. 1985, 34 (6): 21-23.
57.
go back to reference Mathieu J, Zajac D: A review and meta-analysis of the antecedents, correlates, and consequences of organizational commitment. Psychol Bull. 1990, 108 (2): 171-194.CrossRef Mathieu J, Zajac D: A review and meta-analysis of the antecedents, correlates, and consequences of organizational commitment. Psychol Bull. 1990, 108 (2): 171-194.CrossRef
58.
go back to reference Stevens J, Beyer J, Trice H: Assessing personal, role, and organizational predictors of managerial commitment. Acad Manage J. 1978, 21 (3): 380-10.2307/255721.CrossRefPubMed Stevens J, Beyer J, Trice H: Assessing personal, role, and organizational predictors of managerial commitment. Acad Manage J. 1978, 21 (3): 380-10.2307/255721.CrossRefPubMed
59.
go back to reference Ho C-C: A study of the relationships between work values, job involvement and organisational commitment among Taiwanese Nurses. PhD thesis. 2006, Queensland University of Technology, Faculty of Health Ho C-C: A study of the relationships between work values, job involvement and organisational commitment among Taiwanese Nurses. PhD thesis. 2006, Queensland University of Technology, Faculty of Health
60.
go back to reference Fochsen G, Josephson M, Hagberg M, Toomingas A, Lagerstrom M: Predictors of leaving nursing care: A longitudinal study among Swedish nursing personnel. Occup Environ Med. 2006, 63: 198-201. 10.1136/oem.2005.021956.CrossRefPubMedPubMedCentral Fochsen G, Josephson M, Hagberg M, Toomingas A, Lagerstrom M: Predictors of leaving nursing care: A longitudinal study among Swedish nursing personnel. Occup Environ Med. 2006, 63: 198-201. 10.1136/oem.2005.021956.CrossRefPubMedPubMedCentral
61.
go back to reference Hart SA: Hospital ethical climates and registered nurses’ turnover intentions. J Nurs Scholarsh. 2005, 37 (2): 173-177. 10.1111/j.1547-5069.2005.00030.x.CrossRefPubMed Hart SA: Hospital ethical climates and registered nurses’ turnover intentions. J Nurs Scholarsh. 2005, 37 (2): 173-177. 10.1111/j.1547-5069.2005.00030.x.CrossRefPubMed
62.
go back to reference Lou JH, Yu HY, Hsu HY, Dai HD: A study of role stress, organizational commitment and intention to quit among male nurses in southern Taiwan. J Nurs Res. 2007, 15 (1): 43-53. 10.1097/01.JNR.0000387598.40156.d2.CrossRefPubMed Lou JH, Yu HY, Hsu HY, Dai HD: A study of role stress, organizational commitment and intention to quit among male nurses in southern Taiwan. J Nurs Res. 2007, 15 (1): 43-53. 10.1097/01.JNR.0000387598.40156.d2.CrossRefPubMed
63.
go back to reference O’Lynn CE: Gender-based barriers for male students in nursing education programs: Prevalence and perceived importance. J Nurs Educ. 2004, 43 (5): 229-236.PubMed O’Lynn CE: Gender-based barriers for male students in nursing education programs: Prevalence and perceived importance. J Nurs Educ. 2004, 43 (5): 229-236.PubMed
64.
go back to reference Tourangeau AE, Cranley LA: Nurse intention to remain employed: Understanding and strengthening determinants. J Adv Nurs. 2006, 55 (4): 497-509. 10.1111/j.1365-2648.2006.03934.x.CrossRefPubMed Tourangeau AE, Cranley LA: Nurse intention to remain employed: Understanding and strengthening determinants. J Adv Nurs. 2006, 55 (4): 497-509. 10.1111/j.1365-2648.2006.03934.x.CrossRefPubMed
65.
go back to reference Al-Ahmadi HA: Job satisfaction of nurses in Ministry of Health Hospitals in Riyadh, Saudi Arabia. Saudi Med J. 2002, 23 (6): 645-650.PubMed Al-Ahmadi HA: Job satisfaction of nurses in Ministry of Health Hospitals in Riyadh, Saudi Arabia. Saudi Med J. 2002, 23 (6): 645-650.PubMed
66.
go back to reference Hwang J-I, Chang H: Explaining turnover intention in Korean public community hospitals: Occupational differences. Int J Health Plann Manage. 2008, 23 (2): 119-138. 10.1002/hpm.862.CrossRefPubMed Hwang J-I, Chang H: Explaining turnover intention in Korean public community hospitals: Occupational differences. Int J Health Plann Manage. 2008, 23 (2): 119-138. 10.1002/hpm.862.CrossRefPubMed
67.
go back to reference Tai TWC, Bame SI, Robinson CD: Review of nursing turnover research, 1977–1996. Soc Sci Med. 1998, 47 (12): 1905-1924. 10.1016/S0277-9536(98)00333-5.CrossRefPubMed Tai TWC, Bame SI, Robinson CD: Review of nursing turnover research, 1977–1996. Soc Sci Med. 1998, 47 (12): 1905-1924. 10.1016/S0277-9536(98)00333-5.CrossRefPubMed
68.
go back to reference Phillipson C, Smith A: Extending working life: A review of the research literature. 2005, Norwich: Department for Work and Pensions Phillipson C, Smith A: Extending working life: A review of the research literature. 2005, Norwich: Department for Work and Pensions
69.
go back to reference Barnes H, Parry J, Lakey J: Forging a new future: The experiences and expectations of people leaving paid work over 50. 2002, Bristol: Policy Press Barnes H, Parry J, Lakey J: Forging a new future: The experiences and expectations of people leaving paid work over 50. 2002, Bristol: Policy Press
70.
go back to reference Higgs P, Mein G, Ferrie J, Hyde M, Nazroo J: Pathways to early retirement: Structure and agency in decision-making among British civil servants. Ageing Soc. 2003, 23: 761-778. 10.1017/S0144686X03001326.CrossRef Higgs P, Mein G, Ferrie J, Hyde M, Nazroo J: Pathways to early retirement: Structure and agency in decision-making among British civil servants. Ageing Soc. 2003, 23: 761-778. 10.1017/S0144686X03001326.CrossRef
71.
go back to reference Beecroft PC, Dorey F, Wenten M: Turnover intention in new graduate nurses: A multivariate analysis. J Adv Nurs. 2008, 62 (1): 41-52. 10.1111/j.1365-2648.2007.04570.x.CrossRefPubMedPubMedCentral Beecroft PC, Dorey F, Wenten M: Turnover intention in new graduate nurses: A multivariate analysis. J Adv Nurs. 2008, 62 (1): 41-52. 10.1111/j.1365-2648.2007.04570.x.CrossRefPubMedPubMedCentral
72.
go back to reference Cabigao E: Predictors of intention to quit and satisfaction among nurses who work in nursing homes. PhD thesis. 2009, TUI University, College of Health Sciences Cabigao E: Predictors of intention to quit and satisfaction among nurses who work in nursing homes. PhD thesis. 2009, TUI University, College of Health Sciences
73.
go back to reference Sourdif J: Predictors of nurses’ intent to stay at work in a university health centre. Nurs Health Sci. 2004, 6: 59-68. 10.1111/j.1442-2018.2003.00174.x.CrossRefPubMed Sourdif J: Predictors of nurses’ intent to stay at work in a university health centre. Nurs Health Sci. 2004, 6: 59-68. 10.1111/j.1442-2018.2003.00174.x.CrossRefPubMed
74.
go back to reference Fang Y: Turnover propensity and its causes among Singapore nurses: An empirical study. Int J Hum Resour Man. 2001, 12 (5): 859-871.CrossRef Fang Y: Turnover propensity and its causes among Singapore nurses: An empirical study. Int J Hum Resour Man. 2001, 12 (5): 859-871.CrossRef
75.
go back to reference Larrabee JH, Janney MA, Ostrow CL, Withrow ML, Hobbs GR, Burant C: Predicting registered nurse job satisfaction and intent to leave. J Nurs Adm. 2003, 33 (5): 271-283. 10.1097/00005110-200305000-00003.CrossRefPubMed Larrabee JH, Janney MA, Ostrow CL, Withrow ML, Hobbs GR, Burant C: Predicting registered nurse job satisfaction and intent to leave. J Nurs Adm. 2003, 33 (5): 271-283. 10.1097/00005110-200305000-00003.CrossRefPubMed
76.
go back to reference Almalki M, Fitzgerald G, Clark M: The nursing profession in Saudi Arabia: An overview. Int Nurs Rev. 2011, 58 (3): 304-311. 10.1111/j.1466-7657.2011.00890.x.CrossRefPubMed Almalki M, Fitzgerald G, Clark M: The nursing profession in Saudi Arabia: An overview. Int Nurs Rev. 2011, 58 (3): 304-311. 10.1111/j.1466-7657.2011.00890.x.CrossRefPubMed
77.
go back to reference Hwang J, Chang H: Work climate perception and turnover intention among Korean hospital staff. Int Nurs Rev. 2009, 56 (1): 73-80. 10.1111/j.1466-7657.2008.00641.x.CrossRefPubMed Hwang J, Chang H: Work climate perception and turnover intention among Korean hospital staff. Int Nurs Rev. 2009, 56 (1): 73-80. 10.1111/j.1466-7657.2008.00641.x.CrossRefPubMed
78.
go back to reference Gregory DM, Way CY, LeFort S, Barrett BJ, Parfrey PS: Predictors of registered nurses’ organizational commitment and intent to stay. Health Care Manage Rev. 2007, 32 (2): 119-127. 10.1097/01.HMR.0000267788.79190.f4.CrossRefPubMed Gregory DM, Way CY, LeFort S, Barrett BJ, Parfrey PS: Predictors of registered nurses’ organizational commitment and intent to stay. Health Care Manage Rev. 2007, 32 (2): 119-127. 10.1097/01.HMR.0000267788.79190.f4.CrossRefPubMed
79.
go back to reference Kudo Y, Satoh T, Sinji H, Miki T, Watanabe M, Wada K, Hosoi K, Hagita K, Saito Y, Aizawa Y: Factors associated with turnover intention among nurses in small and medium-sized medical institutions. Environmental Health and Preventive Medicine. 2006, 11: 128-135. 10.1265/ehpm.11.128.CrossRefPubMedPubMedCentral Kudo Y, Satoh T, Sinji H, Miki T, Watanabe M, Wada K, Hosoi K, Hagita K, Saito Y, Aizawa Y: Factors associated with turnover intention among nurses in small and medium-sized medical institutions. Environmental Health and Preventive Medicine. 2006, 11: 128-135. 10.1265/ehpm.11.128.CrossRefPubMedPubMedCentral
80.
go back to reference Reeves R, West E, Barron D: The impact of barriers to providing high-quality care on nurses’ intentions to leave London hospitals. J Health Serv Res Policy. 2005, 10 (1): 5-9. 10.1258/1355819052801750.CrossRefPubMed Reeves R, West E, Barron D: The impact of barriers to providing high-quality care on nurses’ intentions to leave London hospitals. J Health Serv Res Policy. 2005, 10 (1): 5-9. 10.1258/1355819052801750.CrossRefPubMed
81.
go back to reference Chan E-Y, Morrison P: Factors influencing the retention and turnover intentions of registered nurses in a Singapore hospital. Nurs Health Sci. 2000, 2: 113-121. 10.1046/j.1442-2018.2000.00046.x.CrossRef Chan E-Y, Morrison P: Factors influencing the retention and turnover intentions of registered nurses in a Singapore hospital. Nurs Health Sci. 2000, 2: 113-121. 10.1046/j.1442-2018.2000.00046.x.CrossRef
82.
go back to reference Takase M, Maude P, Manias E: Impact of the perceived public image of nursing on nurses’ work behaviour. J Adv Nurs. 2006, 53 (3): 333-343. 10.1111/j.1365-2648.2006.03729.x.CrossRefPubMed Takase M, Maude P, Manias E: Impact of the perceived public image of nursing on nurses’ work behaviour. J Adv Nurs. 2006, 53 (3): 333-343. 10.1111/j.1365-2648.2006.03729.x.CrossRefPubMed
83.
go back to reference Boyle OK, Bott MJ, Hansen HE, Woods CO, Taunton RL: Manager’s leadership and critical care nurses’ intent to stay. Am J Crit Care. 1999, 8 (6): 361-371.PubMed Boyle OK, Bott MJ, Hansen HE, Woods CO, Taunton RL: Manager’s leadership and critical care nurses’ intent to stay. Am J Crit Care. 1999, 8 (6): 361-371.PubMed
Metadata
Title
The relationship between quality of work life and turnover intention of primary health care nurses in Saudi Arabia
Authors
Mohammed J Almalki
Gerry FitzGerald
Michele Clark
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2012
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-12-314

Other articles of this Issue 1/2012

BMC Health Services Research 1/2012 Go to the issue