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Turnover Intention in Healthcare Workers: A Bibliometric Analysis

Year 2023, Volume: 4 Issue: 1, 41 - 56, 30.04.2023
https://doi.org/10.59007/meyadakademi.1272021

Abstract

In order to control the employee turnover rate in health institutions and to keep it at a low level, many studies are carried out on the turnover intention. The turnover intention the job in the health sector, which has an important place in scientific research today, will continue to attract attention in the coming years. In this context, the aim of this study is to perform a bibliometric analysis of the studies on the turnover intention the job of employees in the health sector. According to the search strategy developed in line with the purpose of the study, the studies were accessed from the Web of Science database. A total of 829 articles were included in the research. The obtained data were analyzed in a single period with the SciMat bibliometric analysis program. According to the findings, the first study on turnover the intention the job of health workers was made in 1983. The highest number of publications is in 2022. The author who contributed the most to the field is Claude Fernet. Studies were mostly conducted in China, the USA, and South Korea. In addition, turnover intention, meta-analysis, job identification, job insecurity, motor themes, compassion fatigue, scales as isolated themes, anxiety, work-family conflict, emerging themes, leadership and nurses were determined as the main themes. In addition, it has been revealed that the theme of turnover intention is in a strong relationship with sub-themes such as job satisfaction and burnout.

References

  • 1. Dawson AJ, Stasa H, Roche MA, Homer CSE, Dufeld C. Nursing churn and turnover in Australian hospitals: nurses perceptions and suggestions for supportive strategies. BMC Nurs. 2014;13(1):11.
  • 2. Hayes LJ, O’Brien-Pallas L, Dufeld C, Shamian J, Buchan J, Hughes F, et al. Nurse turnover: a literature review. Int J Nurs Stud. 2006;43(2):237–63.
  • 3. Bureau of Labor Statistics. The Employment Situation—October 2020. 2020 [cited 2022 Mar 3]. https://www.dol.gov/newsroom/economicdata/ empsit_11062020.pdf.
  • 4. Galvin G. Nearly 1 in 5 Health care workers have quit their jobs during the pandemic. Morning Consult [Internet]. 2021 [cited 2022 Mar 3]. https:// morningconsult.com/2021/10/04/health-care-workers-series-part-2- workforce/.
  • 5. Tan C. More healthcare workers in S’pore quit amid growing fatigue as Covid-19 drags on. The Straits Times[Internet]. 2021 https://www.straitstimes.com/singapore/politics/more-healthcare-worke rs-inspore-resigning-amid-growing-fatigue-as-covid-19-drags.
  • 6. Çağatay Aksu B. COVID 19 pandemisinin sağlık çalışanlarının iş güvencesizliği algıları, algılanan iş stresleri ve işten ayrılma niyetleri üzerindeki etkilerini incelemeye yönelik bir araştırma. Hacettepe Sağlık İdaresi Derg. 2021;24(4):747–76.
  • 7. Liang Y-W, Chen W-Y, Lee J-L, Huang L-C. Nurse stafng, direct nursing care hours and patient mortality in Taiwan: the longitudinal analysis of hospital nurse stafng and patient outcome study. BMC Health Serv Res. 2012;12(1):44.
  • 8. Cho E, Lee N-J, Kim E-Y, Kim S, Lee K, Park K-O, et al. Nurse stafng level and overtime associated with patient safety, quality of care, and care left undone in hospitals: a cross-sectional study. Int J Nurs Stud. 2016;60:263–71.
  • 9. Montgomery A, Todorova I, Baban A, Panagopoulou E. Improving quality and safety in the hospital: the link between organizational culture, burn out, and quality of care. Br J Health Psychol. 2013;18(3):656–62.
  • 10. Cowden T, Cummings G, Profetto-McGrath J. Leadership practices and staf nurses’ intent to stay: a systematic review. J Nurs Manag. 2011;19(4):461–77.
  • 11. Daouk-Öyry L, Anouze AL, Otaki F, Dumit NY, Osman I. The JOINT model of nurse absenteeism and turnover: a systematic review. Int J Nurs Stud. 2014;51(1):93–110.
  • 12. Halter M, Boiko O, Pelone F, Beighton C, Harris R, Gale J, et al. The deter minants and consequences of adult nursing staf turnover: a systematic review of systematic reviews. BMC Health Serv Res. 2017;17(1):824.
  • 13. Lai GC, Taylor EV, Haigh MM, Thompson SC. Factors afecting the reten tion of indigenous australians in the health workforce: a systematic review. Int J Environ Res Public Health. 2018. https://doi.org/10.3390/ijerp h15050914.
  • 14. Lartey S, Cummings G, Profetto-McGrath J. Interventions that promote retention of experienced registered nurses in health care settings: a systematic review. J Nurs Manag. 2014;22(8):1027–41.
  • 15. Lee J. Nursing home nurses’ turnover intention: a systematic review. Nurs Open. 2022;9(1):22–9.
  • 16. Russell D, Mathew S, Fitts M, Liddle Z, Murakami-Gold L, Campbell N, et al. Interventions for health workforce retention in rural and remote areas: a systematic review. Hum Resour Health. 2021;19(1):103.
  • 17. Shen X, Jiang H, Xu H, Ye J, Lv C, Lu Z, et al. The global prevalence of turnover intention among general practitioners: a systematic review and meta-analysis. BMC Fam Pract. 2020;21(1):246.
  • 18. Yildiz B, Yildiz H, Ayaz AO. Relationship between work-family confict and turnover intention in nurses: a meta-analytic review. J Adv Nurs. 2021;77(8):3317–30.1. Çağatay Aksu B. COVID 19 pandemisinin sağlık çalışanlarının iş güvencesizliği algıları, algılanan iş stresleri ve işten ayrılma niyetleri üzerindeki etkilerini incelemeye yönelik bir araştırma. Hacettepe Sağlık İdaresi Derg. 2021;24(4):747–76.
  • 19. Khan MA, Pattnaik D, Ashraf R, Ali I, Kumar S, Donthu N. Value of special issues in the journal of business research: A bibliometric analysis. J Bus Res [Internet]. 2021;125(December 2020):295–313. Available from: https://doi.org/10.1016/j.jbusres.2020.12.015
  • 20. Donthu N, Kumar S, Mukherjee D, Pandey N, Lim WM. How to conduct a bibliometric analysis: An overview and guidelines. J Bus Res [Internet]. 2021;133(April):285–96. Available from: https://doi.org/10.1016/j.jbusres.2021.04.070
  • 21. Verma S, Gustafsson A. Investigating the emerging COVID-19 research trends in the field of business and management: A bibliometric analysis approach. J Bus Res [Internet]. 2020;118(July):253–61. Available from: https://doi.org/10.1016/j.jbusres.2020.06.057
  • 22. Moral-Muñoz JA, Herrera-Viedma E, Santisteban-Espejo A, Cobo MJ. Software tools for conducting bibliometric analysis in science: An up-to-date review. Prof la Inf. 2020;29(1):1–20.
  • 23. Cobo MJ, Lõpez-Herrera AG, Herrera-Viedma E, Herrera F. SciMAT: A new science mapping analysis software tool. J Am Soc Inf Sci Technol. 2012;63(8):1609–30.
  • 24. Cahlik T. Comparison of the maps of science. Scientometrics. 2000;49(3):373–87.
  • 25. Herrera-Viedma E, López-Robles JR, Guallar J, Cobo MJ. Global trends in coronavirus research at the time of COVID-19: A general bibliometric approach and content analysis using SciMAT. Prof la Inf. 2020;29(3):1–20.
  • 26. Labrague LJ, de los Santos JAA. Fear of COVID-19, psychological distress, work satisfaction and turnover intention among frontline nurses. J Nurs Manag. 2021;29(3):395–403.
  • 27. Zeng D, Wang B, Chen W. Inclusive leadership can improve nurses’ psychological ownership and reduce their turnover intention under the normalization of COVID-19 prevention. Front Psychol. 2023;13(January):1–13.
  • 28. Hayes LJ, O’Brien-Pallas L, Duffield C, Shamian J, Buchan J, Hughes F, et al. Nurse turnover: A literature review - An update. Int J Nurs Stud [Internet]. 2012;49(7):887–905. Available from: http://dx.doi.org/10.1016/j.ijnurstu.2011.10.001
  • 29. Zhang Y, Feng X. The relationship between job satisfaction, burnout, and turnover intention among physicians from urban state-owned medical institutions in Hubei, China: A cross-sectional study. BMC Health Serv Res. 2011;11(1):1–13.
  • 30. Van Der Heijden B, Mahoney CB, Xu Y. Impact of job demands and resources on nurses’ burnout and occupational turnover intention towards an age-moderated mediation model for the nursing profession. Int J Environ Res Public Health. 2019;16(11).
  • 31. Yáñez JA, Jahanshahi AA, Alvarez-Risco A, Li J, Zhang SX. Anxiety, distress, and turnover intention of healthcare workers in Peru by their distance to the epicenter during the COVID-19 crisis. Am J Trop Med Hyg. 2020;103(4):1614–20.
  • 32. De Simone S, Planta A, Cicotto G. The role of job satisfaction, work engagement, self-efficacy and agentic capacities on nurses’ turnover intention and patient satisfaction. Appl Nurs Res [Internet]. 2018;39(May 2017):130–40. Available from: https://doi.org/10.1016/j.apnr.2017.11.004
  • 33. Ducharme LJ, Knudsen HK, Roman PM. Emotional exhaustion and turnover intention in human service occupations: The protective role of coworker support. Sociol Spectr. 2008;28(1):81–104.
  • 34. Mulki JP, Jaramillo JF, Locander WB. Effect of ethical climate on turnover intention: Linking attitudinal- and stress theory. J Bus Ethics. 2008;78(4):559–74.
  • 35. Sung K, Seo Y, Kim JH. Relationships between Compassion Fatigue, Burnout, and Turnover Intention in Korean Hospital Nurses. J Korean Acad Nurs. 2012;42(7):1087.

Sağlık Çalışanlarında İşten Ayrılma Niyeti: Bibliyometrik Bir Analiz

Year 2023, Volume: 4 Issue: 1, 41 - 56, 30.04.2023
https://doi.org/10.59007/meyadakademi.1272021

Abstract

Sağlık kurumlarında çalışan devir oranının kontrol edilebilmesi ve düşük düzeyde olması için işten ayrılma niyeti konusunda pek çok çalışma yürütülmektedir.
Günümüzde bilimsel araştırmalarda da önemli bir yere sahip olan sağlık sektöründeki işten ayrılma niyeti, önümüzdeki yıllar içerisinde de ilgi görmeye devam edecektir. Bu kapsamda bu çalışmanın amacı sağlık sektöründe çalışanların işten ayrılma niyeti ile ilgili çalışmaların bibliyometrik analizini gerçekleştirmektir. Çalışmanın amacı doğrultusunda geliştirilen arama stratejisine göre çalışmalara Web of Science veri tabanından ulaşılmıştır. Toplam 829 makale araştırmaya dahil edilmiştir. Elde edilen veriler SciMat bibliyometrik analiz programı ile tek bir dönemde analiz edilmiştir.
Elde edilen bulgulara sağlık çalışanlarının işten ayrılma niyeti ile ilgili ilk çalışma 1983 yılında yapılmıştır. En fazla yayın ise 2022 yılındadır. Alana en fazla katkı sağlayan yazar Claude Fernet’tir. Çalışmalar en çok Çin, Amerika ve Güney Kore’de yürütülmüştür. Bununla birlikte işten ayrılma niyeti, meta analizi, işle özdeşleşme, iş güvencesizliği motor temalar, merhamet yorgunluğu, ölçekler izole temalar, anksiyete, iş-aile çatışması, devamlılık ortaya çıkan temalar, liderlik ve hemşireler ise temel temalar olarak belirlenmiştir. Ayrıca işten ayrılma niyeti temasının iş tatmini, tükenmişlik gibi alt temalarla güçlü bir ilişki içerisinde olduğu ortaya koyulmuştur.

References

  • 1. Dawson AJ, Stasa H, Roche MA, Homer CSE, Dufeld C. Nursing churn and turnover in Australian hospitals: nurses perceptions and suggestions for supportive strategies. BMC Nurs. 2014;13(1):11.
  • 2. Hayes LJ, O’Brien-Pallas L, Dufeld C, Shamian J, Buchan J, Hughes F, et al. Nurse turnover: a literature review. Int J Nurs Stud. 2006;43(2):237–63.
  • 3. Bureau of Labor Statistics. The Employment Situation—October 2020. 2020 [cited 2022 Mar 3]. https://www.dol.gov/newsroom/economicdata/ empsit_11062020.pdf.
  • 4. Galvin G. Nearly 1 in 5 Health care workers have quit their jobs during the pandemic. Morning Consult [Internet]. 2021 [cited 2022 Mar 3]. https:// morningconsult.com/2021/10/04/health-care-workers-series-part-2- workforce/.
  • 5. Tan C. More healthcare workers in S’pore quit amid growing fatigue as Covid-19 drags on. The Straits Times[Internet]. 2021 https://www.straitstimes.com/singapore/politics/more-healthcare-worke rs-inspore-resigning-amid-growing-fatigue-as-covid-19-drags.
  • 6. Çağatay Aksu B. COVID 19 pandemisinin sağlık çalışanlarının iş güvencesizliği algıları, algılanan iş stresleri ve işten ayrılma niyetleri üzerindeki etkilerini incelemeye yönelik bir araştırma. Hacettepe Sağlık İdaresi Derg. 2021;24(4):747–76.
  • 7. Liang Y-W, Chen W-Y, Lee J-L, Huang L-C. Nurse stafng, direct nursing care hours and patient mortality in Taiwan: the longitudinal analysis of hospital nurse stafng and patient outcome study. BMC Health Serv Res. 2012;12(1):44.
  • 8. Cho E, Lee N-J, Kim E-Y, Kim S, Lee K, Park K-O, et al. Nurse stafng level and overtime associated with patient safety, quality of care, and care left undone in hospitals: a cross-sectional study. Int J Nurs Stud. 2016;60:263–71.
  • 9. Montgomery A, Todorova I, Baban A, Panagopoulou E. Improving quality and safety in the hospital: the link between organizational culture, burn out, and quality of care. Br J Health Psychol. 2013;18(3):656–62.
  • 10. Cowden T, Cummings G, Profetto-McGrath J. Leadership practices and staf nurses’ intent to stay: a systematic review. J Nurs Manag. 2011;19(4):461–77.
  • 11. Daouk-Öyry L, Anouze AL, Otaki F, Dumit NY, Osman I. The JOINT model of nurse absenteeism and turnover: a systematic review. Int J Nurs Stud. 2014;51(1):93–110.
  • 12. Halter M, Boiko O, Pelone F, Beighton C, Harris R, Gale J, et al. The deter minants and consequences of adult nursing staf turnover: a systematic review of systematic reviews. BMC Health Serv Res. 2017;17(1):824.
  • 13. Lai GC, Taylor EV, Haigh MM, Thompson SC. Factors afecting the reten tion of indigenous australians in the health workforce: a systematic review. Int J Environ Res Public Health. 2018. https://doi.org/10.3390/ijerp h15050914.
  • 14. Lartey S, Cummings G, Profetto-McGrath J. Interventions that promote retention of experienced registered nurses in health care settings: a systematic review. J Nurs Manag. 2014;22(8):1027–41.
  • 15. Lee J. Nursing home nurses’ turnover intention: a systematic review. Nurs Open. 2022;9(1):22–9.
  • 16. Russell D, Mathew S, Fitts M, Liddle Z, Murakami-Gold L, Campbell N, et al. Interventions for health workforce retention in rural and remote areas: a systematic review. Hum Resour Health. 2021;19(1):103.
  • 17. Shen X, Jiang H, Xu H, Ye J, Lv C, Lu Z, et al. The global prevalence of turnover intention among general practitioners: a systematic review and meta-analysis. BMC Fam Pract. 2020;21(1):246.
  • 18. Yildiz B, Yildiz H, Ayaz AO. Relationship between work-family confict and turnover intention in nurses: a meta-analytic review. J Adv Nurs. 2021;77(8):3317–30.1. Çağatay Aksu B. COVID 19 pandemisinin sağlık çalışanlarının iş güvencesizliği algıları, algılanan iş stresleri ve işten ayrılma niyetleri üzerindeki etkilerini incelemeye yönelik bir araştırma. Hacettepe Sağlık İdaresi Derg. 2021;24(4):747–76.
  • 19. Khan MA, Pattnaik D, Ashraf R, Ali I, Kumar S, Donthu N. Value of special issues in the journal of business research: A bibliometric analysis. J Bus Res [Internet]. 2021;125(December 2020):295–313. Available from: https://doi.org/10.1016/j.jbusres.2020.12.015
  • 20. Donthu N, Kumar S, Mukherjee D, Pandey N, Lim WM. How to conduct a bibliometric analysis: An overview and guidelines. J Bus Res [Internet]. 2021;133(April):285–96. Available from: https://doi.org/10.1016/j.jbusres.2021.04.070
  • 21. Verma S, Gustafsson A. Investigating the emerging COVID-19 research trends in the field of business and management: A bibliometric analysis approach. J Bus Res [Internet]. 2020;118(July):253–61. Available from: https://doi.org/10.1016/j.jbusres.2020.06.057
  • 22. Moral-Muñoz JA, Herrera-Viedma E, Santisteban-Espejo A, Cobo MJ. Software tools for conducting bibliometric analysis in science: An up-to-date review. Prof la Inf. 2020;29(1):1–20.
  • 23. Cobo MJ, Lõpez-Herrera AG, Herrera-Viedma E, Herrera F. SciMAT: A new science mapping analysis software tool. J Am Soc Inf Sci Technol. 2012;63(8):1609–30.
  • 24. Cahlik T. Comparison of the maps of science. Scientometrics. 2000;49(3):373–87.
  • 25. Herrera-Viedma E, López-Robles JR, Guallar J, Cobo MJ. Global trends in coronavirus research at the time of COVID-19: A general bibliometric approach and content analysis using SciMAT. Prof la Inf. 2020;29(3):1–20.
  • 26. Labrague LJ, de los Santos JAA. Fear of COVID-19, psychological distress, work satisfaction and turnover intention among frontline nurses. J Nurs Manag. 2021;29(3):395–403.
  • 27. Zeng D, Wang B, Chen W. Inclusive leadership can improve nurses’ psychological ownership and reduce their turnover intention under the normalization of COVID-19 prevention. Front Psychol. 2023;13(January):1–13.
  • 28. Hayes LJ, O’Brien-Pallas L, Duffield C, Shamian J, Buchan J, Hughes F, et al. Nurse turnover: A literature review - An update. Int J Nurs Stud [Internet]. 2012;49(7):887–905. Available from: http://dx.doi.org/10.1016/j.ijnurstu.2011.10.001
  • 29. Zhang Y, Feng X. The relationship between job satisfaction, burnout, and turnover intention among physicians from urban state-owned medical institutions in Hubei, China: A cross-sectional study. BMC Health Serv Res. 2011;11(1):1–13.
  • 30. Van Der Heijden B, Mahoney CB, Xu Y. Impact of job demands and resources on nurses’ burnout and occupational turnover intention towards an age-moderated mediation model for the nursing profession. Int J Environ Res Public Health. 2019;16(11).
  • 31. Yáñez JA, Jahanshahi AA, Alvarez-Risco A, Li J, Zhang SX. Anxiety, distress, and turnover intention of healthcare workers in Peru by their distance to the epicenter during the COVID-19 crisis. Am J Trop Med Hyg. 2020;103(4):1614–20.
  • 32. De Simone S, Planta A, Cicotto G. The role of job satisfaction, work engagement, self-efficacy and agentic capacities on nurses’ turnover intention and patient satisfaction. Appl Nurs Res [Internet]. 2018;39(May 2017):130–40. Available from: https://doi.org/10.1016/j.apnr.2017.11.004
  • 33. Ducharme LJ, Knudsen HK, Roman PM. Emotional exhaustion and turnover intention in human service occupations: The protective role of coworker support. Sociol Spectr. 2008;28(1):81–104.
  • 34. Mulki JP, Jaramillo JF, Locander WB. Effect of ethical climate on turnover intention: Linking attitudinal- and stress theory. J Bus Ethics. 2008;78(4):559–74.
  • 35. Sung K, Seo Y, Kim JH. Relationships between Compassion Fatigue, Burnout, and Turnover Intention in Korean Hospital Nurses. J Korean Acad Nurs. 2012;42(7):1087.
There are 35 citations in total.

Details

Primary Language Turkish
Subjects Health Policy
Journal Section Research Article
Authors

Buse Mete 0000-0001-5440-9723

Early Pub Date April 30, 2023
Publication Date April 30, 2023
Submission Date March 27, 2023
Published in Issue Year 2023 Volume: 4 Issue: 1

Cite

Vancouver Mete B. Sağlık Çalışanlarında İşten Ayrılma Niyeti: Bibliyometrik Bir Analiz. MEYAD Academy Journal. 2023;4(1):41-56.