THE RELATIONSHIP BETWEEN PERCEIVED ETHICAL LEADERSHIP, ORGANIZATIONAL JUSTICE, AND TURNOVER INTENTION AMONG GENERAL HOSPITAL NURSES

Öz

This study aims to was to investigate the relationship between perceived ethical leadership, organizational justice, and turnover intention among nurses. The research was conducted in a general-purpose private hospital in Ankara. The subjects of the study consist of all nurses working in the private hospital, and the sample consisted of 234 nurses who agree to participate in the study voluntarily. After the necessary permissions were obtained, the data were collected with a structured data collection tool based on the factual and behavioral attitude measurement consisting of personal information form, ethical leadership, organizational justice and turnover intention scales. The scores of the nurses' ethical leadership and organizational justice scales were above average, however, the score of turnover intention scale was below the average. While there was a strong linear positive relationship between ethical leadership and organizational justice, there was a linear negative medium level relationship between organizational justice and turnover intention. There was a linear negative and significant relationship between ethical leadership and turnover intention. The study concludes that ethical leadership will increase the perception of justice in the organization and reduce turnover intention amongst nurses.

Anahtar Kelimeler

• Nursing management
• ethical leadership
• organizational justice
• turnover intention
• healthcare professionals

Kaynakça

1. Barkhordari-Sharifabad, M., Ashktorab, T., & Atashzadeh-Shoorideh, F. (2017). Exploration of pioneering as a major element of ethical leadership in nursing: a qualitative study. Electronic physician, 9(7), 4737.
2. Brockner, J., Konovsky, M., Cooper-Schneider, R., Folger, R., Martin, C., & Bies, R. J. (1994). Interactive effects of procedural justice and outcome negativity on victims and survivors of job loss. Academy of management Journal, 37(2), 397-409.
3. Brooks, A., & Zeitz, G. (1999). The effects of total quality management and perceived justice on organizational commitment of hospital nursing staff. Journal of Quality Management, 4(1), 69-93.
4. Brown, M. E., Treviño, L. K., & Harrison, D. A. (2005). Ethical leadership: A social learning perspective for construct development and testing. Organizational behavior and human decision processes, 97(2), 117-134.
5. Cao, Y., Liu, J., Liu, K., Yang, M., & Liu, Y. (2019). The mediating role of organizational commitment between calling and work engagement of nurses: A cross-sectional study. International journal of nursing sciences, 6(3), 309-314.
6. Cheng, J.-W., Chang, S.-C., Kuo, J.-H., & Cheung, Y.-H. (2014). Ethical leadership, work engagement, and voice behavior. Industrial Management & Data Systems, 114(5), 817-831.
7. Colquitt, J. A., Conlon, D. E., Wesson, M. J., Porter, C. O., & Ng, K. Y. (2001). Justice at the millennium: a meta-analytic review of 25 years of organizational justice research. Journal of applied psychology, 86(3), 425.
8. Elovainio, M., van den Bos, K., Linna, A., Kivimäki, M., Ala-Mursula, L., Pentti, J., & Vahtera, J. (2005). Combined effects of uncertainty and organizational justice on employee health: testing the uncertainty management model of fairness judgments among Finnish public sector employees. Social Science & Medicine, 61(12), 2501-2512. Gagné, M., & Deci, E. L. (2005). Self‐determination theory and work motivation. Journal of Organizational behavior, 26(4), 331-362.

9. Gillet, N., Fouquereau, E., Coillot, H., Bonnetain, F., Dupont, S., Moret, L., . . . Colombat, P. (2018). Ethical leadership, professional caregivers' well-being, and patients' perceptions of quality of care in oncology. European Journal of Oncology Nursing, 33, 1-7.
10. Greenberg, J. (1990). Organizational justice: Yesterday, today, and tomorrow. Journal of management, 16(2), 399-432. Hayes, L. J., O’Brien-Pallas, L., Duffield, C., Shamian, J., Buchan, J., Hughes, F., . . . Stone, P. W. (2006). Nurse turnover: a literature review. International journal of nursing studies, 43(2), 237-263.
11. Hayward, D., Bungay, V., Wolff, A. C., & MacDonald, V. (2016). A qualitative study of experienced nurses' voluntary turnover: learning from their perspectives. Journal of clinical nursing, 25(9-10), 1336-1345.
12. Heponiemi, T., Elovainio, M., Laine, J., Pekkarinen, L., Eccles, M., Noro, A., . . . Sinervo, T. (2007). Productivity and employees' organizational justice perceptions in long‐term care for the elderly. Research in nursing & health, 30(5), 498-507.
13. Holtom, B. C., Mitchell, T. R., Lee, T. W., & Eberly, M. B. (2008). 5 turnover and retention research: a glance at the past, a closer review of the present, and a venture into the future. The Academy of Management Annals, 2(1), 231-274.
14. Huang, X., Li, Z., & Wan, Q. (2019). From organisational justice to turnover intention among community nurses: A mediating model. Journal of clinical nursing, 28(21-22), 3957-3965.
15. Imamoglu, S. Z., Ince, H., Turkcan, H., & Atakay, B. (2019). The Effect of Organizational Justice and Organizational Commitment on Knowledge Sharing and Firm Performance. Procedia Computer Science, 158, 899-906.
16. Islam, T., Ahmed, I., & Ali, G. (2019). Effects of ethical leadership on bullying and voice behavior among nurses. Leadership in Health Services. Jawahar, I. (2002). A model of organizational justice and workplace aggression. Journal of management, 28(6), 811-834.
17. Kim, W. G., & Brymer, R. A. (2011). The effects of ethical leadership on manager job satisfaction, commitment, behavioral outcomes, and firm performance. International Journal of Hospitality Management, 30(4), 1020-1026.
18. Köksal, K. (2018). Örgüt Kültürünün Örgütsel Adalet Algısına Etkisinde Etik İlkelere İlişkin Algıların Aracılık Rolü. Uluslararası Yönetim İktisat ve İşletme Dergisi, 14(2), 479-504.
19. Loi, R., Yang, J., & Diefendorff, J. M. (2009). Four-factor justice and daily job satisfaction: a multilevel investigation. Journal of applied psychology, 94(3), 770. Mimaroğlu, H. (2008). Psikolojik sözleşmenin personelin tutum ve davranışlarına etkileri: Tıbbi satış temsilcileri üzerinde bir araştırma. Basılmamış Doktora Tezi, Çukurova Üniversitesi Sosyal Bilimler Enstitüsü.
20. Mohamed, S. A. (2014). The relationship between organizational justice and quality performance among healthcare workers: a pilot study. The Scientific World Journal, 2014.
21. Niehoff, B. P., & Moorman, R. H. (1993). Justice as a mediator of the relationship between methods of monitoring and organizational citizenship behavior. Academy of management Journal, 36(3), 527-556.
22. Özden, D., Arslan, G. G., Ertuğrul, B., & Karakaya, S. (2019). The effect of nurses’ ethical leadership and ethical climate perceptions on job satisfaction. Nursing ethics, 26(4), 1211-1225.
23. Polat, S. (2007). Ortaöğretim öğretmenlerinin örgütsel adalet algıları, örgütsel güven düzeyleri ile örgütsel vatandaşlık davranışları arasındaki ilişki. (PhD Unpublished). Kocaeli Üniversitesi, Retrieved from http://dspace.kocaeli.edu.tr:8080/xmlui/handle/11493/399
24. SB. (2019). TC Sağlık Bakanlığı Sağlık İstatistikleri Yıllığı 2018. . Ankara: Sağlık Bakanlığı, Sağlık Bilgi Sistemleri Genel Müdürlüğü.
25. Seashore, S. E., Lawler III, E. E., Mirvis, P. H., & Cammann, C. E. (1983). Assessing organizational change: A guide to methods, measures, and practices: John Wiley & Sons Inc.
26. Singh, P., & Loncar, N. (2010). Pay satisfaction, job satisfaction and turnover intent. Relations industrielles/industrial relations, 65(3), 470-490.
27. Staggs, V. S., & Dunton, N. (2012). Hospital and unit characteristics associated with nursing turnover include skill mix but not staffing level: an observational cross-sectional study. International journal of nursing studies, 49(9), 1138-1145.
28. Tummers, L. G., Groeneveld, S. M., & Lankhaar, M. (2013). Why do nurses intend to leave their organization? A large‐scale analysis in long‐term care. Journal of advanced nursing, 69(12), 2826-2838.
29. Tuna, M., Bircan, H., & Yeşiltaş, M. (2012). Etik liderlik ölçeği’nin geçerlilik ve güvenilirlik çalişmasi: antalya örneği. Atatürk Üniversitesi İktisadi ve İdari Bilimler Dergisi, 26(2), 143-155.
30. Yin, J.-C. T., & Yang, K.-P. A. (2002). Nursing turnover in Taiwan: a meta-analysis of related factors. International journal of nursing studies, 39(6), 573-581.
31. Zhang, N., Li, M., Gong, Z., & Xu, D. (2019). Effects of ethical leadership on nurses’ service behaviors. Nursing ethics, 26(6), 1861-1872.
32. Zhu, W. (2008). The effect of ethical leadership on follower moral identity: The mediating role of psychological empowerment. Leadership Review, 8(3), 62-73.