The Mediating Role of Supervisor Support and Career Satisfaction in the Effect of Psychological Resilience on Turnover Intention

Öz

Rapid changes and increasing workload in the healthcare field have made understanding the factors that determine employees' tendency to stay with their organizations more crucial than ever. Psychological resilience and organizational support are seen as critical resources for employees coping with professional pressures. Therefore, this study aims to examine the impact of healthcare professionals' psychological resilience levels on their intention to leave, through the mediating roles of supervisor support and career satisfaction. Data were collected from 437 healthcare professionals working in various healthcare institutions in the Central Anatolia Region using a quantitative research design. Findings indicate that psychological resilience directly and negatively affects intention to leave. Furthermore, supervisor support was found to have a partial mediating role in this relationship. Career satisfaction, while directly effective, did not exhibit a significant mediating effect. These results demonstrate that employees' psychological resources significantly contribute to their tendency to stay with their organizations, and that managerial support mechanisms strengthen this effect. The study offers individual and managerial recommendations for increasing employee commitment in the healthcare sector.

Anahtar Kelimeler

• psychological resilience
• turnover intention
• supervisor support
• career satisfaction

Psikolojik Sağlamlığın İşten Ayrılma Niyetine Etkisinde Yönetici Desteğinin ve Kariyer Tatmininin Aracılık Rolü

Öz

Sağlık alanındaki hızlı değişimler ve artan iş yükü, çalışanların örgütte kalma eğilimlerini belirleyen unsurların anlaşılmasını her zamankinden daha önemli hâle getirmiştir. Psikolojik dayanıklılık ve örgütsel destek unsurları, çalışanların mesleki baskılarla başa çıkmasında kritik kaynaklar olarak görülmektedir. Bu çerçevede bu çalışma, sağlık çalışanlarının psikolojik sağlamlık düzeylerinin işten ayrılma niyetleri üzerindeki etkisini, yönetici desteği ve kariyer tatmini değişkenlerinin aracılık rolleri çerçevesinde incelemeyi amaçlamaktadır. Araştırma kapsamında veriler, İç Anadolu Bölgesi’ndeki çeşitli sağlık kurumlarında görev yapan 437 sağlık çalışanından nicel araştırma tasarımıyla toplanmıştır. Bulgular, psikolojik sağlamlığın işten ayrılma niyetini doğrudan ve negatif yönde etkilediğini göstermektedir. Ayrıca yönetici desteğinin bu ilişkide kısmi aracılık rolü bulunduğu görülmüştür. Kariyer tatmini ise doğrudan etkili olmakla birlikte anlamlı bir aracılık etkisi göstermemiştir. Bu sonuçlar, çalışanların psikolojik kaynaklarının örgütte kalma eğilimlerine önemli ölçüde katkıda bulunduğunu ve yönetimsel destek mekanizmalarının bu etkiyi güçlendirdiğini ortaya koymaktadır. Çalışma, sağlık sektöründe çalışan bağlılığını artırmaya yönelik bireysel ve yönetsel düzeyde öneriler sunmaktadır.

Anahtar Kelimeler

• psikolojik sağlamlık
• işten ayrılma niyeti
• yönetici desteği
• kariyer tatmini

Kaynakça

1. Allen, N. J., & Meyer, J. P. (2000). Construct validation in organizational behavior research: The case of organizational commitment. In R. D. Goffin, & E. Helmes (Eds.), Problems and solutions in human assessment (pp. 285-314). Springer. https://doi.org/10.1007/978-1-4615-4397-8_13
2. Al-Wathinani, A. M., Almusallam, M. A., Albaqami, N. A., Aljuaid, A. M., Alghamdi, A. A., Alhallaf, M. A., & Goniewicz, K. (2023). Enhancing psychological resilience: Examining the impact of managerial support on mental health outcomes for Saudi ambulance personnel. Healthcare, 11(9), 1277. https://doi.org/10.3390/healthcare11091277
3. Amin, Z., & Akbar, K. P. (2013). Analysis of psychological well-being and turnover intentions of hotel employees: an empirical study. International Journal of Innovation and Applied Studies, 3(3), 662-671.
4. Anafarta, A., & Yılmaz, Ö. (2019). Kariyer tatmini ve işten ayrılma niyeti arasındaki ilişkide işe adanmışlığın aracılık rolü. İşletme Araştırmaları Dergisi, 11(4), 2944-2959. https://doi.org/10.20491/isarder.2019.786
5. Astuti, T., & Helmi, A. F. (2021). Perceived supervisor support and turnover intention: A meta-analysis study. Buletin Psikologi, 29(1), 1-13. https://doi.org/10.22146/buletinpsikologi.54366
6. Avcı, U., & Turunç, Ö. (2012). Dönüşümcü liderlik ve örgüte güvenin kariyer memnuniyetine etkisi: Lider-üye etkileşiminin aracılık rolü. Uluslararası Alanya İşletme Fakültesi Dergisi, 4(2), 45-55. https://dergipark.org.tr/tr/pub/uaifd/issue/21594/231869
7. Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182. https://doi.org/10.1037/0022-3514.51.6.1173
8. Chen, H., Kewou, N. Y. N., Atingabili, S., Sogbo, A. D. Z., & Tcheudjeu, A. T. (2024). The impact of psychological capital on nurses’ job performance: A chain mediation analysis of problem-focused coping and job engagement. BMC Nursing, 23(1), 149. https://doi.org/10.1186/s12912-024-01802-6

9. Conley, S., Muncey, D. E., & You, S. (2005). Standards-based evaluation and teacher career satisfaction: Astructural equation modeling analysis. Journal of Personnel Evaluation in Education, 18(1), 39-65. https://doi.org/10.1007/s11092-006-9008-1
10. Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor- Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18(2), 76-82. https://doi.org/10.1002/da.10113
11. Driscoll, J., Stacey, G., Harrison-Dening, K., Boyd, C., & Shaw, T. (2019). Enhancing the quality of clinical supervision in nursing practice. Nursing Standard, 34(5), 43-50. https://doi.org/10.7748/ns.2019.e11228
12. Elmas, S. (2012). İşyerinde mobbing ve çalışanların işten ayrılma niyeti üzerine etkilerine ilişkin bir araştırma [Yüksek lisans tezi]. İstanbul Üniversitesi.
13. Ertürk, A. (2014). Influences of HR practices, social exchange, and trust on turnover intentions of public IT professionals. Public Personnel Management, 43(1), 140-175. https://doi.org/10.1177/0091026013517875
14. Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18(1), 39-50. https://doi.org/10.2307/3151312
15. Garrido-Muñoz, M., Blanco-García, C., Diez-Vega, I., García-Merino, S., Acebes-Sánchez, J., & Rodríguez-Romo, G. (2024). Psychological resilience, athletic experience, and competitive level of judokas. A transversal study. Frontiers in Psychology, 15, 1440412. https://doi.org/10.3389/fpsyg.2024.1440412
16. Giray, M. D., & Şahin, D. N. (2012). Algılanan örgütsel, yönetici ve çalışma arkadaşları desteği ölçekleri: Geçerlik ve güvenirlik çalışması. Türk Psikoloji Yazıları, 15(30), 1-9.
17. Gök, G. (2024). Yönetici desteğinin psikolojik sağlamlık ve işgören performansına etkisi. III. Bilsel Uluslararası Turabdin Bilimsel Araştırmalar ve İnovasyon Kongresi Bildiri Kitabı içinde (ss. 63-80). Astana Yayınları.
18. Greenhaus, J., Parasurman, S., & Wormley, W. M. (1990). Effects of race on an organiztional experiences, job performans evaluations, and career outcomes. Academy of Management Journal, 33(1), 64-86.
19. Güvendi, K., & İyigün, N. Ö. (2024). Algılanan yönetici desteğinin yeşil örgütsel davranış üzerinde etkisinde psikolojik iyi oluşun düzenleyici rolü. Erciyes Akademi Dergisi, 38(1), 228-247. https://doi.org/10.48070/erciyesakademi.1400720
20. Hair Jr, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2009). Multivariate data analysis (Seventh edition). Pearson.
21. Hart, P. L., Brannan, J. D., & De Chesnay, M. (2012). Resilience in nurses: An integrative review. Journal of Nursing Management, 22(6), 720-734. https://doi.org/10.1111/j.1365-2834.2012.01485.x
22. Hobfoll, S. E. (1989). Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44(3), 513-524. https://doi.org/10.1037/0003-066X.44.3.513
23. Hobfoll, S. E. (2001). The influence of culture, community, and the nested-self in the stress process: Advancing conservation of resources theory. Applied Psychology, 50(3), 337-421. https://doi.org/10.1111/1464-0597.00062
24. Hobfoll, S. E., Halbesleben, J., Neveu, J. P., & Westman, M. (2018). Conservation of resources in the organizational context: The reality of resources and their consequences. Annual Review of Organizational Psychology and Organizational Behavior, 5, 103-128. https://doi.org/10.1146/annurev-orgpsych-032117-104640
25. Kaya, F., & Odacı, H. (2021). Connor-Davidson psikolojik sağlamlık ölçeği kısa formu: Türkçe’ye uyarlama, geçerlik ve güvenirlik çalışması. HAYEF: Journal of Education, 18(1), 38-54.
26. Kelly, L. A., Gee, P. M., & Butler, R. J. (2021). Impact of nurse burnout on organizational and position turnover. Nurs Outlook, 69(1), 96-102. https://doi.org/10.1016/j.outlook.2020.06.008
27. Kenek, G., & Sökmen, A. (2018). İş özelliklerinin işten ayrılma niyetine etkisinde kariyer tatmininin aracı rolü. İşletme Araştırmaları Dergisi, 10(3), 622-639. https://doi.org/10.20491/isarder.2018.491
28. Khairy, H. A., Salama, W. M. E., Suliman, M. A., Hassanin, M., Mansour, A. A., & Elkhamy, E. S. (2025). Work-leisure conflict and job burnout in the hospitality industry: The buffering effects of psychological resilience and detachment. Environment and Social Psychology, 10(6), 1-20. https://doi.org/10.59429/esp.v10i6.3698
29. Kim, S. Y., & Fernandez, S. (2015). Employee empowerment and turnover intention in the U.S. federal bureaucracy. American Review of Public Administration, 47(1), 4-22. https://doi.org/10.1177/0275074015583712
30. Kislyakov, P. A., & Tsvetkova, N. A. (2024). Psychological resilience of correctional officiers: Review of foreignresearch. Russian Journal of Education and Psychology, 15(5SE), 665-683. https://doi.org/10.12731/2658-4034-2024-15-5SE-662
31. Lartey, S., Cummings, G., & Profetto‐McGrath, J. (2014). Interventions that promote retention of experienced registered nurses in health care settings: A systematic review. Journal of Nursing Management, 22(8), 1027-1041. https://doi.org/10.1111/jonm.12105
32. Luthans, F. (2002). The need for and meaning of positive organizational behavior. Journal of Organizational Behavior, 23(6), 695-706. https://doi.org/10.1002/job.165
33. Luthar, S. S., & Cicchetti, D. (2000). The construct of resilience: Implications for interventions and social policies. Development and Psychopathology, 12(4), 857-885. https://doi.org/10.1017/S0954579400004156
34. Mete, E. S., Sökmen, A., & Sökmen, A. (2021). The relationship between perceived supervisory support and turnover intention: The moderator effect of career satisfaction. Üçüncü Sektör Sosyal Ekonomi Dergisi, 56(2), 850-874. https://doi.org/10.15659/3.sektor-sosyal-ekonomi.21.05.1589
35. OECD. (2024). Health at a glance: Europe 2024: State of health in the EU cycle. OECD Publishing. https://doi.org/10.1787/b3704e14-en
36. Öztürk, K., & Bozkurt, S. (2023). Role of managerial support in the relationship of psychological resilience with career satisfaction. BMIJ, 11(4), 1285-1295. http://dx.doi.org/10.15295/bmij.v11i4.2303
37. Republic of Turkey Ministry of Internal Interior. (2021). Türkiye’nin nüfus haritası. Türkiye Cumhuriyeti İçişleri Bakanlığı. https://www.icisleri.gov.tr/turkiyenin-nufus-haritasi-10072021 (Accessed Date: 20 July 2025).
38. Republic of Türkiye Ministry of Health. (2023). Health statistics yearbook 2023 (B. B. Başara, A. Aygün, T. A. Özdemir, & B. Kulali, Eds.). General Directorate of Health Information Systems.
39. Richardson, G. E. (2002). The metatheory of resilience and resiliency. Journal of Clinical Psychology, 58(3), 307-321. https://doi.org/10.1002/jclp.10020
40. Rosin, H. M., & Korabik, K. (1991). Workplace variables, affective responses, and intention to leave among women managers. Journal of Occupational Psychology, 64(4), 317-330. https://doi.org/10.1111/j.2044-8325.1991.tb00563.x
41. Şanlı, M. E., Yıldız, A., Ekingen, E., & Yıldırım, M. (2024). Comparison of stress, anxiety and depression levels of health, education and security sector employees: The effect of psychological resilience. Stress and Health, 40(5), e3425. https://doi.org/10.1002/smi.3425
42. Saputra, E., & Syah, T. Y. (2025). Servant leadership, perceived organizational support, job embeddedness, job satisfaction, dan perceived supervisor support terhadap turnover intention. Maeswara: Jurnal Riset Ilmu Manajemen dan Kewirausahaan, 3(3), 175-195. https://doi.org/10.61132/maeswara.v3i3.1841
43. Schermelleh-Engel, K., Moosbrugger, H. & Müler, H. (2003). Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of Psychological Research Online, 8(2), 23-74.
44. Sekaran, U., & Bougie, R. (2016). Research methods for business: A skill-building approach. John Wiley & Sons.
45. Suedfeld, P. (1997). Homo invictus: The indomitable species. Canadian Psychology / Psychologie Canadienne, 38(3), 164-173. https://doi.org/10.1037/0708-5591.38.3.164
46. Sürücü, L., Şeşen, H., & Maslakçı, A. (2023). Regression, mediation/ moderation, and structural equation modeling with SPSS, AMOS, and PROCESS Macro. Livre de Lyon.
47. Sutardi, D., & Novitasari, D. (2024). The impact of learning agility on work engagement is mediated by psychological empowerment and resilience in millennial workers. Kontigensi: Jurnal Ilmiah Manajemen, 12(1), 125-132. https://doi.org/10.56457/jimk.v12i1.508
48. Taş, A., & Özkara, Z. U. (2020). İş stresinin algılanan yönetici desteği ile işten ayrılma niyeti arasındaki ilişkide üstlendiği rol. OPUS Uluslararası Toplum Araştırmaları Dergisi, 15(21), 475-504. https://doi.org/10.26466/opus.662681
49. The World Health Organization. (2023). WHO health workforce support and safeguards list. World Health Organization.
50. Uzonwanne, F. C., & Nwanzu, C. L. (2017). Pay satisfaction and career satisfaction as predictors of organizational commitment among employee leaders of banks in North and Southwest Nigeria. Journal Of Management Research, 17(1), 9-21.
51. Vanderkam, T. M., & Suedfeld, P. (2024). Voices of resilience in Ukraine: Psychological predictors of resilience in survivor narratives [Unpublished manuscript]. Department of Psychology, The University of British Columbia. https://www.researchgate.net/publication/384562816_Voices_of_Resilience_in_Ukraine_Psychological_Predictors_of_Resilience_in_Survivor_Narratives (Accessed Date: 01 July 2025).
52. Wang, L., Li, S., Liu, X., Li, R., & Li, R. (2024). The mediating role of resilience in the relationship between meaning in life and attitude toward death among ICU nurses: A cross-sectional study. Frontiers in Psychology, 15, 1414989. https://doi.org/10.3389/fpsyg.2024.1414989
53. Wang, T., & Gao, D. (2022). How does psychological resilience influence subjective career success of Internet marketers in china? A moderated mediation model. Frontiers in Psychology, 13, 921721. https://doi.org/10.3389/fpsyg.2022.921721
54. Xia, Q., Liu, Q., & Qin, G. (2024). The mediating role of psychological resilience in the relationship between physical exercise and sense of security among left-behind junior high school students: Multi-group comparative analysis of only children and children with siblings. Frontiers in Psychology, 15, 1411175. https://doi.org/10.3389/fpsyg.2024.1411175
55. Xu, C., Wang, Y., Wang, Z., Li, B., Yan, C., Zhang, S., Chen, B., Zhang, D., & Peng, J. (2022). Social support and coping style of medical residents in China: The mediating role of psychological resilience. Frontiers in Psychiatry, 13, 888024. https://doi.org/10.3389/fpsyt.2022.888024
56. Xu, Z., Du, W., Zhao, H., Liu, Q., & Xie, W. (2025). The influence of college students’ psychological resilience on problem solving: based on eye tracking technology. Frontiers in Psychology, 16, 1616452. https://doi.org/10.3389/fpsyg.2025.1616452
57. Xue, H., Si, X., Wang, H., Song, X., Zhu, K., Liu, X., & Zhang, F. (2022). Psychological resilience and career success of female nurses in central China: The mediating role of craftsmanship. Frontiers in Psychology, 13, 915479. https://doi.org/10.3389/fpsyg.2022.915479
58. Zhang, R., Shan, M., Yin, Y., Wu, Y., Gao, P., Xin, Y., & Shen, K. (2025). Psychological capital appreciation as a mediator between resilience and burnout among ICU nurses. Frontiers in Public Health, 13, 1551725. https://doi.org/10.3389/fpubh.2025.1551725