A multilevel investigation on nursing turnover intention: the cross-level role of leader-member exchange

Portoghese, Igor, Galletta, Maura, Battistelli, Adalgisa and Leiter, Michael P. 2015, A multilevel investigation on nursing turnover intention: the cross-level role of leader-member exchange, Journal of nursing management, vol. 23, no. 6, pp. 754-764, doi: 10.1111/jonm.12205.

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Title A multilevel investigation on nursing turnover intention: the cross-level role of leader-member exchange
Author(s) Portoghese, Igor
Galletta, Maura
Battistelli, Adalgisa
Leiter, Michael P.ORCID iD for Leiter, Michael P. orcid.org/0000-0001-5680-0363
Journal name Journal of nursing management
Volume number 23
Issue number 6
Start page 754
End page 764
Total pages 11
Publisher Wiley
Place of publication Chichester, Eng.
Publication date 2015-09
ISSN 0966-0429
Summary Aim: To analyse nursing turnover intention from the unit by using multilevel approach, examining at the individual level, the relationships between job characteristics, job satisfaction and turnover intention, and at the group level the role of leader-member exchange. Background: Research on nursing turnover has given little attention to the effects of multilevel factors. Method: Aggregated data of 935 nurses nested within 74 teams of four Italian hospitals were collected in 2009 via a self-administered questionnaire. Results: Hierarchical linear modelling showed that job satisfaction mediated the relationship between job characteristics and intention to leave at the individual level. At the unit level, leader-member exchange was directly linked to intention to leave. Furthermore, cross-level interaction revealed that leader-member exchange moderated the relationship between job characteristics and job satisfaction. Conclusion: This study supported previous research in single-level turnover studies concerning the key role of job satisfaction, providing evidence that job characteristics are important in creating motivating and satisfying jobs. At the unit-level, leader-member exchange offers an approach to understand the role of unit-specific conditions created by leaders on nurses' workplace wellbeing. Implications for nursing management: This study showed that it is important for nursing managers to recognise the relevance of implementing management practices that foster healthy workplaces centred on high-quality nurse-supervisor relationships.
Language eng
DOI 10.1111/jonm.12205
Field of Research 111099 Nursing not elsewhere classified
1110 Nursing
Socio Economic Objective 920210 Nursing
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2014, John Wiley & Sons Ltd.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30089728

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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