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The roles of unit leadership and nurse-physician collaboration on nursing turnover intention

Galletta, Maura, Portoghese, Igor, Battistelli, Adalgisa and Leiter, Michael P. 2013, The roles of unit leadership and nurse-physician collaboration on nursing turnover intention, Journal of advanced nursing, vol. 69, no. 8, pp. 1771-1784, doi: 10.1111/jan.12039.

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Title The roles of unit leadership and nurse-physician collaboration on nursing turnover intention
Author(s) Galletta, Maura
Portoghese, Igor
Battistelli, Adalgisa
Leiter, Michael P.ORCID iD for Leiter, Michael P. orcid.org/0000-0001-5680-0363
Journal name Journal of advanced nursing
Volume number 69
Issue number 8
Start page 1771
End page 1784
Total pages 14
Publisher Wiley
Place of publication Chichester, Eng.
Publication date 2013-08
ISSN 0309-2402
1365-2648
Keyword(s) affective commitment
leader-member exchange
mediating role
moderating role
multilevel analysis
nurse-physician collaboration
nursing
nursing unit turnover intention
Adult
Attitude of Health Personnel
Cooperative Behavior
Cross-Sectional Studies
Female
Humans
Intention
Interprofessional Relations
Italy
Leadership
Linear Models
Male
Middle Aged
Nursing Staff, Hospital
Nursing, Supervisory
Personnel Turnover
Physician-Nurse Relations
Professional Role
Summary AIM: To report a study of the relationship between variables at the group and individual level with nurses' intention to leave their unit.
BACKGROUND: Workplaces are collective environments where workers constantly interact with each other. The quality of working relationship employees develop at the unit-level influences both employee outcomes and unit performance by shaping employee attitudes.
DESIGN: The study was a cross-sectional design with self-administered questionnaires.
METHODS: A questionnaire including measures of leader-member exchange and nurse-physician collaboration analysed at group-level and affective commitment and turnover intention analysed at individual level, was administered individually to 1018 nurses in five Italian hospitals. Data were collected in 2009.
RESULTS: A total of 832 nurses (81·7% response rate) completed questionnaires. The results showed that affective commitment at individual level completely mediated the relationship between leader-member exchange at group-level and nursing turnover intention. Furthermore, the cross-level interaction was significant: at individual level, the nurses with high levels of individual affective commitment towards their unit showed low levels of turnover intention and this relationship was stronger when the nurse-physician collaboration at group-level was high.
CONCLUSION: This study showed the importance for organizations to implement management practices that promote both high-quality nurse-supervisor and nurse-physician relationships, because they increase nurses' identification with their units. Individual affective commitment is an important quality for retaining a workforce and good nurses' relationship at group-level relationships with both supervisors and physicians are instrumental in developing identification with the work unit. Thus, the quality of relationship among staff members is an important factor in nurses' decision to leave.
Language eng
DOI 10.1111/jan.12039
Field of Research 111099 Nursing not elsewhere classified
1110 Nursing
Socio Economic Objective 970117 Expanding Knowledge in Psychology and Cognitive Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2012, Blackwell
Persistent URL http://hdl.handle.net/10536/DRO/DU:30089747

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