The Relationship between Transformational Leadership, Organizational Commitment, Work Stress, and Turnover Intentions of Nurse at Private Hospital in Indonesia
DOI:
https://doi.org/10.3889/oamjms.2020.4425Keywords:
Transformational Leadership, Organizational Commitment, Work Stress, Turnover Intentions, NurseAbstract
AIM: This study aimed to examine the relationship between transformational leadership, organizational commitment, work stress, and turnover intentions of Nurse at Private Hospital in Indonesia.
METHODS: A quantitative cross-sectional research design was adopted, consist of 97 Nurses. This study used a Confirmatory Factor Analysis, Structural Equation Modeling using PLS-SEM approach to analyze the data.
RESULTS: The results showed that there is a positive influence on transformational leadership on organizational commitment. The better transformational leadership, the higher the organizational commitment of nurses. There is a negative influence on transformational leadership on work stress. The better transformational leadership, the lower the work stress of nurses. There is a negative influence on organizational commitment to turnover intentions. The higher the nurse’s organizational commitment, the lower the nurse turnover intention. There is a positive influence on work stress to turnover intentions. The higher the nurse’s work stress, the higher the the nurse turnover intention. Another outcome discovered was that indirect influence of leadership through commitment and work stress is greater than direct influence, transformational leadership directly influenced organization commitment, and work stress but was not significantly related to turnover intentions.
CONCLUSION: Researcher suggests that leadership roles in building commitment and helping to manage the work stress of nurses are needed.
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Abdelhafiz IM, Alloubani AM, Klaledeh M, Mutari N, Almukhtar MM, et al. Impact of leadership styles among head nurses on level of job satisfaction among staff nurses. Eur Sci J. 2015;11(10):1857-7881.
Ahsan M, Maidiin A, Sudirman I. Pengaruh Kepuasan Kerja, Stres Kerja, Variabel Organisasi, dan Kepemimpinan terhadap Turnover Intention Karyawan pada Rumah Sakit Pertamina Balikpapan, Makassar; 2013. Available from: http://www.pasca. unhas.ac.id/jurnal/files/49e2f7f6d7e7bc380b025b6593627091. pdf. https://doi.org/10.25077/jka.v9i1.1218
Al-homayan AM, Mohd-Shamsudin F, Subramaniam C, Islam R. Impacts of job demands on nurses’ performance working in public hospitals. Am J Appl Sci. 2013;10(9):1050-60. https://doi. org/10.3844/ajassp.2013.1050.1060
Alammar K, Alamrani M, Alqahtani S, Ahmad M. Organizational commitment and nurses’ characteristics as predictors of job involvement. Nurs Leadersh. 2016;29(4): 59-69. https://doi. org/10.12927/cjnl.2016.24983 PMid:28281451
Allen NJ, Meyer JP. The measurement and antecedents of affective, continuance and normative commitment to the organization. J Occup Psychol. 1990;63:1-18. https://doi. org/10.1111/j.2044-8325.1990.tb00506.x
Almutairi DO. The mediating effects of organizational commitment on the relationship between transformational leadership style and job performance. Int J Bus Manag. 2016;11(1):231-41. https://doi.org/10.5539/ijbm.v11n1p231
Azeem SM, Akhtar N. Job satisfaction and organizational commitment among public sector employees in Saudi Arabia. Int J Bus Soc Sci. 2014;5(7):127-33.
Balassiano M, Salles D. Perceptions of equity and justice and their implications on affective organizational commitment: A confirmatory study in a teaching and research institute. Braz Adm Rev. 2012;9(3):268-86. https://doi.org/10.1590/ s1807-76922012000300003
Beehr TA, Newman JE. Job stress, employee health, and organizational effectiveness: A facet analysis, model, and literature review. Pers Psychol. 1978;31(3):665-99. https://doi. org/10.1111/j.1744-6570.1978.tb02118.x
Boyle TA, Bishop A, Morrison B, Murphy A, Barker J, Ashcroft DM, et al. Pharmacist work stress and learning from quality related events. Res Soc Adm Pharm. 2016;12(5):772- 83. https://doi.org/10.1016/j.sapharm.2015.10.003 PMid:26604005
Brewer CS, Kovner CT, Djukic M, Fatehi F, Greene W, Chacko TP, et al. Impact of transformational leadership on nurse work outcomes. J Adv Nurs. 2016;72(11):2879-93. https://doi. org/10.1111/jan.13055 PMid:27346330
Burns JM. Leadership. New York: Harper and Row; 1978.
Butali ND, Moses P, Mamuli LC. Effects of staff turnover on the employee performance of work at masinde muliro university of science and technology. Int J Hum Resour Stud. 2013;3(1):67- 74. https://doi.org/10.5296/ijhrs.v3i1.3111
Caesary AG, Wessiani NA, Santosa B. Analisis Faktor faktor yang Mempengaruhi Turnover Intention pada Agent Outbound Call PT. Infomedia Nusantara Menggunakan Metode Structural Equation Modelling, Surabaya; 2011. Available from: http:// www.digilib.its.ac.id/public/ITS-Undergraduate-18384- Paper-2132000.pdf. https://doi.org/10.14710/medstat.5.2.75-86
Carney M. Influence of organizational culture on quality healthcare delivery. Int J Health Care Qual Assur. 2011;24(7):523-39. PMid:22204086
Deloitte. 2014 Global Health Care Sector Outlook: Shared Challenges, Shared Opportunities; 2014. Available from: https:// www2.deloitte.com/ie/en/pages/life-sciences-and-healthcare/ articles/2014-global-health-care-outlook.html.
El Jardali F, Dimassi H, Dumit N, Jamal D, Mouro G. A national cross-sectional study on nurses’ intent to leave and job satisfaction in Lebanon: Implications for policy and practice. BMC Nurs. 2009;8(3):1-13. https://doi.org/10.1186/1472-6955-8-3
Gaol JL. Human Capital Manajemen Sumber Daya Manusia- Konsep, Teori, dan Pengembangan dalam Konteks Organisasi Publik dan Bisnis. 2nd ed. Jakarta: Grasindo; 2014. https://doi. org/10.26905/jmdk.v7i1.2760
Hair JF, Hult GT, Ringle CM, Sarstedt M. A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM). 2nd ed. California: SAGE Publications; 2016. Available from: http:// www.study.sagepub.com/hairprimer2e. https://doi.org/10.3926/ oss.37
Hardjanti IW, Noermijati N, Dewanto R. Influence of quality of work life towards psychological well-being and turnover intention of nurses and midwives in hospital. Kesmas Natl Public Health J. 2017;12(1):7-14. https://doi.org/10.21109/kesmas.v12i1.1144
Ilies R, Curseu PL, Dimotakis N, Spitzmuller M. Leaders’ emotional expressiveness and their behavioural and relational authenticity: Effects on followers. Eur J Work Organ Psychol. 2013;22(1):4-14. https://doi.org/10.1080/13594 32x.2011.626199
James J. Effect of turnover on performance and effectiveness of human resource practices and policies in retention: A case study of hotel industry. J Hosp Appl Res. 2011;6(1):65-78.
Jussila I, Byrne N, Tuominen HF. Affective commitment in co-operative organizations: What makes members want to stay? Int Bus Res. 2012;5(10):1-10. https://doi.org/10.5539/ibr. v5n10p1
Khan MS, Khan I, Kundi GM, Khan S, Nawaz A, Khan F, et al. the impact of job satisfaction and organizational commitment on the intention to leave among the academicians. Int J Acad Res Bus Soc Sci. 2014;4(2):114-31. https://doi.org/10.6007/ijarbss/ v4-i2/610
Kinicki A, Kreitner R. Organizational Behavior: Key Concepts, Skills and Best Practices. New York: McGraw-Hill Irwin; 2008.
Langitan RE. Faktor-faktor Yang Mempengaruhi Kejadian Turnover Perawat Pelaksana di Rumah Sakit Bhakti Yudha. Indonesia: Universitas Indonesia; 2010. Available from: http://www.lib.ui.ac.id/file?file=digital/20285350- TRosameyEllekeLangitan.pdf. https://doi.org/10.31219/osf.io/ r2hv7
Leka S, Griffiths A, Cox T. Work Organisation and Stress: Systematic Problem Approaches for Employers, Managers and Trade Union Representatives. Geneva: World Health Organization; 2003.
Martin A, Roodt G. Perceptions of organisational commitment, job satisfaction and turnover intentions in a post-merger South African tertiary institution. SA J Ind Psychol. 2008;34(1):23-31. https://doi.org/10.4102/sajip.v34i1.415
Ministry of Health of the Republic of Indonesia. Number of Hospitals in Indonesia-Growth in Public Hospitals, Information System Hospital; 2018. Available from: http://www.sirs.yankes. kemkes.go.id/rsonline/report. [Last accessed 0n 2019 Feb 20].
Mohammed WA, Tadadej C, Kittipichai W, Pongpirul K. Relationship between leadership behaviors and job satisfaction among nurses in hospitals of South Kordofan State, Sudan. J Nurs Sci. 2014;32(4):70-7.
Mosadeghrad AM. Quality of working life: An antecedent to employee turnover intention. Int J Health Policy Manag. 2013;1(1):43-50. https://doi.org/10.15171/ijhpm.2013.07 PMid:24596835
Mosadeghrad AM, Ferlie E, Rosenberg D. A study of the relationship between job satisfaction, organizational commitment and turnover intention among hospital employees. Health Serv Manag Res. 2008;21(4):211-27. https://doi.org/10.1258/ hsmr.2007.007015 PMid:18957399
Nguyen HT. A Literature Review on Nursing Turnover and its Financial Implications. Pittsburgh, PA: University of Pittsburgh; 2006. Available from: http://www.d-scholarship.pitt.edu/id/ eprint/20044/contents.
Philippines Overseas Employment Administration. 2008- 2012 Overseas Employment Statistics. Manila, Philippines: Philippines Overseas Employment Administration; 2012. Available from: http://www.poea.gov.ph/stats/2012_Stats.pdf. https://doi.org/10.4016/41340.01
Renjith V, Renu G, George A. Transformational leadership in nursing. Int J Sci Res Manag Stud. 2015;2(2):112-8.
Robbins S. Organizational Behavior: Concepts, Controversies, and Applications. 9th ed. USA: Prentice Hall Inc.; 2003.
Robbins S, Judge TA. Perilaku Organisasi. 16th ed. Suslia A, editor. Jakarta: Salemba Empat; 2015.
Salleh R, Nair MS, Harun H. Job satisfaction, organizational commitment, and turnover intention: A case study on employees of a retail company in Malaysia. Int J Econ Manag Eng. 2012;6(12):3429-36.
Thamrin HM. The influence of transformational leadership and organizational commitment on job satisfaction and employee performance. Int J Innov Manag Technol. 2012;3(5):566.
Wang G, Oh IS, Courtright SH, Colbert AE. Transformational leadership and performance across criteria and levels: A meta-analytic review of 25 years of research. Group Organ Manag. 2011;36(2):223-70. https://doi.org/10.1177/1059601111401017
Weberg D. Transformational leadership and staff retention: An evidence review with implications for healthcare systems. Nurs Adm Q. 2010;34(3):246-58. https://doi.org/10.1097/ naq.0b013e3181e70298 PMid:20562573
Wells JE, Peachey JW. Turnover intentions: Do leadership behaviors and satisfaction with the leader matter? Team Perform Manag. 2011;17(1/2):23-40. https://doi. org/10.1108/13527591111114693
World Health Organization. Health System: Principled Integrate Care. Geneva: World Health Organization; 2003. Available from: http://www.who.int/whr/2003/chapter7/en/index4.html.
Yang SB, Lee KH. Linking empowerment and job enrichment to turnover intention: The influence of job satisfaction. Int Rev Public Adm. 2009;14(2):13-24. https://doi.org/10.1080/1229465 9.2009.10805152
Yukl G. Kepemimpinan dalam Organisasi. 5th ed. Tanya E, editor. Jakarta: Indeks; 2009.
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Copyright (c) 2020 Rindu Rindu, Syukri Lukman, Hardisman Hardisman, Muhammad Hafizurrachman, Adang Bachtiar (Author)
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