Work engagement, resilience and turnover intentions among nurses: a mediation analysis

Abstract Introduction Healthcare organizations experience difficult challenges as a result of nursing staff turnover. This is because it not only interrupts continuity of service but also its financial implications. Aim The purpose of the study was to find out the effects of work engagement on nurse...

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Main Authors: Collins Atta Poku, Jonathan Bayuo, Veronica Adwoa Agyare, Nana Kobi Sarkodie, Victoria Bam
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-025-12242-6
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author Collins Atta Poku
Jonathan Bayuo
Veronica Adwoa Agyare
Nana Kobi Sarkodie
Victoria Bam
author_facet Collins Atta Poku
Jonathan Bayuo
Veronica Adwoa Agyare
Nana Kobi Sarkodie
Victoria Bam
author_sort Collins Atta Poku
collection DOAJ
description Abstract Introduction Healthcare organizations experience difficult challenges as a result of nursing staff turnover. This is because it not only interrupts continuity of service but also its financial implications. Aim The purpose of the study was to find out the effects of work engagement on nurses' intentions to leave their jobs while considering resilience as a mediating factor. Methods The study used a descriptive-analytical design using a survey questionnaire on nurses working in different healthcare settings. The Utrecht Work Engagement Scale, the Brief Resilience Scale, and the Turnover Intention Scale were among the validated scales that were employed. The hypothesized relations were tested using descriptive and mediation analyses at a significance of <0.05. Results Though the turnover intention (n = 3.83 ± 1.42) and the level of work engagement (n = 4.03 ± 1.32) among nurses were high, their level of resilience of nurses was average (n = 2.48, SD: 0.63). Resilience had a negative association with turnover intention (β =  − 0.5699, p < .0001), and there was also a significant negative association between work engagement and turnover intentions among nurses with resilience mediating the relationship (β = -0.0367, p < .05). Conclusion Disengaged nurses are more likely to leave their jobs. Moreover, resilience acts as a mechanism through which work engagement influences turnover intentions. The study emphasizes the need to encourage work engagement among nurses to lessen intentions to leave the profession. Among factors that can improve work engagement and resilience to reduce turnover include conducting regular engagement assessments, fostering positive workplace cultures, employing flexible scheduling practices, and offering resources for personal and professional development.
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spelling doaj-art-ff1e176e3f784e3fa08037ea6f3b37a32025-01-19T12:15:10ZengBMCBMC Health Services Research1472-69632025-01-0125111010.1186/s12913-025-12242-6Work engagement, resilience and turnover intentions among nurses: a mediation analysisCollins Atta Poku0Jonathan Bayuo1Veronica Adwoa Agyare2Nana Kobi Sarkodie3Victoria Bam4Department of Nursing, Kwame Nkrumah University of Science and TechnologyPresbyterian UniversitySDA Nursing and Midwifery Training CollegeGreater Accra Regional HospitalDepartment of Nursing, Kwame Nkrumah University of Science and TechnologyAbstract Introduction Healthcare organizations experience difficult challenges as a result of nursing staff turnover. This is because it not only interrupts continuity of service but also its financial implications. Aim The purpose of the study was to find out the effects of work engagement on nurses' intentions to leave their jobs while considering resilience as a mediating factor. Methods The study used a descriptive-analytical design using a survey questionnaire on nurses working in different healthcare settings. The Utrecht Work Engagement Scale, the Brief Resilience Scale, and the Turnover Intention Scale were among the validated scales that were employed. The hypothesized relations were tested using descriptive and mediation analyses at a significance of <0.05. Results Though the turnover intention (n = 3.83 ± 1.42) and the level of work engagement (n = 4.03 ± 1.32) among nurses were high, their level of resilience of nurses was average (n = 2.48, SD: 0.63). Resilience had a negative association with turnover intention (β =  − 0.5699, p < .0001), and there was also a significant negative association between work engagement and turnover intentions among nurses with resilience mediating the relationship (β = -0.0367, p < .05). Conclusion Disengaged nurses are more likely to leave their jobs. Moreover, resilience acts as a mechanism through which work engagement influences turnover intentions. The study emphasizes the need to encourage work engagement among nurses to lessen intentions to leave the profession. Among factors that can improve work engagement and resilience to reduce turnover include conducting regular engagement assessments, fostering positive workplace cultures, employing flexible scheduling practices, and offering resources for personal and professional development.https://doi.org/10.1186/s12913-025-12242-6Healthcare organizationsNursesResilienceRetentionTurnover intentionsWork engagement
spellingShingle Collins Atta Poku
Jonathan Bayuo
Veronica Adwoa Agyare
Nana Kobi Sarkodie
Victoria Bam
Work engagement, resilience and turnover intentions among nurses: a mediation analysis
BMC Health Services Research
Healthcare organizations
Nurses
Resilience
Retention
Turnover intentions
Work engagement
title Work engagement, resilience and turnover intentions among nurses: a mediation analysis
title_full Work engagement, resilience and turnover intentions among nurses: a mediation analysis
title_fullStr Work engagement, resilience and turnover intentions among nurses: a mediation analysis
title_full_unstemmed Work engagement, resilience and turnover intentions among nurses: a mediation analysis
title_short Work engagement, resilience and turnover intentions among nurses: a mediation analysis
title_sort work engagement resilience and turnover intentions among nurses a mediation analysis
topic Healthcare organizations
Nurses
Resilience
Retention
Turnover intentions
Work engagement
url https://doi.org/10.1186/s12913-025-12242-6
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