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Home nurses' turnover intentions: the impact of informal supervisory feedback and self‐efficacy
Author(s) -
Van Waeyenberg Thomas,
Decramer Adelien,
Anseel Frederik
Publication year - 2015
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.12747
Subject(s) - workforce , turnover , turnover intention , structural equation modeling , psychology , quality (philosophy) , descriptive statistics , nursing , self efficacy , health care , work (physics) , affect (linguistics) , medicine , social psychology , job satisfaction , mechanical engineering , philosophy , statistics , mathematics , management , epistemology , economics , engineering , economic growth , communication
Aim To examine how home nurses' turnover intentions are affected by the quality and frequency of supervisory feedback and by their own self‐efficacy. Background Little is known about effective retention strategies for the growing home healthcare sector that struggles to retain an adequate workforce. While the work environment and supervisors have been found to play a key‐role in nurses' turnover intentions, home nurses mostly work autonomously and apart from their supervisors. These circumstances require a customized approach and need to be understood to ensure high‐quality home health care. Design We used a correlational, cross‐sectional survey design. Method A convenience sample of 312 home nurses was selected from a division of a large home health care organization in Flanders, Belgium. Data were collected in 2013 using structured questionnaires and analysed using descriptive statistics, structural equation modelling and relative weight analysis. Results The quality of feedback was related to lower levels of turnover intentions. This relationship was fully mediated by home nurses' self‐efficacy. Frequent favourable feedback was directly related to lower turnover intentions while the relationship between frequent unfavourable feedback and turnover intentions was conditional on home nurses' level of self‐efficacy. Conclusion This study contributes to our understanding of home nurses' turnover intentions and the role of informal supervisory feedback and home nurses' self‐efficacy.