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The importance of social exchange to nurses and nurse assistants: impact on retention factors
Author(s) -
Trybou Jeroen,
Pourcq Kaat,
Paeshuyse Michel,
Gemmel Paul
Publication year - 2014
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/jonm.12039
Subject(s) - turnover intention , psychology , nursing management , job satisfaction , social exchange theory , multilevel model , reciprocity (cultural anthropology) , turnover , test (biology) , nursing , nursing shortage , quality (philosophy) , social psychology , medicine , management , nurse education , paleontology , philosophy , epistemology , machine learning , computer science , economics , biology
Aim The purpose of this study was to test the norm of reciprocity by examining relationships between perceived organisational support ( POS ), the quality of leader–member exchange ( LMX ) and psychological contract breach ( PCB ) and important nurse retention factors identified in the literature. Background A major cause of turnover among nurses is related to unsatisfying workplaces. Previous research, mainly outside the nursing setting, found that social exchange affects employees’ work‐related attitudes. Method A cross‐sectional survey was conducted on 217 nurses and nursing assistants to test and refine a model linking POS , LMX , PCB with job satisfaction, trust and turnover intentions. Results Hierarchical multiple linear regression revealed that POS , PCB and LMX explained significant variance in all three retention factors: job satisfaction (adjusted R ² = 0.502), trust (adjusted R ² = 0.462) and turnover intentions (adjusted R ² = 0.196). POS and PCB predicted most strongly job satisfaction ( P < 0.001) and trust ( P < 0.001 and P < 0.01, respectively). LMX predicted most strongly intention to leave ( P < 0.01). Conclusion In our study, POS , the quality of LMX and PCB were strongly related to job satisfaction, trust and turnover intentions. Implications for nursing management Nursing managers and leaders should recognize the importance of social exchange within their organisation to build trust, satisfy and retain scarce nurses and nursing assistants.