Abstract :
Nurse turnover is one of the main challenges in various hospitals, including Husada Hospital. High turnover rates can disrupt the quality of health services, increase recruitment costs, and hinder continuity of services. This study aims to analyze how the work environment and burnout affect nurse turnover at Husada Hospital, and how work motivation can mediate the relationship. Data were collected through questionnaires filled out by 167 nurses at Husada Hospital, then analyzed using Structural Equation Modeling (SEM) to test the relationship between variables. The results showed that the work environment had a significant effect on work motivation, while burnout had a significant negative effect on work motivation. Work motivation was also shown to mediate the influence of the work environment and burnout on nurse turnover. These findings emphasize the importance of improving the quality of the work environment and reducing burnout as an effort to increase nurse work motivation, which can ultimately reduce turnover. This study provides important implications for hospital management in designing policies that support nurse welfare in order to maintain workforce stability.
Keywords :
Burnout, Husada Hospital, Nurses., Turnover., Work Environment, Work MotivationReferences :
- Ambarsari, D. A., Haryono, A. T., & Amboningtyas, D. (2019). The Influence of Authoritarian Leadership Style, Compensation, and Career Development on Turnover Intention with Work Motivation as Intermediate Variables at Gunung Agung Citraland Bookstore Semarang. Journal of Management, 5(5).
- Boamah, S.A., Hamadi, H.Y., Havaei, F., Smith, H. & Webb, F. (2022) ‘Striking a balance between work and play: the effects of work–life interference and burnout on faculty turnover intentions and career satisfaction. International Journal of Environmental Research and Public Health, 19(2), p. 809. https://doi.org/10.3390/ijerph19020809
- Cao, X. & Chen, L. (2021). The impact of resilience on turnover intention in dialysis nurses: The mediating effects of work engagement and compassion fatigue. Japan Journal of Nursing Science, 18(3), p. e12414. https://doi.org/10.1111/jjns.12414
- Coco, L.K., Heidler, P., Fischer, H.A., Albanese, V., Marzo, R.R. and Kozon, V. (2023) ‘When the going gets challenging—motivational theories as a driver for workplace health promotion, employees well-being and quality of life. Behavioral Sciences, 13(11), p. 898. https://doi.org/10.3390/bs13110898
- Elnaby, WA., Abdelrahman, S. and Fahmy, A. (2023) ‘Relationship between hospital work environment and nurses’ performance in critical setting. Minia Scientific Nursing Journal, 014(2), pp. 85–91. https://doi.org/10.21608/msnj.2023.244395.1086
- Fitriasari, N. (2020). Spirituality in the workplace: solution to reduce nurse turnover intention. Jurnal Medicoeticolegal dan Manajemen Rumah Sakit, 9(2). https://doi.org/10.18196/jmmr.92125
- Ghozali, I. (2018). Aplikasi Analisis Multivariate dengan Program IBM SPSS 25, (Edisi 9). Semarang: Badan Penerbit Universitas Diponegoro. ISBN : 979-704-015-1.
- Halter, M., Boiko, O., Pelone, F., Beighton, C., Harris, R., Gale, J., Gourlay, S. & Drennan, V (2017). The Determinants and Consequences of Adult Nursing Staff Turnover: A Systematic Review of Systematic Reviews. BMC Health Services Research, 17(1), p.824. https://doi.org/10.1186/s12913-017-2707-0
- Hu, H., Wang, C., Lan, Y. and Wu, X. (2022) ‘Nurses’ turnover intention, hope and career identity: the mediating role of job satisfaction. BMC Nursing, 21(1), p. 43. https://doi.org/10.1186/s12912-022-00821-5
- Ike, O.O., Ugwu, L.E., Enwereuzor, I.K., Eze, I.C., Omeje, O. & Okonkwo, E. (2023) ‘Expanded-multidimensional turnover intentions: scale development and validation. BMC Psychology, 11(1), p. 271. https://doi.org/10.1186/s40359-023-01303-2
- Indonesia, B.P.S. (2024). Tingkat Pengangguran Terbuka (TPT) sebesar 4,82 persen dan Rata-rata upah buruh sebesar 3,04 juta rupiah per bulan. https://www.bps.go.id/id/pressrelease/2024/05/06/2372/tingkat-pengangguran-terbuka–tpt–sebesar-4-82-persen-dan-rata-rata-upah-buruh-sebesar-3-04-juta-rupiah-per-bulan.html
- Irmadela, R. Adriana. (2023). Pengaruh Burnout Dan Kepuasan Kerja Terhadap Turnover Intention Dengan Komitmen Organisasi Sebagai Variabel Intervening. Fakultas Ekonomi Dan Bisnis, Universitas Islam Negeri Syarif Hidayatullah Jakarta.
- Khammissa, R.A., Nemutandani, S., Shangase, S.L., Feller, G., Lemmer, J. and Feller, L. (2022). The burnout construct with reference to healthcare providers: A narrative review. SAGE Open Medicine, 10, p.205031212210830.
- Kohnen, D., De Witte, H., Schaufeli, W.B., Dello, S., Bruyneel, L. & Sermeus, W. (2023) ‘What makes nurses flourish at work? How the perceived clinical work environment relates to nurse motivation and well-being: A cross-sectional study. International Journal of Nursing Studies, 148, p. 104567. https://doi.org/10.1016/j.ijnurstu.2023.104567
- Kurniawaty, K., Ramly, M. & Ramlawati. (2019). The Effect of Work Environment, Stress, and Job Satisfaction on Employee Turnover Intention. Management Science Letters, 9(6), pp. 877–886. doi: 10.5267/j.msl.2019.3.001
- Labrague, L.J., De Los Santos, J.A.A., Falguera, C.C., Nwafor, C.E., Galabay, J.R., Rosales, R.A. & Firmo, C.N. (2020). Predictors of nurses’ turnover intention at one and five years’ time. International Nursing Review, 67(2), pp. 191–198. https://doi.org/10.1111/inr.12581
- Liu, Y., Duan, Y. & Guo, M. (2023) ‘Turnover intention and its associated factors among nurses: a multi-center cross-sectional study. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1141441
- Marzuqi, N.A. (2021) ‘Pengaruh job insecurity, job satisfaction dan lingkungan kerja terhadap turnover intention karyawan. Jurnal Ilmu Manajemen, 9(4), pp. 1393–1405. https://doi.org/10.26740/jim.v9n4.p1393-1405
- Purwati, A. A. & Maricy, S. (2021) ‘Pengaruh Beban Kerja, Lingkungan Kerja, dan Job Insecuriy Terhadap Turnover Intention Karyawan PT. Bumi Raya Mestika Pekanbaru. Management Studies and Entrepreneurship Journal, 2(1), pp. 77–91.
- Rahim, A., Syech, S. & Ms, M.Z. (2017). Pengaruh lingkungan kerja dan kompetensi terhadap motivasi kerja serta dampaknya terhadap kinerja pegawai pada dinas pendidikan kabupaten tanjung jabung timur. J-MAS (Jurnal Manajemen dan Sains), 2(2), pp. 133–149. https://doi.org/10.33087/jmas.v2i2.25
- Rahmawati, D.A. & Widyantoro, H. (2023). Pengaruh work stress dan job burnout terhadap turnover intention. Jurnal Bahana Manajemen Pendidikan, 12(2), p. 1. https://doi.org/10.24036/jbmp.v12i2.124144
- Salvagioni, D.A.J., Melanda, F.N., Mesas, A.E., González, A.D., Gabani, F.L. & Andrade, S.M.D. (2017) ‘Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies. PLOS ONE. Edited by J.P. Van Wouwe, 12(10), p. e0185781. https://doi.org/10.1371/journal.pone.0185781
- Sazili, S., Ju’im, J., Indarti, S. & Efendi, R. (2022). Turnover intention influenced by work environment and job satisfaction. International Journal of Social Science Research and Review, 5(6), pp. 102–108. https://doi.org/10.47814/ijssrr.v5i6.291
- Shin, S.-H., Baek, O.-J. & Lee, E.-H. (2023). Effects of nursing work environment, need satisfaction, and depression on turnover intention in korea. Healthcare, 11(12), p. 1698. https://doi.org/10.3390/healthcare11121698
- Talahatu, I. (2018) ‘Kelelahan Emosional Terhadap Motivasi Kerja Pegawai Pada PT. PLN Persero Wilayah Maluku dan Maluku Utara. Jurnal Minds: Manajemen Ide dan Inspirasi, 5(2), p. 173. doi: 10.24252/minds.v5i2.6233
- Tecoalu, M., Tj Winoto, H., & Susy, S. (2022) ‘Efek mediasi motivasi kerja pada pengaruh budaya organisasi dan kepemimpinan transformasional terhadap kinerja karyawan. BUDGETING : Journal of Business, Management and Accounting, 3(2), pp. 119–143. https://doi.org/10.31539/budgeting.v3i2.3869
- Wang, J., Liu, S., Qu, X., He, X., Zhang, L., Guo, K. & Zhu, X. (2023) ‘Nurses’ colleague solidarity and job performance: mediating effect of positive emotion and turnover intention. Safety and Health at Work, 14(3), pp. 309–316. https://doi.org/10.1016/j.shaw.2023.06.001
- Wardhani, U.C. & Hariyati, Rr.T.S. (2023) ‘Retaining employment in the hospital setting: A descriptive phenomenological study of Indonesian nurses’ experiences. Belitung Nursing Journal, 9(2), pp. 159–164. https://doi.org/10.33546/bnj.2481
- Winoto, Hery Tj. (2019). Pengaruh Motivasi Kerja Dan Kompensasi Terhadap Turnover Intention Pada PT NBK. Http://Ejurnal.Binawakya.or.Id/Index.Php/MBI 14 (2): 1–23.

