Predicting nurses' occupational commitment and turnover intention: The role of autonomous motivation and supervisor and coworker behaviours

J Nurs Manag. 2021 Nov;29(8):2611-2619. doi: 10.1111/jonm.13433. Epub 2021 Aug 25.

Abstract

Aim: To examine whether supportive supervisor (transformational leadership) and coworker (autonomy-supportive) behaviours predict occupational commitment and turnover intention over time through autonomous motivation.

Background: Nurse turnover is a serious issue in several countries, straining the efficiency of the healthcare system and compromising both the quality and accessibility of healthcare.

Method: Longitudinal data were collected over 12 months from 387 French-Canadian registered nurses. Structural equation modeling was used to test the hypothesized model.

Results: The relationships between predictors at Time 1 (supervisor and coworker behaviours) and occupational commitment and turnover intention at Time 2 are mediated by autonomous motivation at Time 1.

Conclusion: In times of global scarcity, the present findings provide insights into how the healthcare work environment acts on nurses' occupational turnover and commitment.

Implications for nursing management: Healthcare organizations are advised to foster supportive work environments and promote autonomous motivation to sustain the nursing workforce.

Keywords: autonomous motivation; autonomy support; nurse turnover and retention; occupational commitment; transformational leadership.

MeSH terms

  • Canada
  • Humans
  • Intention
  • Job Satisfaction
  • Motivation
  • Nurses*
  • Nursing Staff, Hospital*
  • Personnel Turnover