Araştırma Makalesi
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HEMŞİRELERDE TÜKENMİŞLİĞİN İŞTEN AYRILMA NİYETİ ÜZERİNDEKİ ETKİSİNDE ÇALIŞMA YAŞAM KALİTESİNİN ARACILIK ROLÜ

Yıl 2023, Cilt: 4 Sayı: 3, 406 - 419, 31.12.2023

Hilal Kuşcu Karatepe Mesut Karaman

Öz

Amaç: Bu çalışma hemşirelerde tükenmişliğin işten ayrılma niyeti üzerindeki etkisinde çalışma yaşam kalitesinin aracılık rolünün belirlenmesi ve bu değişkenler arasındaki etkileşimlerin ortaya konulması amaçlanmıştır.
Gereç ve Yöntemler: Araştırma amacı doğrultusunda tasarlanan model önceki literatür ve nedensellik ilişkilerine dayanmaktadır. Tanımlayıcı ve kesitsel tipte olan bu çalışmanın örneklemini 384 hemşire oluşturmaktadır. Verilerin değerlendirilmesinde SPSS 26 paket programı tercih edilmiştir. Verilerin analizinde öncelikle normal dağılım şartı sağlanmıştır. Verilerin analizinde; tanımlayıcı istatistikler, pearson korelasyon analizi ve aracılık testinde PROCESS Macro (Model 4) kullanılmıştır.
Bulgular: Hemşirelerin %64,8’i kadın, %72’si bekar, %31’i 26-30 yaş aralığındadır. Hemşirelerin %70,1’i lisans mezunu, %78,3’ünün çalıştıkları kurum tipi kamu, %55,8’inin toplam mesleki yılı ve %61,5’nin bulundukları kurumda çalışma süresi 1-5 yıl arasındadır. Tükenmişlik puan ortalaması 3,14±0,37; işten ayrılma niyeti 2,93±1,07 ve çalışma yaşam kalitesi 3,55±0,48’dir. Tükenmişlik ile işten ayrılma niyeti arasında (r: ,620) pozitif yönlü ve anlamlı bir ilişkinin olduğu belirlenmiştir. Çalışma yaşam kalitesi ile tükenmişlik (r:-,665) ve işten ayrılma niyeti (r: -,564) arasında anlamlı ve negatif yönlü bir ilişki bulunmuştur. Tükenmişliğin işten ayrılma niyeti üzerinde doğrudan etki (β= ,439) ve dolaylı etki (β= ,181) olduğu saptandı ve çalışma yaşam kalitesinin aracılık rolünün olduğu belirlenmiştir.
Sonuç: Hemşirelerde tükenmişliğin işten ayrılma niyeti üzerindeki etkisinin azalmasında çalışma yaşam kalitesinin önemli bir etken olduğu söylenebilir.

Anahtar Kelimeler

Çalışma yaşam kalitesi hemşireler işten ayrılma niyeti tükenmişlik

Kaynakça

  • Adams, A., Hollingsworth, A., & Osman, A. (2019). “The implementation of a cultural change toolkit to reduce nursing burnout and mitigate nurse turnover in the emergency department”, Journal of Emergency Nursing, 45(4), 452-456.
  • Alan, H., & Yıldırım, A. (2016). “Hemşirelerin iş yaşam kalitesi ve etkileyen faktörlerin incelenmesi”, Sağlık ve Hemşirelik Yönetimi Dergisi, 3(2), 86-98.
  • Alkhraishi, M. Y., Eivazzadeh, N., & Yeşiltaş, M. (2023). “The impact of burnout on turnover intention among nurses: The mediating role of job satisfaction”, Hacettepe Sağlık İdaresi Dergisi, 26(1), 1-28.
  • Aydın, G. Ç., Aytaç, S., & Şanlı, Y. (2021). “İşe ilişkin duygular, iş stresi ve tükenmişliğin işten ayrılma niyeti üzerindeki etkisi: Hemşireler üzerinde bir araştırma”, In Journal of Social Policy Conferences, 1-35.
  • Boamah, S. A., & Laschinger, H. (2016). “The influence of areas of work‐ life fit and work‐life interference on burnout and turnover intentions among new graduate nurses”, Journal of Nursing Management, 24(2), E164–E174.
  • Broetje, S., Jenny, G. J., & Bauer, G. F. (2020). “The key job demands and resources of nursing staff: An integrative review of reviews”, Frontiers in Psychology, 11, 1-17.
  • Cacioppe, R., & Mock, P. (1984). “A comparison of the quality of work experience in government and private organizations”, Human Relations, 37(11), 923-940.
  • Cacioppe, R.L. (1980). “The quality working life”, A study of work attitudes in Australian organizations presented at the management educator’s conference Melbourne.
  • Cammann, C., Fichman, M., Jenkins, G.D., & Klesh, J. (1979). “Michigan Organizational Assessment Questionnaire”, University of Michigan, Ann Arbor, Michigan.
  • Carvalho Manhães Leite, C., & Wooldridge, A. R. (2022). “Prediction of nursing burnout—a scoping review of the literature from 1970 to 2021”, IISE Transactions on Healthcare Systems Engineering, 1-20.
  • Casida, J. M., Combs, P., Schroeder, S. E., & Johnson, C. (2018). “Burnout and quality of work life among nurse practitioners in ventricular as‐ sist device programs in the United States”, Progress in Transplantation, 29(1), 67-72.
  • Cerit, G. N., Aykal, G., Güzel, A., & Kara, İ. (2016). “Bir hastanede çalışan yoğun bakım hemşirelerinde tükenmişlik düzeyinin belirlenmesi”, Anadolu Kliniği Dergisi, 21(2), 109- 118.
  • Chegini, Z., Asghari Jafarabadi, M., & Kakemam, E. (2019). “Occupational stress, quality of working life and turnover intention amongst nurses”, Nursing in Critical Care, 24(5), 283-289.
  • Çatak, T., & Bahçecik, N. (2015). “Hemşirelerin iş yaşamı kalitesi ve etkileyen faktörlerin belirlenmesi”, Marmara Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 5(2), 85-95.
  • Durkin, M., Beaumont, E., Hollins Martin, C. J., & Carson, J. (2016). “A pilot study exploring the relationship between self‐compassion, self‐ judgement, self‐kindness, compassion, professional quality of life and wellbeing among UK community nurses”, Nurse Education Today, 46, 109-114.
  • Elbarazi, I., Loney, T., Yousef, S., & Elias, A. (2017). “Prevalence of and factors associated with burnout among health care professionals in Arab countries: a systematic review”, BMC Health Services Research, 17(1), 1-10.
  • Ergin, C. (1995). “Doktor ve Hemşirelerde Tükenmişlik ve Maslach Tükenmişlik Ölçeği’nin uyarlanması”, 7.Ulusal Psikoloji Kongresi Bilimsel Çalışmaları, 143-154.
  • Faraji, O., Salehnejad, G., Gahramani, S., & Valiee, S. (2017). “The relation between nurses’ quality of work life with intention to leave their job”, Nursing Practice Today, 4(2), 103-111.
  • Farsi, Z., Rajaei, N., & Habibi, H. (2015). “The relationship between burnout and quality of working life in nurses of AJA hospitals in Tehran”, Military Caring Sciences Journal, 1(2), 63-72.
  • Flynn, L., & Ironside, P. M. (2018). “Burnout and its contributing factors among midlevel academic nurse leaders”, Journal of Nursing Education, 57(1), 28–34.
  • Guo, Y. F., Plummer, V., Lam, L., Wang, Y., Cross, W., & Zhang, J. P. (2019). “The effects of resilience and turnover intention on nurses’ burnout: Findings from a comparative cross‐sectional study”, Journal of Clinical Nursing, 28(3-4), 499-508.
  • Gülertekin, S. (2013). Duygu İklimi ve Liderlik Tarzının İşten Ayrılma Niyetine Etkileri: Alanya'daki Turizm İşletmelerine Yönelik Bir Araştırma (Yüksek Lisans Tezi). Çanakkale Onsekiz Mart Üniversitesi Sosyal Bilimleri Enstitüsü, Çanakkale.
  • Aydoğmuş, S. (2017). Hemşirelerin Çalışma Ortamlarının İşten Ayrılma Niyeti İle İlişkisi (Yüksek Lisans Tezi). Necmettin Erbakan Üniversitesi Sağlık Bilimleri Enstitüsü, Konya.
  • Hair, J. F., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, R. L. (2013). Multivariate Data Analysis: Pearson Education Limited.
  • Hayes, A. F., & Scharkow, M. (2013). “The relative trustworthiness of inferential tests of the indirect effect in statistical mediation analysis: Does method really matter?” Psychological Science, 24(10), 1918-1927.
  • Heinen, M. M., van Achterberg, T., Schwendimann, R., Zander, B., Matthews, A., Kózka, M., ... & Schoonhoven, L. (2013). “Nurses’ intention to leave their profession: a cross sectional observational study in 10 European countries”, International Journal of Nursing Studies, 50(2), 174-184.
  • Hong, E., & Lee, Y. S. (2016). “The mediating effect of emotional intelligence between emotional labor, job stress, burnout and nurses' turnover intention”, International Journal of Nursing Practice, 22(6), 625-632.
  • Köroğlu, Ö., & Bahar, E. (2021). “Sağlık kurumlarında çalışan hemşirelerin tükenmişlik algılarının işten ayrılma niyetlerine etkisi”, İşletme Araştırmaları Dergisi, 13(4), 3453-3466.
  • Lees, T., & Lal, S. (2017). “Stress and its impact on the neurocognitive performance of Australian nurses”, Stress Health, 33(1), 45–54.
  • Liu, C., Zhang, L., Ye, W., Zhu, J., Cao, J., Lu, X., & Li, F. (2012). “Job sat‐ isfaction and intention to leave: A questionnaire survey of hospital nurses in Shanghai of China”, Journal Of Clinical Nursing, 21(1–2), 255–263.
  • Macit, M., Eren, A. S., Karaman, M., & Demir, İ. E. (2019). “Çalışma yaşamı kalitesi ölçeği geçerlilik güvenirlik çalışması: sağlık çalışanlarında bir uygulama”, Yönetim ve Ekonomi Dergisi, 26(3), 903-917.
  • Maslach, C. ve Jackson, S.E. (1981). “The measurement of experienced burnout”, Journal of Occupational Behavior, 2, 99-113.
  • Moloney, W., Boxall, P., Parsons, M., & Cheung, G. (2018). “Factors pre‐ dicting registered nurses' intentions to leave their organization and profession: A job demands‐resources framework”, Journal of Advanced Nursing, 74(4), 864–875.
  • Moradi, T., Maghaminejad, F., & Azizi-Fini, I. (2014). “Quality of working life of nurses and its related factors”, Nursing and midwifery studies, 3(2), 1-6.
  • Mosadeghrad, A. M. (2013). “Quality of working life and turnover intentions: implications for nursing management”, International Journal of Research in Nursing, 4(2), 47-54.
  • Naz, S., Hashmi, A. M., & Asif, A. (2016). “Burnout and quality of life in nurses of a tertiary care hospital in Pakistan”, Journal of the Pakistan Medical Association, 66(5), 532–536.
  • Peng, X., Ye, Y., Ding, X., & Chandrasekaran, A. (2023). “The impact of nurse staffing on turnover and quality: An empirical examination of nursing care within hospital units”, Journal of Operations Management, 1-29.
  • Sasso, L., Bagnasco, A., Catania, G., Zanini, M., Aleo, G., & Watson, R. (2019). “Push and pull factors of nurses' intention to leave”, Journal of Nursing Management, 27(5), 946-954.
  • Scammell, J. (2016). “Should I stay or should I go? Stress, burnout and nurse retention”, British Journal of Nursing, 25(17), 990.
  • Shaffer, F. A., & Curtin, L. (2020). “Nurse turnover: Understand it, reduce it”, My American Nurse, 15(8), 57-59.
  • Stemmer, R., Bassi, E., Ezra, S., Harvey, C., Jojo, N., Meyer, G., ... & Bail, K. (2022). “A systematic review: Unfinished nursing care and the impact on the nurse outcomes of job satisfaction, burnout, intention‐to‐leave and turnover”, Journal of Advanced Nursing, 78(8), 2290-2303.
  • Sun, B., Fu, L., Yan, C., Wang, Y., & Fan, L. (2022). “Quality of work life and work engagement among nurses with standardised training: The mediating role of burnout and career identity”, Nurse Education in Practice, 58, 1-8.
  • Van Bogaert, P., Timmermans, O., Weeks, S. M., van Heusden, D., Wouters, K., & Franck, E. (2014). “Nursing unit teams matter: impact of unit-level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events: A cross-sectional survey”, International Journal of Nursing Studies, 51(8), 1123- 1134.
  • Van den Tooren M. & De Jonge J. (2008) “Managing job stress in nursing: what kind of resources do we need?”, Journal of Advanced Nursing 63(1), 75–84.
  • Wang, Q. Q., Lv, W. J., Qian, R. L., & Zhang, Y. H. (2019). “Job burnout and quality of working life among Chinese nurses: A cross‐sectional study”, Journal of Nursing Management, 27(8), 1835-1844.
  • Wrzesińska, M., Binder, K., Tabała, K., Lipert, A., & Miller, E. (2019). “Burnout and quality of life among massage therapists with visual impairment”, Journal of Occupational Rehabilitation, 29(2), 384–394.

THE MEDIATING ROLE OF QUALITY OF WORKING LIFE IN THE EFFECT OF BURNOUT ON TURNOVER INTENTION IN NURSES

Yıl 2023, Cilt: 4 Sayı: 3, 406 - 419, 31.12.2023

Hilal Kuşcu Karatepe Mesut Karaman

Öz

Aim: This study aimed to determine the mediating role of quality of work life in the effect of burnout on turnover intention in nurses and to reveal the interactions between these variables.
Materials and Methods: The model designed in line with the research purpose is based on previous literature and causal relationships. The sample of this descriptive and cross-sectional study consisted of 384 nurses. SPSS 26 package programme was preferred for the evaluation of the data. In the analysis of the data, firstly, the normal distribution condition was met. In the analysis of the data; descriptive statistics, Pearson correlation analysis and PROCESS Macro (Model 4) were used in the mediation test.
Results: Among the nurses, 64.8% were female, 72% were single, and 31% were between 26-30 years of age. 70.1% of the nurses were bachelor's degree graduates, 78.3% of the nurses' institution type was public, 55.8% of the nurses' total professional years and 61.5% of the nurses' working period in their institution was between 1-5 years. The mean burnout score was 3.14±0.37, turnover intention was 2.93±1.07 and quality of working life was 3.55±0.48. It was determined that there was a positive and significant relationship between burnout and turnover intention (r: ,620). A significant and negative relationship was found between quality of work life and burnout (r: -,665) and turnover intention (r: -,564). It was determined that burnout had a direct effect (β= ,439) and indirect effect (β= ,181) on turnover intention and quality of work life had a mediating role.

Anahtar Kelimeler

Quality of working life nurses turnover intention burnout

Kaynakça

  • Adams, A., Hollingsworth, A., & Osman, A. (2019). “The implementation of a cultural change toolkit to reduce nursing burnout and mitigate nurse turnover in the emergency department”, Journal of Emergency Nursing, 45(4), 452-456.
  • Alan, H., & Yıldırım, A. (2016). “Hemşirelerin iş yaşam kalitesi ve etkileyen faktörlerin incelenmesi”, Sağlık ve Hemşirelik Yönetimi Dergisi, 3(2), 86-98.
  • Alkhraishi, M. Y., Eivazzadeh, N., & Yeşiltaş, M. (2023). “The impact of burnout on turnover intention among nurses: The mediating role of job satisfaction”, Hacettepe Sağlık İdaresi Dergisi, 26(1), 1-28.
  • Aydın, G. Ç., Aytaç, S., & Şanlı, Y. (2021). “İşe ilişkin duygular, iş stresi ve tükenmişliğin işten ayrılma niyeti üzerindeki etkisi: Hemşireler üzerinde bir araştırma”, In Journal of Social Policy Conferences, 1-35.
  • Boamah, S. A., & Laschinger, H. (2016). “The influence of areas of work‐ life fit and work‐life interference on burnout and turnover intentions among new graduate nurses”, Journal of Nursing Management, 24(2), E164–E174.
  • Broetje, S., Jenny, G. J., & Bauer, G. F. (2020). “The key job demands and resources of nursing staff: An integrative review of reviews”, Frontiers in Psychology, 11, 1-17.
  • Cacioppe, R., & Mock, P. (1984). “A comparison of the quality of work experience in government and private organizations”, Human Relations, 37(11), 923-940.
  • Cacioppe, R.L. (1980). “The quality working life”, A study of work attitudes in Australian organizations presented at the management educator’s conference Melbourne.
  • Cammann, C., Fichman, M., Jenkins, G.D., & Klesh, J. (1979). “Michigan Organizational Assessment Questionnaire”, University of Michigan, Ann Arbor, Michigan.
  • Carvalho Manhães Leite, C., & Wooldridge, A. R. (2022). “Prediction of nursing burnout—a scoping review of the literature from 1970 to 2021”, IISE Transactions on Healthcare Systems Engineering, 1-20.
  • Casida, J. M., Combs, P., Schroeder, S. E., & Johnson, C. (2018). “Burnout and quality of work life among nurse practitioners in ventricular as‐ sist device programs in the United States”, Progress in Transplantation, 29(1), 67-72.
  • Cerit, G. N., Aykal, G., Güzel, A., & Kara, İ. (2016). “Bir hastanede çalışan yoğun bakım hemşirelerinde tükenmişlik düzeyinin belirlenmesi”, Anadolu Kliniği Dergisi, 21(2), 109- 118.
  • Chegini, Z., Asghari Jafarabadi, M., & Kakemam, E. (2019). “Occupational stress, quality of working life and turnover intention amongst nurses”, Nursing in Critical Care, 24(5), 283-289.
  • Çatak, T., & Bahçecik, N. (2015). “Hemşirelerin iş yaşamı kalitesi ve etkileyen faktörlerin belirlenmesi”, Marmara Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 5(2), 85-95.
  • Durkin, M., Beaumont, E., Hollins Martin, C. J., & Carson, J. (2016). “A pilot study exploring the relationship between self‐compassion, self‐ judgement, self‐kindness, compassion, professional quality of life and wellbeing among UK community nurses”, Nurse Education Today, 46, 109-114.
  • Elbarazi, I., Loney, T., Yousef, S., & Elias, A. (2017). “Prevalence of and factors associated with burnout among health care professionals in Arab countries: a systematic review”, BMC Health Services Research, 17(1), 1-10.
  • Ergin, C. (1995). “Doktor ve Hemşirelerde Tükenmişlik ve Maslach Tükenmişlik Ölçeği’nin uyarlanması”, 7.Ulusal Psikoloji Kongresi Bilimsel Çalışmaları, 143-154.
  • Faraji, O., Salehnejad, G., Gahramani, S., & Valiee, S. (2017). “The relation between nurses’ quality of work life with intention to leave their job”, Nursing Practice Today, 4(2), 103-111.
  • Farsi, Z., Rajaei, N., & Habibi, H. (2015). “The relationship between burnout and quality of working life in nurses of AJA hospitals in Tehran”, Military Caring Sciences Journal, 1(2), 63-72.
  • Flynn, L., & Ironside, P. M. (2018). “Burnout and its contributing factors among midlevel academic nurse leaders”, Journal of Nursing Education, 57(1), 28–34.
  • Guo, Y. F., Plummer, V., Lam, L., Wang, Y., Cross, W., & Zhang, J. P. (2019). “The effects of resilience and turnover intention on nurses’ burnout: Findings from a comparative cross‐sectional study”, Journal of Clinical Nursing, 28(3-4), 499-508.
  • Gülertekin, S. (2013). Duygu İklimi ve Liderlik Tarzının İşten Ayrılma Niyetine Etkileri: Alanya'daki Turizm İşletmelerine Yönelik Bir Araştırma (Yüksek Lisans Tezi). Çanakkale Onsekiz Mart Üniversitesi Sosyal Bilimleri Enstitüsü, Çanakkale.
  • Aydoğmuş, S. (2017). Hemşirelerin Çalışma Ortamlarının İşten Ayrılma Niyeti İle İlişkisi (Yüksek Lisans Tezi). Necmettin Erbakan Üniversitesi Sağlık Bilimleri Enstitüsü, Konya.
  • Hair, J. F., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, R. L. (2013). Multivariate Data Analysis: Pearson Education Limited.
  • Hayes, A. F., & Scharkow, M. (2013). “The relative trustworthiness of inferential tests of the indirect effect in statistical mediation analysis: Does method really matter?” Psychological Science, 24(10), 1918-1927.
  • Heinen, M. M., van Achterberg, T., Schwendimann, R., Zander, B., Matthews, A., Kózka, M., ... & Schoonhoven, L. (2013). “Nurses’ intention to leave their profession: a cross sectional observational study in 10 European countries”, International Journal of Nursing Studies, 50(2), 174-184.
  • Hong, E., & Lee, Y. S. (2016). “The mediating effect of emotional intelligence between emotional labor, job stress, burnout and nurses' turnover intention”, International Journal of Nursing Practice, 22(6), 625-632.
  • Köroğlu, Ö., & Bahar, E. (2021). “Sağlık kurumlarında çalışan hemşirelerin tükenmişlik algılarının işten ayrılma niyetlerine etkisi”, İşletme Araştırmaları Dergisi, 13(4), 3453-3466.
  • Lees, T., & Lal, S. (2017). “Stress and its impact on the neurocognitive performance of Australian nurses”, Stress Health, 33(1), 45–54.
  • Liu, C., Zhang, L., Ye, W., Zhu, J., Cao, J., Lu, X., & Li, F. (2012). “Job sat‐ isfaction and intention to leave: A questionnaire survey of hospital nurses in Shanghai of China”, Journal Of Clinical Nursing, 21(1–2), 255–263.
  • Macit, M., Eren, A. S., Karaman, M., & Demir, İ. E. (2019). “Çalışma yaşamı kalitesi ölçeği geçerlilik güvenirlik çalışması: sağlık çalışanlarında bir uygulama”, Yönetim ve Ekonomi Dergisi, 26(3), 903-917.
  • Maslach, C. ve Jackson, S.E. (1981). “The measurement of experienced burnout”, Journal of Occupational Behavior, 2, 99-113.
  • Moloney, W., Boxall, P., Parsons, M., & Cheung, G. (2018). “Factors pre‐ dicting registered nurses' intentions to leave their organization and profession: A job demands‐resources framework”, Journal of Advanced Nursing, 74(4), 864–875.
  • Moradi, T., Maghaminejad, F., & Azizi-Fini, I. (2014). “Quality of working life of nurses and its related factors”, Nursing and midwifery studies, 3(2), 1-6.
  • Mosadeghrad, A. M. (2013). “Quality of working life and turnover intentions: implications for nursing management”, International Journal of Research in Nursing, 4(2), 47-54.
  • Naz, S., Hashmi, A. M., & Asif, A. (2016). “Burnout and quality of life in nurses of a tertiary care hospital in Pakistan”, Journal of the Pakistan Medical Association, 66(5), 532–536.
  • Peng, X., Ye, Y., Ding, X., & Chandrasekaran, A. (2023). “The impact of nurse staffing on turnover and quality: An empirical examination of nursing care within hospital units”, Journal of Operations Management, 1-29.
  • Sasso, L., Bagnasco, A., Catania, G., Zanini, M., Aleo, G., & Watson, R. (2019). “Push and pull factors of nurses' intention to leave”, Journal of Nursing Management, 27(5), 946-954.
  • Scammell, J. (2016). “Should I stay or should I go? Stress, burnout and nurse retention”, British Journal of Nursing, 25(17), 990.
  • Shaffer, F. A., & Curtin, L. (2020). “Nurse turnover: Understand it, reduce it”, My American Nurse, 15(8), 57-59.
  • Stemmer, R., Bassi, E., Ezra, S., Harvey, C., Jojo, N., Meyer, G., ... & Bail, K. (2022). “A systematic review: Unfinished nursing care and the impact on the nurse outcomes of job satisfaction, burnout, intention‐to‐leave and turnover”, Journal of Advanced Nursing, 78(8), 2290-2303.
  • Sun, B., Fu, L., Yan, C., Wang, Y., & Fan, L. (2022). “Quality of work life and work engagement among nurses with standardised training: The mediating role of burnout and career identity”, Nurse Education in Practice, 58, 1-8.
  • Van Bogaert, P., Timmermans, O., Weeks, S. M., van Heusden, D., Wouters, K., & Franck, E. (2014). “Nursing unit teams matter: impact of unit-level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events: A cross-sectional survey”, International Journal of Nursing Studies, 51(8), 1123- 1134.
  • Van den Tooren M. & De Jonge J. (2008) “Managing job stress in nursing: what kind of resources do we need?”, Journal of Advanced Nursing 63(1), 75–84.
  • Wang, Q. Q., Lv, W. J., Qian, R. L., & Zhang, Y. H. (2019). “Job burnout and quality of working life among Chinese nurses: A cross‐sectional study”, Journal of Nursing Management, 27(8), 1835-1844.
  • Wrzesińska, M., Binder, K., Tabała, K., Lipert, A., & Miller, E. (2019). “Burnout and quality of life among massage therapists with visual impairment”, Journal of Occupational Rehabilitation, 29(2), 384–394.
Toplam 46 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Hemşirelikte Yönetim, Sağlık Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Hilal Kuşcu Karatepe 0000-0001-9237-2714

Mesut Karaman 0000-0002-7584-0800

Yayımlanma Tarihi 31 Aralık 2023
Gönderilme Tarihi 2 Ağustos 2023
Kabul Tarihi 25 Ekim 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 4 Sayı: 3

Kaynak Göster

APA Kuşcu Karatepe, H., & Karaman, M. (2023). HEMŞİRELERDE TÜKENMİŞLİĞİN İŞTEN AYRILMA NİYETİ ÜZERİNDEKİ ETKİSİNDE ÇALIŞMA YAŞAM KALİTESİNİN ARACILIK ROLÜ. Selçuk Sağlık Dergisi, 4(3), 406-419.
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