The effect of psychological contract on turnover intention among nurses: a meta-analytic review
Abstract Background The turnover intention (TI) of nurses is common, posing a threat to modern healthcare organizations. Psychological contract (PC) is a predictor of TI, affecting significantly nurse’s TI. However, the extent of the association between PC and nurse’s TI is unknown. We performed a m...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | BMC Nursing |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12912-023-01496-2 |
| _version_ | 1797453322056105984 |
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| author | Xianying Lu Jing Yang Dingxi Bai Mingjin Cai Wei Wang Jiali He Xiaoyan Gong Chaoming Hou Jing Gao |
| author_facet | Xianying Lu Jing Yang Dingxi Bai Mingjin Cai Wei Wang Jiali He Xiaoyan Gong Chaoming Hou Jing Gao |
| author_sort | Xianying Lu |
| collection | DOAJ |
| description | Abstract Background The turnover intention (TI) of nurses is common, posing a threat to modern healthcare organizations. Psychological contract (PC) is a predictor of TI, affecting significantly nurse’s TI. However, the extent of the association between PC and nurse’s TI is unknown. We performed a meta-analysis to quantitatively analyze the relationship between PC and nurse’s TI. Methods We searched nine electronic databases from inception to July 2023. Observational studies were included using a retrieval strategy related to PC and TI. Meta-analyses of common effect and random effect models were performed using R software with Spearman or Pearson correlation coefficients. Meta-regression, subgroup analysis, publication bias, and sensitivity analysis were also carried out . Results Eighteen studies including 8,908 nurses were identified. Based on various PC-related perspectives, 16 studies explored nurses’ TI in terms of the content and three-dimensional structure of PC. Of these, 9 studies reported the negative direction of the correlation between PC and TI (r ranged from − 0.20 to -0.45), whereas 7 studies reported the positive direction of the correlation between PC and TI (r ranged from 0.32 to 0.50). The PC total and its dimensions were found to have moderately significant associations with TI, with the exception of the PCE and PCE-I. Additional, 2 studies reported the relationship between the outcome of PC and TI, the PCF, PCB, and PCV were powerful predictors of nurses’ TI. Meta-regression and subgroup analysis found that only nurses working in specialized departments might be the source of heterogeneity. Conclusions To our knowledge, this was the first meta-analysis to quantitatively examine the relationship between PC and TI among nurses. The findings reaffirmed the necessity for healthcare administrators and the medical profession to valued nurse’ good interpersonal, social support, humanistic environment, and meet nurses’ psychological and spiritual needs in addition to their material demands. Moderators of the connection between PC and TI, based on meta-regression and subgroup analyses, should be carefully explored as they may aid in identifying nurses’ TI. Additional, longitudinal research, as well as mixed research, should be conducted to more comprehensively explore the relationship between PC and TI. |
| first_indexed | 2024-03-09T15:21:08Z |
| format | Article |
| id | doaj.art-1d83b819dbc04850b8ceccf71d39f21d |
| institution | Directory Open Access Journal |
| issn | 1472-6955 |
| language | English |
| last_indexed | 2024-03-09T15:21:08Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj.art-1d83b819dbc04850b8ceccf71d39f21d2023-11-26T12:45:47ZengBMCBMC Nursing1472-69552023-10-0122111110.1186/s12912-023-01496-2The effect of psychological contract on turnover intention among nurses: a meta-analytic reviewXianying Lu0Jing Yang1Dingxi Bai2Mingjin Cai3Wei Wang4Jiali He5Xiaoyan Gong6Chaoming Hou7Jing Gao8School of Nursing, Chengdu University of Traditional Chinese MedicineSchool of Nursing, Chengdu University of Traditional Chinese MedicineSchool of Nursing, Chengdu University of Traditional Chinese MedicineSchool of Nursing, Chengdu University of Traditional Chinese MedicineSchool of Nursing, Chengdu University of Traditional Chinese MedicineSchool of Nursing, Chengdu University of Traditional Chinese MedicineSchool of Nursing, Chengdu University of Traditional Chinese MedicineSchool of Nursing, Chengdu University of Traditional Chinese MedicineSchool of Nursing, Chengdu University of Traditional Chinese MedicineAbstract Background The turnover intention (TI) of nurses is common, posing a threat to modern healthcare organizations. Psychological contract (PC) is a predictor of TI, affecting significantly nurse’s TI. However, the extent of the association between PC and nurse’s TI is unknown. We performed a meta-analysis to quantitatively analyze the relationship between PC and nurse’s TI. Methods We searched nine electronic databases from inception to July 2023. Observational studies were included using a retrieval strategy related to PC and TI. Meta-analyses of common effect and random effect models were performed using R software with Spearman or Pearson correlation coefficients. Meta-regression, subgroup analysis, publication bias, and sensitivity analysis were also carried out . Results Eighteen studies including 8,908 nurses were identified. Based on various PC-related perspectives, 16 studies explored nurses’ TI in terms of the content and three-dimensional structure of PC. Of these, 9 studies reported the negative direction of the correlation between PC and TI (r ranged from − 0.20 to -0.45), whereas 7 studies reported the positive direction of the correlation between PC and TI (r ranged from 0.32 to 0.50). The PC total and its dimensions were found to have moderately significant associations with TI, with the exception of the PCE and PCE-I. Additional, 2 studies reported the relationship between the outcome of PC and TI, the PCF, PCB, and PCV were powerful predictors of nurses’ TI. Meta-regression and subgroup analysis found that only nurses working in specialized departments might be the source of heterogeneity. Conclusions To our knowledge, this was the first meta-analysis to quantitatively examine the relationship between PC and TI among nurses. The findings reaffirmed the necessity for healthcare administrators and the medical profession to valued nurse’ good interpersonal, social support, humanistic environment, and meet nurses’ psychological and spiritual needs in addition to their material demands. Moderators of the connection between PC and TI, based on meta-regression and subgroup analyses, should be carefully explored as they may aid in identifying nurses’ TI. Additional, longitudinal research, as well as mixed research, should be conducted to more comprehensively explore the relationship between PC and TI.https://doi.org/10.1186/s12912-023-01496-2Psychological contractTurnover intentionNursesOccupational healthMeta-analysis |
| spellingShingle | Xianying Lu Jing Yang Dingxi Bai Mingjin Cai Wei Wang Jiali He Xiaoyan Gong Chaoming Hou Jing Gao The effect of psychological contract on turnover intention among nurses: a meta-analytic review BMC Nursing Psychological contract Turnover intention Nurses Occupational health Meta-analysis |
| title | The effect of psychological contract on turnover intention among nurses: a meta-analytic review |
| title_full | The effect of psychological contract on turnover intention among nurses: a meta-analytic review |
| title_fullStr | The effect of psychological contract on turnover intention among nurses: a meta-analytic review |
| title_full_unstemmed | The effect of psychological contract on turnover intention among nurses: a meta-analytic review |
| title_short | The effect of psychological contract on turnover intention among nurses: a meta-analytic review |
| title_sort | effect of psychological contract on turnover intention among nurses a meta analytic review |
| topic | Psychological contract Turnover intention Nurses Occupational health Meta-analysis |
| url | https://doi.org/10.1186/s12912-023-01496-2 |
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