The Development of a Nurse Well-Being Instrument and Predictive Factors of Nurse Turnover Intention
The Development of a Nurse Well-Being Instrument and Predictive Factors of Nurse Turnover Intention
Jorge A. Flores | 2025
Abstract
This study aimed to develop a validated instrument for assessing nurse well-being within clinical contexts and to examine the relationships between job satisfaction, person-organization fit, transformational leadership, and nurse well-being with turnover intention. Guided by DeVellis and Thorpe’s (2021) framework for scale construction, I developed the Nurse Well-Being Scale (NWBS), encompassing five subdimensions: work-related burnout, health practices, emotional distress, spiritual care practices, and social isolation. The NWBS demonstrated strong reliability and validity, offering a comprehensive tool for measuring the multifaceted nature of nurse well-being. The study tested hypotheses to explore the relationships between job satisfaction, person-organization fit, transformational leadership, and nurse well-being as predictors of turnover intention. Multiple regression analysis revealed job satisfaction as the most significant predictor of turnover intention, even when controlling for work shift and years of experience. While person-organization fit, transformational leadership, and nurse well-being exhibited nonsignificant effects in the presence of control variables, these factors became significant predictors when controls were excluded, highlighting the influence of contextual factors on turnover intention. This study advances the theoretical understanding of nurse well-being and turnover intention by emphasizing the interplay between individual and organizational factors. Practical implications include strategies for healthcare leaders to enhance job satisfaction, reduce burnout, and promote well-being to retain nursing staff. Recommendations for future research include using larger samples and longitudinal approaches to validate and expand these findings. This research provides a foundation for refining interventions to improve nurse well-being and mitigate turnover intention in healthcare organizations.
Keywords: Burnout, Healthcare Leadership, Job Satisfaction, Nurse well-being, Transformational Leadership, Turnover intention