THE INFLUENCE OF BURNOUT AND

WORK SATISFACTION TO TURNOVER INTENTION

AMONG CONTRACT NURSES

Riza Putri Aulia Hernowo

ABSTRACT

Amid the increasing demands of healthcare quality and increasingly tight hospital competition, the
increase in nurse turnover rate needs to be taken more seriously. Turnover can lead to several
negative impacts, including financial aspect and decreasing nurse performance as well as service
quality. At Bandung City General Hospital, there was an increase in turnover rate in 2016 and all
leaving nurses were contract nurses. Out of many factors contributing to turnover, this study aims to
analyze the magnitude of the influences of burnout and work satisfaction on contract nurses’ turnover
intention, partially and simultaneously.

The method used is quantitative analytic study with cross-sectional design. The study was done by
distributing questionnaires to 101 respondents at BCGH during October – December 2017, by which
the questionnaires had been previously tested at Cililin Hospital. Analysis method was done using
Partial Least Square-Structural Equation Modelling (PLS-SEM) technique.

By analyzing the inner and outer models, partially, the study finds that burnout has a weak positive
and significant influence on turnover intention (R2 0.237, t-value 5.097) which means that higher
burnout level leads to higher turnover intention; while work satisfaction has no significant influence
on turnover intention (R2 0.017, t-value 1.294). Simultaneously, burnout and work satisfaction have
weak significant influence of 31.7% on turnover intention (R2 0.317, F-value 3.089).

The result of this study in is accordance with previous studies which state that both burnout and work
satisfaction have influences on turnover intention. Although the simultaneous influence is weak, this
result needs to be taken seriously by BCGH as increasing burnout and decreasing work satisfaction
among nurses will lead to higher turnover which can cause several negative impacts. This result is
expected to generate leverage for further improve on turnover and nursing management. Further
study is needed by using better technique and utilizing more variables and varied sample
characteristics.

Keywords: BCGH, burnout, nurses, work satisfaction, turnover intention.