The Influence of Workload, Job Satisfaction, and Work Environment on Nursing Job Dropout: A Conceptual Framework
Keywords:
Nursing Job Dropout, Workload, Job Satisfaction, Work EnvironmentAbstract
High nursing dropout rates remain a critical challenge for healthcare systems globally, impacting the quality and continuity of patient care. Many studies explore the theoretical model framework linking workload, job satisfaction, and the work environment to nursing job dropout, however, the linking of policy maker and stake holders were not well explored. This proposed framework examines how excessive workload, job dissatisfaction, and unfavorable work environments contribute to nurses’ decisions to leave their profession. It also highlights the interplay between these factors and their cumulative impact on nurses' physical and emotional well-being. Drawing on established theories of occupational stress and organizational behavior, the framework identifies key pathways through which workload intensity, lack of job satisfaction, and inadequate workplace support lead to burnout and eventual dropout. The model emphasizes the need for systemic interventions, such as workload redistribution, enhancement of job satisfaction through recognition and career development opportunities, and the creation of a supportive and inclusive work environment. This study provides insights for healthcare administrators, policymakers, and researchers to address the underlying causes of nursing attrition. By focusing on organizational and policy-level solutions, the framework aims to reduce turnover rates, improve workforce stability, and ultimately enhance the quality of healthcare delivery. Future research directions and practical implications are discussed to support the development of targeted strategies for nurse retention.
References
Agus, A., & Selvaraj, R. (2020). The mediating role of employee commitment in the relationship between quality of work life and the intention to stay. Employee Relations: The International Journal, 42(6), 1231-1248.
Al Bazroun, M. I., Aljarameez, F., Alhamza, R., Ahmed, G., & Alhybah, F. (2023). Factors influencing job satisfaction and anticipated turnover among intensive care nurses in Saudi Arabia. British Journal of Healthcare Management.
Albalawi, A. M., Pascua, G. P., Alsaleh, S. A., Sabry, W., Ahajan, S. N., Abdulla, J., ... & Salih, S. S. (2024). Factors influencing nurses turnover in Saudi Arabia: a systematic review. In Nursing Forum (Vol. 2024, No. 1, p. 4987339). Wiley.
Albougami, A., Almazan, J., Cruz, J., Alquwez, N., Alamri, M. S., Adolfo, C. A., & Roque, M. Y. (2020). Factors affecting nurses’ intention to leave their current jobs in Saudi Arabia. International Journal of Health Sciences, 14, 33-40.
Al-Dossary, R. (2022). The effects of nursing work environment on patient safety in Saudi Arabian hospitals. Frontiers in Medicine, 9.
Alenezi, A., Aboshaiqah, A., & Baker, O. (2018). Work-related stress among nursing staff working in government hospitals and primary health care centres. International Journal of Nursing Practice, 24.
Alenezi, A., Aboshaiqah, A., & Baker, O. (2018). Work‐related stress among nursing staff working in government hospitals and primary health care centres. International Journal of Nursing Practice, 24.
Alharbi, A. A., Dahinten, V. S., & MacPhee, M. (2020). The relationships between nurses' work environments and emotional exhaustion, job satisfaction, and intent to leave among nurses in Saudi Arabia. Journal of Advanced Nursing.
Alharbi, A., & Alilyyani, B. (2023). The effect of emergency nurses’ job satisfaction and intent to leave on patient safety culture: A cross-sectional study. Nursing Forum.
Alkorashy, H., & Alanazi, M. (2023, February). Personal and job-related factors influencing the work engagement of hospital nurses: a cross-sectional study from Saudi Arabia. In Healthcare (Vol. 11, No. 4, p. 572). MDPI.
Almutairi, D. R., Alkorbi, S. A., Alghabbashi, M., Aly, S., & Alsulami, S. (2022). Effect of work environment on nurses’ job performance: Systematic review. International Journal of Health Sciences.
Alrashedi, K., & Boshra, A. (2023). Exploring work-related anxiety among newly graduated nurses in the Riyadh region. Sudan Journal of Medical Sciences.
Alreshidi, N. M., Alrashidi, L. M., Alanazi, A. N., & Alshammeri, E. H. (2021). Turnover among foreign nurses in Saudi Arabia. Journal of public health research, 10(1), jphr-2021.
Alreshidi, N., Alrashidi, L., Alanazi, A. N., & Alshammri, E. H. (2021). Turnover among foreign nurses in Saudi Arabia. Journal of Public Health Research, 10.
Alshareef, A., Wraith, D., Dingle, K., & Mays, J. (2020). Identifying factors influencing Saudi Arabian nurses' turnover. Journal of Nursing Management.
Alsufyani, A., Almalki, K. E., Alsufyani, Y. M., Aljuaid, S. M., Almutairi, A., Alsufyani, B. O., Alshahrani, A., Baker, O., & Aboshaiqah, A. (2021). Impact of work environment perceptions and communication satisfaction on the intention to quit: An empirical analysis of nurses in Saudi Arabia. PeerJ, 9.
Alzahrani, M. S. (2022). Impact of work environment on nurse's retention at hospital: Scoping review. Evidence-Based Nursing Research, 4(2), 39-53.
Alzahrani, S., & Hasan, A. A. (2019). Transformational leadership style on nursing job satisfaction amongst nurses in hospital settings: Findings from systematic review. Global Journal of Health Science, 11(6), 25.
Alzailai, N., Barriball, L., & Xyrichis, A. (2021). Burnout and job satisfaction among critical care nurses in Saudi Arabia and their contributing factors: A scoping review. Nursing Open, 8.
Ambani, Z., Kutney-Lee, A., & Lake, E. (2020). The Nursing Practice Environment and Nurse Job Outcomes: A Path Analysis of Survey Data. Journal of Clinical Nursing.
Andargeery, S. (2019). Factors Associated with Turnover Intention among Saudi Newly Graduated Nurses (Doctoral dissertation, The University of Wisconsin-Milwaukee).
Assiri, S. M., Shehata, F., & Assiri, M. M. (2020). Relationship of job satisfaction with perceived organizational support and quality of care among Saudi nurses. Health.
Batayneh, M. H., Ali, S., & Nashwan, A. (2019). The burnout among multinational nurses in Saudi Arabia. Open Journal of Nursing.
Chetty, K. (2021). ICU nurses voice their concerns on workload and wellbeing in a Saudi Arabian Hospital: a need for employee wellbeing program. Saudi J Nurs Health Care, 4(9), 296-307.
Chetty, K. (2021). The cost of caring: ICU workload stressors and the Saudi Arabian nurse. Health Science Journal, 15(2), 1-7.
Falatah, R., & Conway, E. (2018). Linking relational coordination to nurses' job satisfaction, affective commitment and turnover intention in Saudi Arabia. Journal of Nursing Management, 27(4), 715-721.
Falatah, R., & Salem, O. (2018). Nurse turnover in the Kingdom of Saudi Arabia: An integrative review. Journal of Nursing Management, 26, 630–638.
Felicia, F., Sudibjo, N., & Harsanti, H. R. (2023). Impact of psychosocial risk on intention to leave work during COVID-19 in Indonesia: The mediatory roles of burnout syndrome and job satisfaction. Heliyon, 9(7).
Hanoum, F. C., Rizan, M., & Handaru, A. W. (2024). The Role of Work-Life Balance, Work Stress, and Work-Family Conflict in Creating Job Satisfaction and Their Impact on Turnover Intention in Nurses at Level I Health Facilities Hospital in Karawang. Critical Care Nursing Quarterly, 47(4), 346-369.
Holland, P., Tham, T. L., Sheehan, C., & Cooper, B. (2019). The impact of perceived workload on nurse satisfaction with work-life balance and intention to leave the occupation. Applied Nursing Research, ANR.
Ishfaq, M., Al-Hajieh, H., & Alharthi, M. (2022). Quality of Work Life (QWL) and its impact on the performance of the banking industry in Saudi Arabia. International Journal of Financial Studies.
Kaddourah, B., Abu-Shaheen, A. K., & Al-Tannir, M. (2018). Quality of nursing work life and turnover intention among nurses of tertiary care hospitals in Riyadh: a cross-sectional survey. BMC Nursing, 17.
Kline, R. B. (2015). Principles and Practice of Structural Equation Modeling (4th ed.). Guilford Press.
Maharani, A., & Tamara, D. (2024). The occupational stress and work-life balance on turnover intentions with job satisfaction as mediating. SA Journal of Human Resource Management, 22, 2369.
Mansoori, A. A., Khatibi, A., & Azam, S. (2018). Aspects of Leadership Style and Organizational Culture on Organization Performance in Abu Dhabi Public Sector. European Journal of Social Sciences.
Meirun, T., Bano, S., Javaid, M. U., Arshad, M. Z., Shah, M. U., Rehman, U., ... & Ilyas, M. (2020). Nuances of COVID-19 and psychosocial work environment on nurses’ Wellbeing: the mediating role of stress and eustress in Lieu to JD-R Theory. Frontiers in Psychology, 11, 570236.
Muthuswamy, V. V. (2022). Saudi Female health workers job performance: Examining the Influence of job burnout (JB), work-life balance (WLB), and work environment (WE). Przestrzeń Społeczna (Social Space), 22(3).
Otoum, R., Hassan, I. I., Ahmad, W. M. A. W., Al-Hussami, M., & Mohd Nawi, M. N. (2021). Mediating Role of Job Satisfaction in the Relationship between Job Performance and Organizational Commitment Components: A Study among Nurses at One Public University Hospital in Malaysia. Malaysian Journal of Medicine & Health Sciences, (3).
Poku, C. A., Alem, J. N., Poku, R. O., Osei, S. A., Amoah, E. O., & Ofei, A. M. A. (2022). Quality of work-life and turnover intentions among the Ghanaian nursing workforce: A multicentre study. Plos one, 17(9), e0272597.
Poon, Y. S. R., Lin, Y. P., Griffiths, P., Yong, K. K., Seah, B., & Liaw, S. Y. (2022). A global overview of healthcare workers’ turnover intention amid COVID-19 pandemic: a systematic review with future directions. Human resources for health, 20(1), 70.
Saquib, N., Zaghloul, M. S., Saquib, J., Alhomaidan, H. T., Al-Mohaimeed, A., & Al-Mazrou, A. (2019). Association of cumulative job dissatisfaction with depression, anxiety, and stress among expatriate nurses in Saudi Arabia. Journal of Nursing Management, 27(4), 740-748.
Saud, A. A. S. (2023). The impact of procedural justice on work engagement and career abandonment intention among healthcare workers in Iraq state hospitals (Master's thesis, İstanbul Gelişim Üniversitesi Lisansüstü Eğitim Enstitüsü).
Shdaifat, E., Al-Shdayfat, N., & Al-Ansari, N. (2023). Professional Quality of Life, Work‐Related Stress, and Job Satisfaction among Nurses in Saudi Arabia: A Structural Equation Modelling Approach. Journal of Environmental and Public Health, 2023(1), 2063212.
Sundari, Z. E., Djumarno, D., Rochbini, D. J., & Lo, S. (2023). The effect of workload, work environment, work stress, and responsibility on nurses' job satisfaction at businesses engaged in the health service sector. JURISMA: Jurnal Riset Bisnis & Manajemen.
Zhang, Q., Li, X., & Gamble, J. H. (2022). Teacher burnout and turnover intention in higher education: The mediating role of job satisfaction and the moderating role of proactive personality. Frontiers in Psychology, 13, 1076277.
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