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The effect of psychological contract on turnover intention among nurses: a meta-analytic review

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-anal...

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Autores principales: Lu, Xianying, Yang, Jing, Bai, Dingxi, Cai, Mingjin, Wang, Wei, He, Jiali, Gong, Xiaoyan, Hou, Chaoming, Gao, Jing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10557294/
https://www.ncbi.nlm.nih.gov/pubmed/37798645
http://dx.doi.org/10.1186/s12912-023-01496-2
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author Lu, Xianying
Yang, Jing
Bai, Dingxi
Cai, Mingjin
Wang, Wei
He, Jiali
Gong, Xiaoyan
Hou, Chaoming
Gao, Jing
author_facet Lu, Xianying
Yang, Jing
Bai, Dingxi
Cai, Mingjin
Wang, Wei
He, Jiali
Gong, Xiaoyan
Hou, Chaoming
Gao, Jing
author_sort Lu, Xianying
collection PubMed
description 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12912-023-01496-2
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spelling pubmed-105572942023-10-07 The effect of psychological contract on turnover intention among nurses: a meta-analytic review Lu, Xianying Yang, Jing Bai, Dingxi Cai, Mingjin Wang, Wei He, Jiali Gong, Xiaoyan Hou, Chaoming Gao, Jing BMC Nurs Research 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12912-023-01496-2 BioMed Central 2023-10-05 /pmc/articles/PMC10557294/ /pubmed/37798645 http://dx.doi.org/10.1186/s12912-023-01496-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Lu, Xianying
Yang, Jing
Bai, Dingxi
Cai, Mingjin
Wang, Wei
He, Jiali
Gong, Xiaoyan
Hou, Chaoming
Gao, Jing
The effect of psychological contract on turnover intention among nurses: a meta-analytic review
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 Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10557294/
https://www.ncbi.nlm.nih.gov/pubmed/37798645
http://dx.doi.org/10.1186/s12912-023-01496-2
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