• Huai-Ting Kuo, Kuan-Chia Lin, and I-Chuan Li.
• Department and Institute of Nursing, National Yang-Ming University, Taipei, Taiwan.
• J Nurs Manag. 2014 Mar 1;22(2):225-33.

AimThis study explores the mediating effects of job satisfaction on work stress and turnover intention among long-term care nurses in Taiwan.BackgroundHealthcare institutions face a nursing shortage, and it is important to examine the factors that influence turnover intention among nurses. Excessive levels of work stress may lead to employee dissatisfaction and a significant inverse relationship between work stress and job satisfaction, including subsequent effects on turnover among nurses. However, little is known about the mediating role of job satisfaction on work stress and turnover intention among long-term care nurses.MethodsA cross-sectional survey and a correlation design were used. Multistage linear regression was used to test the mediation model.ResultsThis study showed that job satisfaction significantly mediated the relationship between work stress and turnover intention. Thirty-eight percent of the variance in turnover intention explained by work stress was accounted for by the mediation pathway.ConclusionThe results of this study showed that higher job satisfaction significantly decreased work stress and turnover intention among long-term care nurses.Implications For Nursing ManagementThis study provides nursing administrators with a resource to build a supportive environment to increase nurses' job satisfaction and to decrease their stress and turnover.© 2013 John Wiley & Sons Ltd.

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