Roots and Wings: The Role of Job Embeddedness in Mitigating Nurses' Emigration Intention Through a Serial Mediation
Akinwuyi Stephen Akinwande1, Cem Tanova1, Steven Bayighomog2
1Faculty of Economics and Administrative Sciences, Cyprus International University, Nicosia, North Cyprus, Turkey.
Journal of Nursing Management
|October 8, 2025
Summary
Higher job embeddedness reduces nurses' emigration intentions by fostering employee voice and engagement. This finding is crucial for retaining healthcare professionals in low-income countries facing brain drain.
Area of Science:
- Healthcare Management
- Migration Studies
- Organizational Psychology
Background:
- Healthcare professional migration, particularly nurses, exacerbates brain drain in low-income countries.
- Job embeddedness may decrease nurses' emigration intentions, but research in low-income settings is limited.
- Understanding factors influencing nurse migration is critical for healthcare system stability.
Purpose of the Study:
- To investigate the influence of job embeddedness on nurses' emigration intentions.
- To examine the mediating roles of employee voice and engagement in this relationship.
- To provide insights relevant to low-income country contexts.
Main Methods:
- Cross-sectional survey design involving 336 nurses in Nigeria.
- Theoretical framework based on Lewin's field theory and cumulative causation of migration.
- Quantitative analysis using SmartPLS 4.0 to assess direct and indirect effects.
Main Results:
- A significant negative relationship was found between job embeddedness and emigration intentions.
- Employee voice and engagement significantly mediated the relationship between job embeddedness and emigration intentions.
- Job embeddedness indirectly reduces the likelihood of nurses intending to emigrate.
Conclusions:
- Enhancing job embeddedness can be a strategy to mitigate nurse emigration.
- Fostering employee voice and engagement are key mechanisms through which job embeddedness impacts emigration intentions.
- Findings offer practical implications for healthcare organizations and policymakers addressing brain drain.
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