Linking workplace incivility to turnover outcomes in nursing
Ifeyimika O Ajaiyeoba1, Matthew J Aplin-Houtz2
1Business Department, University of Wisconsin-Parkside, Kenosha, Wisconsin, USA.
Journal of Health Organization and Management
|October 13, 2025
Summary
Workplace incivility (WI) increases nurses job turnover intentions, but not vocational turnover. Organizational efficacy (OE) and calling can mitigate these effects, highlighting the need for positive work environments.
Area of Science:
- Nursing
- Organizational Psychology
- Healthcare Management
Background:
- Workplace incivility (WI) is a growing concern in healthcare.
- Nurses experience high rates of turnover, impacting patient care.
- Understanding factors influencing nurses' turnover intentions is crucial.
Purpose of the Study:
- To investigate the relationship between workplace incivility (WI) and nurses' job and vocational turnover intentions.
- To examine the moderating roles of organizational efficacy (OE) and calling on this relationship.
Main Methods:
- Surveyed 187 nurses in clinical settings in the Southwest US.
- Employed Partial Least Squares Structural Equation Modeling (PLS-SEM) for data analysis.
Main Results:
- WI significantly influences job turnover intentions, but not vocational turnover intentions.
- Organizational efficacy (OE) and calling were found to uniquely moderate the relationship between specific sources of WI and nurses' turnover intentions.
Conclusions:
- Workplace incivility (WI) has a differential impact on job versus vocational turnover intentions among nurses.
- Organizational efficacy (OE) and a sense of calling can serve as protective factors against the negative effects of WI.
- Healthcare organizations should foster positive work environments and a strong sense of calling to reduce nurse turnover.
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