When Support Meets Expectation: "The Negative Moderating Role of Transformational Leadership on Nurses' Intention to...

Area of Science:

• Healthcare Management
• Organizational Psychology
• Nursing Retention Strategies

Background:

• Perceived organizational support and nurses' intention to stay are crucial for retaining nursing staff.
• Work engagement is a key factor influencing nurse retention.
• The moderating role of transformational leadership in these relationships was previously unexplored.

Purpose of the Study:

• To investigate the relationships among perceived organizational support, transformational leadership, work engagement, and nurses' intention to stay.
• To explore these dynamics within the context of an emerging country (Vietnam).

Main Methods:

• Quantitative research design utilizing a structured online questionnaire.
• Data collected from healthcare professionals in Vietnam.
• Partial least squares structural equation modeling (PLS-SEM) used for analysis.

Main Results:

• Perceived organizational support positively influenced nurses' intention to stay and work engagement.
• Work engagement significantly mediated the link between perceived organizational support and intention to stay.
• Transformational leadership moderated the relationship between perceived organizational support and intention to stay.

Conclusions:

• While organizational support and engagement enhance nurse retention, transformational leadership can negatively impact it if expectations are unmet.
• Healthcare managers must align transformational leadership with tangible support to prevent mismatches and sustain nurse retention.