Relationship between psychological distress and turnover among nurses, the moderating role of self-growth
Mohammed Ghalib Qutishat1, Lina Shakman2
1Department of Community and Mental Health, College of Nursing, Sultan Qaboos University, Muscat, Sultanate of Oman.
Background:
The nursing profession faces significant stressors, leading to psychological distress, which can increase turnover intentions. Understanding the interplay between these factors and the role of self-growth is crucial for improving nurse retention.
Materials And Methods:
This descriptive correlational study involved 232 registered nurses in Oman, recruited via convenience sampling from various healthcare facilities. Participants were eligible if they held a nursing diploma or higher, had at least six months of experience, and were proficient in English. Data were collected through an online survey distributed via social media platforms in March 2025, utilizing standardized instruments to measure psychological distress (K10), self-growth (PGIS), and turnover intention (TIS). Data analysis included descriptive statistics, t-tests, ANOVA, and hierarchical moderated logistic regression to examine the relationships and moderation effects between variables.
Results:
High levels of psychological distress (mean = 24.65) correlated with increased turnover intentions (mean = 18.48). Self-growth significantly moderates this relationship, reducing the adverse effects of distress on turnover intentions.
Conclusion:
The importance of addressing psychological distress and promoting self-growth among nurses is emphasized. It is recommended that tailored interventions, such as mentorship and stress management programs, be adopted to enhance resilience and job satisfaction. Supporting nurses' well-being and development is seen as vital for reducing turnover and improving patient care. Healthcare environments should be prioritized to foster self-growth and reduce distress, with structured programs proposed to benefit nurses and improve overall care quality.
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