han g. (helen) & jekel m. (2011) Journal of Nursing Management 19, 41–49
The mediating role of job satisfaction between leader-member exchange and turnover intentions
Aim The aim of the present study was to investigate whether job satisfaction mediates between leader-member exchange and nurse turnover intentions.
Background Limited knowledge is available on the mediating role of job satisfaction between leader-member exchange and turnover intentions in the nursing field.
Method This is a cross-sectional survey study. Data were collected in a US hospital.
Results Higher leader-member exchange was associated with lower turnover intentions (β = −0.41, P < 0.001). Leader-member exchange was positively related to one’s job satisfaction (β = 0.50, P < 0.001). Job satisfaction was negatively related to turnover intentions (β = −0.64, P < 0.001). When leader-member exchange and job satisfaction were both controlled for, the link between leader-member exchange and turnover intentions was no longer significant (β = −0.12, P > 0.05).
Conclusion Job satisfaction mediates the link between leader-member exchange and turnover intentions.
Implications for nursing management The present study reinforces the significant role of managers. Nurse managers can try to cultivate a good relationship with the nurses. This can enhance nurses’ job satisfaction and in turn lower their turnover intentions.