Nursing Work Environment, Turnover Intention, Job Burnout, and Quality of Care: The Moderating Role of Job Satisfaction

Sulaiman Dawood Al Sabei*, Leodoro Labrague, Amy Miner Ross, Suja Karkada, Alaa Albashayreh, Fatma Al Masroori, Nasra Al Hashmi

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

109 Citations (Scopus)


Purpose: The purpose of this study was twofold: (a) to assess predictors of the turnover intention, burnout, and perceived quality of care among nurses working in Oman, and (b) to examine the potential moderating role of job satisfaction on the relationship between work environment and nurse turnover intention. Design: A cross-sectional design was used to collect data from a sample of 207 nurses working in a public hospital in Muscat, Oman. Methods: An electronic survey was used to assess nurses’ perceptions of work environment, burnout, job satisfaction, turnover intention, and quality of care. Findings: Participation in hospital affairs, a foundation for quality of care, and staffing adequacy were predictors of burnout among nurses and perceived quality of care. Logistic regression analysis revealed that working in a favorable environment was associated with less turnover intention, but only when job satisfaction was high. Conclusions: Improving nurse job satisfaction is a mechanism through which future interventions could enhance working conditions and promote better nurse retention. Clinical Relevance: Organizational strategies are needed to increase nurse job satisfaction by empowering nurses to take more active roles in hospital affairs as a strategy to reduce turnover intention and enhance the quality of patient care.

Original languageEnglish
Pages (from-to)95-104
Number of pages10
JournalJournal of Nursing Scholarship
Issue number1
Publication statusPublished - Jan 1 2020


  • Adult
  • Burnout, Professional/prevention & control
  • Cross-Sectional Studies
  • Female
  • Hospitals, Public
  • Humans
  • Intention
  • Job Satisfaction
  • Male
  • Middle Aged
  • Models, Organizational
  • Nursing Staff, Hospital/organization & administration
  • Oman
  • Personnel Turnover/statistics & numerical data
  • Quality of Health Care
  • Surveys and Questionnaires
  • Workforce
  • Workplace


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