Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Evaluation in Terms of Proactive Personality and Professional Self-Efficacy Predictors of Nurses' Turnover Intentions: Correlational and Cross-Sectional Study
Hemşirelerin İşten Ayrılma Niyetlerinin Proaktif Kişilik ve Mesleki Öz Yeterlik Yordayıcıları Açısından Değerlendirilmesi: İlişkisel ve Kesitsel Çalışma
Nesrin ÇUNKUŞ KÖKTAŞa , Özlem FİDANb , Arife ŞANLIALP ZEYREKb
aPamukkale University Faculty of Health Science, Department of Nursing, Department of Psychiatric Nursing, Denizli, Türkiye
bPamukkale University Faculty of Health Science, Department of Nursing, Department of Fundamentals of Nursing, Denizli, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(3):905-14
doi: 10.5336/nurses.2024-106512
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of the study was to examine whether proactive personality and professional self-efficacy predict turnover intentions in nurses. Material and Methods: The sample of the correlational, and cross-sectional study consisted of 402 nurses who worked in a university hospital in Türkiye. The Nurse Turnover Intention Scale (NTIS), the Nursing Profession Self-Efficacy Scale (NPSES), and the Proactive Personality Scale (PPS) were used for data collection between February-March 2023. Results: There was a significant difference between the nurses' NTIS mean scores according to satisfaction with nursing, job change request, the state of being satisfied with the service, position status, working shift and problems faced in the hospital (p<0.05). It was found in the study that nurses with high proactive personality traits had lower intentions to leave their job (p<0.05). A weak negative correlation was determined between the NTIS scores and the NPSES total scores (r=-0.350, p=0.003), the NPSES-attributes of caring (r=-0.178, p=0.001) and the NPSES-professionalism situations (r=-0.399, p=0.005). Moreover, the PPS was evaluated as the variable most affecting the NTIS. Conclusion: It was concluded that nurses with higher proactive personality and higher professional self-efficacy had lower turnover intentions. Interventions need to be made to support and develop the proactive behavior of nurses working in health institutions in order to increase their professional self-efficacy, commitment to work, quality of care and to eliminate their intentions.

Keywords: Nursing; job satisfaction; proactive personality; self-efficacy; turnover intention
ÖZET
 Amaç: Bu çalışmanın amacı, proaktif kişilik ve mesleki öz yeterliğin hemşirelerde işten ayrılma niyetlerini yordayıp yordamadığını incelemektir. Gereç ve Yöntemler: Korelasyonel ve kesitsel çalışmanın örneklemini Türkiye'deki bir üniversite hastanesinde çalışan 402 hemşire oluşturmaktadır. Şubat-Mart 2023 tarihleri arasında veri toplamak için Hemşire İşte Ayrılma Niyeti Ölçeği (HİAN), Hemşirelik Mesleği Öz Yeterlik Ölçeği (HMÖYÖ) ve Proaktif Kişilik Ölçeği (PKÖ) kullanılmıştır. Bulgular: HİAN puan ortalamaları arasında hemşirelikten memnuniyet, iş değiştirme isteği, hizmetten memnun olma durumu, pozisyon durumu, vardiyalı çalışma ve hastanede karşılaşılan sorunlara göre anlamlı bir fark bulunmuştur (p<0,05). Çalışmada, proaktif kişilik özellikleri yüksek olan hemşirelerin işlerinden ayrılma niyetlerinin daha düşük olduğu bulunmuştur (p<0,05). HİAN puanları ile HMÖYÖ toplam puanları (r=-0,350, p=0,003), HMÖYÖ-bakım nitelikleri (r=-0,178, p=0,001) ve HMÖYÖ-profesyonellik durumları (r=-0,399, p=0,005) arasında negatif yönde zayıf bir ilişki tespit edildi. Ayrıca, PKÖ, HİAN'yi en çok etkileyen değişken olarak değerlendirildi. Sonuç: Daha yüksek proaktif kişiliğe ve daha yüksek mesleki öz yeterliğe sahip hemşirelerin daha düşük işten ayrılma niyetlerine sahip olduğu sonucuna varıldı. Sağlık kurumlarında çalışan hemşirelerin mesleki öz yeterliklerini, işe bağlılıklarını, bakım kalitesini artırmak ve işten ayrılma niyetlerini ortadan kaldırmak için proaktif davranışlarını desteklemek ve geliştirmek için müdahalelerde bulunulması gerekmektedir.

Anahtar Kelimeler: Hemşirelik; iş tatmini; proaktif kişilik; öz yeterlik; işten ayrılma niyeti
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