ANALYSIS OF THE EFFECT OF INDIVIDUAL CHARACTERISTICS AND ORGANIZATIONAL CHARACTERISTICS ON NURSE TURNOVER WITH WORK STRESS AS MEDIATING

Abstract

Nurse turnover poses a significant challenge to healthcare systems worldwide, affecting care quality, continuity, and operational costs. This study examines the effects of individual and organizational characteristics on nurse turnover, with work stress as a mediating factor. A cross-sectional survey was conducted among 74 inpatient nurses at St. Elisabeth Hospital Semarang. Individual characteristics included Type A personality, locus of control, and self-efficacy, while organizational characteristics encompassed structure, policies, processes, and work environment. Work stress was measured across physiological, psychological, and behavioral dimensions, and turnover was assessed via intention to resign, job alternative search, and actual resignation. Findings revealed moderate levels of work stress and personal/organizational factors, but low turnover intention. Structural equation modeling (SmartPLS) confirmed that both individual and organizational characteristics significantly influenced turnover, mediated by work stress. Type A personality, external locus of control, and lower self-efficacy were linked to higher stress and turnover, while supportive organizational practices mitigated these effects. This study highlights the importance of strengthening nurse resilience and optimizing organizational support to reduce stress and turnover. Interventions targeting personal development, stress management, and organizational efficiency are critical for sustaining a stable and effective nursing workforce.