Impact of Traumatic Stress on Nurses' Work Ability, Job Satisfaction, Turnover and Intention to Leave: A Cross-Sectional Study

Dania Comparcini, Valentina Simonetti, Melania Totaro, Alessia Apicella, Francesco Galli, Andrea Toccaceli, Antonio Di Lorenzo, Silvio Tafuri, Giancarlo Cicolini*, Marco Tomietto

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Aims
This study aimed to explore the direct and indirect effects of secondary traumatic stress (STS) on nurses' perceived work ability and the effect of these two variables on job satisfaction, organisational turnover intention and intention to leave the nursing profession.

Design
A cross-sectional study was conducted from June to November 2023.

Method
Data were collected by sending an online survey to a convenience sample of nurses. Instruments for data collection included a 37-item questionnaire divided into three sections: (i) socio-demographics, job satisfaction, organisational turnover intention, and intention to leave the profession; (ii) perceived work ability assessed through the Work Ability Index (WAI); (iii) STS measured with the Secondary Traumatic Stress Scale.

Results
Two hundred seventy-one nurses completed the questionnaire. STS negatively and statistically impacted on WAI, and it was a direct determinant of intention to leave the nursing profession. WAI showed a direct, positive and significant impact on job satisfaction and it was a significant partial mediator in the relationship between STS and job satisfaction. Job satisfaction mediated between WAI, the intention to leave the nursing profession, and the organisational turnover intention.

Conclusion
STS negatively impacted nurses' work ability, influencing their job satisfaction through the mediation of WAI, whereas job satisfaction independently affected nurses' organisational turnover intention. Moreover, STS was a positive and direct determinant of the intention to leave the nursing profession.
Original languageEnglish
Pages (from-to)1-11
Number of pages11
JournalJournal of Advanced Nursing
Early online date10 Feb 2025
DOIs
Publication statusE-pub ahead of print - 10 Feb 2025

Keywords

  • job satisfaction
  • nursing
  • secondary traumatic stress
  • turnover intention
  • work ability

Cite this