Term of Award
Spring 2025
Degree Name
Doctor of Public Health in Public Health Leadership (Dr.P.H.)
Document Type and Release Option
Dissertation (restricted to Georgia Southern)
Copyright Statement / License for Reuse
This work is licensed under a Creative Commons Attribution 4.0 License.
Department
Jiann-Ping Hsu College of Public Health
Committee Chair
Samuel Opoku
Committee Member 1
Bettye Apenteng
Committee Member 2
Kwabena Boakye
Abstract
ABSTRACT
Nurse practitioners play an important role in healthcare and are vulnerable to the contributors and effects of burnout. This study examines the relationship between burnout, turnover intentions, job satisfaction, and nursing specialization in the U.S. It also identifies and classifies the factors contributing to turnover intention among nurse practitioners (NPs).
Design/Methodology/Approach
First using a cross-sectional research design, I used data from the 2022 National Sample Survey of Registered Nurses (NSSRN), to analyze the relationships between burnout, job satisfaction, and turnover. The natural effects modeling methodology is used to examine both direct and indirect effects of burnout on turnover, while testing for potential moderating effects of nursing specialization. Second, using the same dataset I apply latent class analysis to uncover distinct subgroups of NPs based on their turnover intentions.
Findings
The results indicate that burnout significantly increases the odds of turnover, with a more substantial indirect effect mediated by job satisfaction. The latent class analysis revealed five distinct groups of nurse practitioners based on their turnover intentions: Demands of the Job (10%), Career Growth (19%), Combination of Factors (35%), Family Reasons (26%) and Retirement (10%).
Conclusion
The study’s findings underscore the critical role of job satisfaction in the relationship between burnout and turnover among nurses. While burnout directly impacts turnover, its effects are more pronounced through the reduction in job satisfaction. Additionally, the five distinct classes of NPs identified based on their turnover intention highlights the importance of recognizing diverse motivations for turnover beyond a single factor like job dissatisfaction.
Recommended Citation
Asare, Aurelia, "Burnout and Turnover of Nurses in the US: Examination of a Moderator- Mediator Model of Job Satisfaction and Nursing Type and Latent Class Analysis of Factors Leading to Turnover Intention among Nurse Practitioners" (2025). Electronic Theses and Dissertations. 2885.
https://digitalcommons.georgiasouthern.edu/etd/2885
Research Data and Supplementary Material
No
