The Association of Organizational Commitment and Personal Factor With Burnout Syndrome and Turnover Intention in Nurses

Nursalam Nursalam, Shintia Ekawati, Andri Setiya Wahyudi

Abstract views = 358 times | views = 152 times


Introduction: Turnover intention has many negative impacts on hospitals. The purpose of this research was to analyze the relationship between organizational commitment, personal factors and burnout syndrome to turnover intention in nurses. Methods: A descriptive analytic with cross-sectional approach, the sample was 83 nurses in type C hospital in Lamongan based on a cluster random sampling. The variables were organizational commitment, personal factor, burnout syndrome and turnover intention. Organizational commitment was measured with a modified questionnaire from Meyer and Allan, personal factors measured using demographic questionnaire, Maslach Burnout Inventory for burnout syndrome and modified questionnaire from Chen and Francesco for turnover intention. Moreover, the analysis uses ordinal regression statistical and logistic regression. Results: The results showed that the commitment factor continuance (p = 0.001), normative commitment (p = 0.000), education (p = 0.024), emotional fatigue (p = 0.008) and attitude (p = 0.008) had a significant relationship with burnout syndrome. Emotional exhaustion has significant relationship with turnover intention after adjusted with depersonalization and self-achievement (p = 0.008). Conclusion: It can be concluded that nurses in the Type C hospital can be loyal to reduce the turnover number, and this can increase the health levels of Indonesian people.


burnout syndrome, nurse, organization, turnover intention

Full Text:



Aarssen, L. W., & Crimi, L. (2016). Legacy, leisure and the ‘work hard—Play hard’ hypothesis. The Open Psychology Journal, 9. Retrieved from et al. (2017) Older and weaker or older and wiser: Exploring the drivers of performance differences between old and young adults on experiential learning tasks in the presence of veridical feedback., Dissertation Abstracts International Section A: Humanities and Social Sciences.

Abuaddous, H. Y., Al Sokkar, A. A. M. and Abualodous, B. I. (2018a) ‘The impact of knowledge management on organizational performance’, International Journal of Advanced Computer Science and Applications. doi: 10.14569/IJACSA.2018.090432.

Abuaddous, H. Y., Al Sokkar, A. A. M. and Abualodous, B. I. (2018b) ‘The impact of knowledge management on organizational performance’, International Journal of Advanced Computer Science and Applications, 9(4), pp. 204–208. doi: 10.14569/IJACSA.2018.090432.

Arrogante, O. and Aparicio-Zaldivar, E. (2017) ‘Burnout and health among critical care professionals: The mediational role of resilience’, Intensive and Critical Care Nursing, 42, pp. 110–115. doi: 10.1016/j.iccn.2017.04.010.

Beauvais, A. M. et al. (2011) ‘Emotional intelligence and nursing performance among nursing students’, Nurse Education Today, 31(4), pp. 396–401. doi: 10.1016/j.nedt.2010.07.013.

Claramita, M. et al. (2016) ‘Comparison of communication skills between trained and untrained students using a culturally sensitive nurse-client communication guideline in Indonesia’, Nurse Education Today, 36, pp. 236–241. doi: 10.1016/j.nedt.2015.10.022.

Fan, J. Y. et al. (2015) ‘Performance evaluation of nursing students following competency-based education’, Nurse Education Today, 35(1), pp. 97–103. doi: 10.1016/j.nedt.2014.07.002.

Gibson, W. (2006) ‘A Companion to Qualitative Research’, Sociological Research Online, 11(3), pp. 162–163. doi: 10.1177/136078040601100305.

Kalani, S. et al. (2018) ‘Interventions for physician burnout: A systematic review of systematic reviews’, International Journal of Preventive Medicine, 9(1). doi: 10.4103/ijpvm.IJPVM_255_18.

Kilgo, C. A., Ezell Sheets, J. K. and Pascarella, E. T. (2015) ‘The link between high-impact practices and student learning: some longitudinal evidence’, Higher Education, 69(4), pp. 509–525. doi: 10.1007/s10734-014-9788-z.

Kim, H. and Suh, E. E. (2018) ‘The Effects of an Interactive Nursing Skills Mobile Application on Nursing Students’ Knowledge, Self-efficacy, and Skills Performance: A Randomized Controlled Trial’, Asian Nursing Research. doi: 10.1016/j.anr.2018.01.001.

Lestander, Ö., Lehto, N. and Engström, Å. (2016) ‘Nursing students’ perceptions of learning after high fidelity simulation: Effects of a Three-step Post-simulation Reflection Model’, Nurse Education Today, 40, pp. 219–224. doi: 10.1016/j.nedt.2016.03.011.

De Oliveira, A. M. et al. (2018) ‘The relationship between job satisfaction, burnout syndrome and depressive symptoms An analysis of professionals in a teaching hospital in Brazil’, Medicine (United States). doi: 10.1097/MD.0000000000013364.

De Paiva, L. C. et al. (2017) ‘Burnout syndrome in health-care professionals in a university hospital’, Clinics, 72(5), pp. 305–309. doi: 10.6061/clinics/2017(05)08.

Phiri, M., Heyns, T. and Coetzee, I. (2020) ‘Patients’ experiences of triage in an emergency department: A phenomenographic study’, Applied Nursing Research, p. 151271. doi: 10.1016/j.apnr.2020.151271.

Prendergast, C., Ketteler, E. and Evans, G. (2017) ‘Burnout in the plastic surgeon: Implications and interventions’, Aesthetic Surgery Journal, 37(3), pp. 363–368. doi: 10.1093/asj/sjw158.

Ríos-Risquez, M. I. and García-Izquierdo, M. (2016) ‘Patient satisfaction, stress and burnout in nursing personnel in emergency departments: A cross-sectional study’, International Journal of Nursing Studies, 59, pp. 60–67. doi: 10.1016/j.ijnurstu.2016.02.008.

Rodrigues, C. C. F. M., Santos, V. E. P. and Sousa, P. (2017) ‘Patient safety and nursing: interface with stress and Burnout Syndrome’, Revista brasileira de enfermagem, pp. 1083–1088. doi: 10.1590/0034-7167-2016-0194.

Shanafelt, T. D. and Noseworthy, J. H. (2017) ‘Executive Leadership and Physician Well-being: Nine Organizational Strategies to Promote Engagement and Reduce Burnout’, Mayo Clinic Proceedings, pp. 129–146. doi: 10.1016/j.mayocp.2016.10.004.

Valero-Chillerón, M. J. et al. (2019) ‘Burnout syndrome in nursing students: An observational study’, Nurse Education Today, 76, pp. 38–43. doi: 10.1016/j.nedt.2019.01.014.

VanFosson, C. A., Jones, T. L. and Yoder, L. H. (2016) ‘Unfinished nursing care: An important performance measure for nursing care systems’, Nursing Outlook, 64(2), pp. 124–136. doi: 10.1016/j.outlook.2015.12.010.

Vidotti, V. et al. (2018) ‘Burnout syndrome and shift work among the nursing staff’, Revista Latino-Americana de Enfermagem, 26. doi: 10.1590/1518-8345.2550.3022.

Winasih, R., Nursalam, N. and Kurniawati, N. D. (2015) ‘Cultural Organization and Quality of Nursing Work Life on Nurses Performance and Job Satisfaction in Dr. Soetomo Hospital, Surabaya’, Jurnal NERS, 10(2), p. 332. doi: 10.20473/jn.v10i22015.332-342.

Wong, C. A., Cummings, G. G. and Ducharme, L. (2013) ‘The relationship between nursing leadership and patient outcomes: A systematic review update’, Journal of Nursing Management, 21(5), pp. 709–724. doi: 10.1111/jonm.12116.

Zelenik, D., Peršuh, T. and Jordan, T. (2016) ‘Practical approach to nutritional support in nursing home’, Clinical Nutrition ESPEN. doi: 10.1016/j.clnesp.2016.04.022.


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This journal is indexed by:



Creative Commons License

Copyright of Indonesian Nursing Journal of Education and Clinic (INJEC) (e-ISSN:2527-8819, p-ISSN:2527-8800).

View My Stats