Addressing nurse turnover in Ghana: the interplay of stress factors, job satisfaction, and transformational leadership

Isaac Duku, Ethel Ansaah Addae, Nilesh Kumar and Muhammad Yaseen Bhutto
Additional contact information
Isaac Duku: College of Economics and Management, Zhejiang Normal University
Ethel Ansaah Addae: Centre for School and Community Science and Technology, University of Education
Nilesh Kumar: Department of Psychology, Zhejiang Normal University, Jinhua, Zhejiang, China
Muhammad Yaseen Bhutto: Department of Business Administration, North American University

International Journal of Research in Business and Social Science (2147-4478), 2025, vol. 14, issue 2, 114-127

Abstract: Workplace stress and nurse retention are critical challenges in healthcare, affecting organizational stability and public health outcomes. Therefore, this study investigates the impact of stressors and job satisfaction on nurses’ turnover intentions in the western region of Ghana, with a focus on the moderating role of transformational leadership. Methodologically, a descriptive cross-sectional design was employed to collect data from 364 registered nurses working in four hospitals. Participants completed an online questionnaire measuring stress factors, job satisfaction, turnover intentions, and transformational leadership. Structural equation modelling was employed to analyze the data using Mplus 8.3. The results revealed stressors (stress from workload, superiors, and coworkers and daily life) significantly increased nurses’ turnover intentions while negatively influencing job satisfaction. Job satisfaction was inversely associated with turnover intentions, and transformational leadership moderated this relationship, reducing the likelihood of such intentions. The findings highlight the importance of fostering job satisfaction and implementing transformational leadership strategies, such as mentorship and effective stress management, to alleviate workplace stress and enhance nurse retention. These insights offer valuable guidance for hospital administrators and policymakers in designing interventions to improve nurse retention and overall organizational performance. Key Words:Transformational Leadership, Stress Factors, Job Satisfaction, Turnover Intention, Conservation Resources Theory, Ghana

Date: 2025
References: Add references at CitEc
Citations:

Downloads: (external link)
https://ssbfnet.com/ojs/index.php/ijrbs/article/view/3937/2698 (application/pdf)
https://doi.org/10.20525/ijrbs.v14i2.3937 (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:rbs:ijbrss:v:14:y:2025:i:2:p:114-127

Access Statistics for this article

International Journal of Research in Business and Social Science (2147-4478) is currently edited by Prof.Dr.Umit Hacioglu

More articles in International Journal of Research in Business and Social Science (2147-4478) from Center for the Strategic Studies in Business and Finance Editorial Office,Baris Mah. Enver Adakan Cd. No: 5/8, Beylikduzu, Istanbul, Turkey. Contact information at EDIRC.
Bibliographic data for series maintained by Umit Hacioglu ().