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Jurnal Keperawatan Indonesia
Articles
VIEWS: 22
10.7454/jki.v28i1.1406
Submitted: 2024-02-19
Published: 2025-03-31

Factors Affecting Nurse Retention in A Private Healthcare System in Malaysia

KPJ Tawakkal KL Specialist Hospital, 53000 Kuala Lumpur, Malaysia
KPJ Healthcare University, 71800 Nilai, Negeri Sembilan, Malaysia
KPJ Klang Specialist Hospital, 41150 Klang, Malaysia
KPJ Tawakkal KL Specialist Hospital, 53000 Kuala Lumpur, Malaysia
intent to leave job satisfaction nurses nurse retention organizational commitment quality of care

Abstract

Nurse retention has become increasingly challenging in the post-pandemic era, particularly for private hospitals. This study aimed to identify the significant predictors of nurse retention in selected private hospitals in Malaysia. A quantitative, descriptive, cross-sectional design was employed. A pre-validated, self-administered questionnaire, distributed via Google Forms, was used for data collection. The respondents included 532 registered nurses employed at three private hospitals in Malaysia. Data analysis was conducted using descriptive statistics and correlation studies, including Spearman’s rho and multiple regression analysis. Among the participants, 54% reported good job satisfaction, 27.37% expressed organizational commitment, 25.97% were satisfied with human resource practices, and 48.41% intended to remain with their current organization. The findings revealed a strong positive correlation between nurse retention, organizational commitment, human resource practices, and job satisfaction. Multiple regression analysis indicated that job satisfaction was the most significant predictor of nurse retention (F (1) = 285.334, p (.000) < .05, R2 = 0.354), followed by human resource practices and organizational commitment. These results suggest that job satisfaction is the primary factor influencing nurse retention in private healthcare settings. Therefore, hospitals must implement strategies to enhance employees’ job satisfaction. Human resource management must also establish clear policies on remuneration, career development, and employee promotion to improve nurse retention. 

Keywords: intent to leave, job satisfaction, nurses, nurse retention, organizational commitment, quality of care

 

Abstrak

Faktor-Faktor yang Memengaruhi Retensi Perawat dalam Sistem Layanan Kesehatan Swasta di Malaysia. Retensi perawat menjadi hal yang semakin menantang di pasca pandemi, khususnya di rumah sakit swasta. Studi ini bertujuan untuk mengidentifikasi prediktor signifikan retensi perawat di rumah sakit swasta terpilih di Malaysia. Desain penelitian yang digunakan adalah deskriptif kuantitatif, cross-sectional. Alat pengumpulan data yang digunakan adalah kuesioner yang telah divalidasi sebelumnya, didistribusikan melalui Google Forms untuk dikerjakan secara mandiri oleh responden. Responden terdiri dari 532 perawat terdaftar yang bekerja di tiga rumah sakit swasta di Malaysia. Analisis data menggunakan statistik deskriptif dan studi korelasi, yaitu Spearman's rho dan analisis regresi berganda. Ditemukan sebanyak 54% melaporkan kepuasan kerja yang baik, 27,37% menyatakan komitmen organisasi, 25,97% puas dengan praktik kepegawaian yang ditetapkan, dan 48,41% berkomitmen untuk tetap bekerja di organisasi mereka saat ini. Temuan tersebut mengungkapkan korelasi positif yang kuat antara retensi perawat, komitmen organisasi, praktik sumber daya manusia, dan kepuasan kerja. Analisis regresi berganda menunjukkan bahwa kepuasan kerja merupakan prediktor paling signifikan terhadap retensi perawat (F (1) = 285,334, p (.000) < .05, R2 = 0,354), diikuti oleh praktik sumber daya manusia dan komitmen organisasi. Hasil ini menunjukkan bahwa kepuasan kerja merupakan faktor utama yang memengaruhi retensi perawat di lingkungan layanan kesehatan swasta. Oleh karena itu, rumah sakit harus menerapkan strategi untuk meningkatkan kepuasan kerja karyawannya. Manajemen sumber daya manusia juga harus menetapkan kebijakan yang jelas tentang remunerasi, pengembangan karir, dan promosi jabatan untuk meningkatkan retensi perawat.

Kata Kunci: keinginan untuk mengundurkan diri, kepuasan pekerjaan, komitmen organisasi, kualitas perawatan, perawat, retensi perawat

References

  1. Al Muharraq, E.H., Baker, O.G., & Alallah, S.M. (2022). The prevalence and the relationship of workplace bullying and nurses turnover intentions: A cross sectional study. SAGE Open Nursing, 8, 23779608221074655. doi: 10.1177/23779608221074655.
  2. Al-Suraihi, W.A., Samikon, S.A., Al-Suraihi, A.-H.A., & Ibrahim, I. (2021). Employee turnover: Causes, importance and retention strategies. European Journal of Business and Management Research, 6 (3), 1–10. doi: 10.24018/ejbmr.2021.6.3.893.
  3. Alzamel, L.G.I., Abdullah, K.L., Chong, M.C., & Chua, Y.P. (2020). The quality of work life and turnover intentions among Malaysian nurses: The mediating role of organizational commitment. The Journal of The Egyptian Public Health Association, 95 (1), 20. doi: 10.1186/s42506-020-00048-9.
  4. Alzoubi, M.M., Al-Mugheed, K., Oweidat, I., Alrahbeni, T., Alnaeem, M.M., Alabdullah, A.A.S., Abdelaliem S.M.F., & Hendy, A. (2024). Moderating role of relationships between workloads, job burnout, turnover intention, and healthcare quality among nurses. BMC Psychology, 12 (1), 495. doi: 10.1186/s40359-024-01891-7.
  5. Arruum, D., Setyowati, S., Handiyani, H., & Koestoer, R.A. (2024). Nurses' job satisfaction regarding the use of health technology: A survey study. Jurnal Keperawatan Indonesia, 27 (1), 47–58. doi: 10.7454/jki.v27i1.1076.
  6. Atefi, N., Abdullah, K.L., & Wong, L.P. (2016). Job satisfaction of Malaysian registered nurses: A qualitative study. Nursing in Critical Care, 21 (1), 8–17. doi: 10.1111/nicc.12100.
  7. Batubara, K., Syam, B., & Wahyuni, S.E. (2020). Job demands–resources model affects the performance of associate nurses in hospital. Jurnal Keperawatan Indonesia, 23 (2), 111–118. doi: 10.7454/jki.v23i2.1132.
  8. Birks, M.J., Chapman, Y., & Francis, K. (2009). Women and nursing in Malaysia: Unspoken status. Journal of Transcultural Nursing, 20 (1), 116–123. doi: 10.1177/1043659608325849.
  9. Bit-Lian, Y., Woei-Ling, T., & Shuhaimi, N.S.B. (2022). Job satisfaction and burnout among registered nurses in a private hospital. The Malaysian Journal of Nursing, 13 (3), 3–11. doi: 10.31674/mjn.2022.v13i03.001.
  10. Hariyati, R.T.S., & Safril, S. (2018). The relationship between nurses’ job satisfaction and continuing professional development. Enfermeria Clinica, 28 (Supplemment 1), 144–148. doi: 10.1016/S1130-8621(18)30055-X.
  11. Hermansyah, H., Riyadi, A., & Delfina, R. (2022). Cluster analysis of the productivity of nurses’ work. Jurnal Keperawatan Indonesia, 25 (3), 136–144. doi: 10.7454/jki.v25i3.1411.
  12. Igbinoba, E., Joel, O., Igbadumhe, F., & Peter, D. (2022). Employees’ retention strategies and organizational performance. Academy of Entrepreneurship Journal, 28 (S5), 1–12.
  13. Lara, C.T. (2024). Stateless. NUS Press. doi: 10.2307/jj.9720730.
  14. Majid, N., Roslan, M.A.M,, & Suryanto, S. (2024). Factors contributing to burnout among nurses in Malaysia Public Hospital. Environment-Behaviour Proceedings Journal, 9 (28), 313–319. doi: 10.21834/e-bpj.v9i28.5856.
  15. Maurud, S., Børøsund, E., & Moen, A. (2022). Gender and ethnicity’s influence on first-year nursing students’ educational motivation and career expectations: A cross-sectional study. Nursing Open, 9 (3), 1667–1678. doi: 10.1002/nop2.1191.
  16. Ministry of Health Malaysia. (2023). Human Resources for Health (HRH): Country profiles 2019-2021 Malaysia. Planning Division Ministry of Health. Retrieved from: https://www.moh.gov.my/moh/resources/Penerbitan/HRH/HRH_COUNTRY_PROFILES_2019-2021_FINAL.pdf
  17. Mohamed, Z., Mahadi, N., & Baskaran, S. (2024). Factors influencing nursing attrition: Why matter? International Journal of Academic Research in Business and Social Sciences, 14 (3), 1238–1246. doi: 10.6007/IJARBSS/v14-i3/20901.
  18. Mun, F.C., Azam, S.M.F., & Albattat, A.R.S. (2021). Employee retention of registered nurses in a Malaysian Private Hospital: A pilot study. Malaysian Journal of Nursing, 12 (4), 17–21. doi: 10.31674/mjn.2021.v12i04.003.
  19. Nasurdin, A.M., Tan, C.L., & Khan, S.N. (2018). The relation between turnover intention, high performance work practices (HPWPs), and organisational commitment: A study among private hospital nurses in Malaysia. Asian Academy of Management Journal, 23 (1), 23–51. doi: 10.21315/aamj2018.23.1.2.
  20. Nobahar, M., & Tamadon, M.R. (2016). Barriers to and facilitators of care for hemodialysis patients; A qualitative study. Journal of Renal Injury Prevention, 5 (1), 39–44. doi: 10.15171/jrip.2016.09.
  21. O’Donnell, C., Markey, K., & O’Brien, B. (2022). Guiding nurse managers in supporting nurses in dealing with the ethical challenge of caring. Journal of Nursing Management, 30 (7), 2357–2361. doi: 10.1111/jonm.13658.
  22. Razu, S.R., Yasmin, T., Arif, T.B., Islam, M.S., Islam, S.M.S., Gesesew, H.A., & Ward, P. (2021). Challenges faced by healthcare professionals during the COVID-19 pandemic: A qualitative inquiry from Bangladesh. Frontiers in Public Health, 9, 647315. doi: 10.3389/fpubh.2021.647315.
  23. Senek, M., Robertson, S., Ryan, T., King, R., Wood, E., Taylor, B., & Tod, A. (2020). Determinants of nurse job dissatisfaction - Findings from a cross-sectional survey analysis in the UK. BMC Nursing, 19, 88. doi: 10.1186/s12912-020-00481-3.
  24. Wali, R., Aljohani, H., Shakir, M., Jaha, A., & Alhindi, H. (2023). Job satisfaction among nurses working in King Abdul Aziz Medical City Primary Health Care Centers: A cross-sectional study. Cureus, 15 (1), e33672. doi: 10.7759/cureus.33672.
  25. Xie, Z., Chen, Z., Wang, W., Pu, J., Li, G., Zhuang, J., Fan, X., Xiong, Z., Chen, H., Liang, Y., Xu, P., & Huang, H. (2024). The effect of career compromise on nurses’ turnover intention: The mediating role of job satisfaction. BMC Nursing, 23 (1), 700. doi: 10.1186/s12912-024-02346-5.
  26. Zainal, N.S.B., Wider, W., Lajuma, S., Ahmad Khadri, M.W.A.B., Taib, N.M., & Joseph, A. (2022). Employee retention in the service industry in Malaysia. Frontiers in Sociology, 7, 928951. doi: 10.3389/fsoc.2022.928951.
  27. Zakaria, N., Zakaria, N.H., Bin Abdul Rassip, M.N.A., & Lee, K.Y. (2022). Burnout and coping strategies among nurses in Malaysia: A national-level cross-sectional study. BMJ Open, 12 (10), e064687. doi: 10.1136/bmjopen-2022-064687.

How to Cite

Mohd Zain, Z. I. Z., Kunjukunju, A., Subramaniam, G., & Tajuddin, N. I. (2025). Factors Affecting Nurse Retention in A Private Healthcare System in Malaysia. Jurnal Keperawatan Indonesia, 28(1), 22–34. https://doi.org/10.7454/jki.v28i1.1406