| Background: Job security is a critical factor behind quality care delivery.
However, it is still unclear whether job security is related to turnover intention
among Iranian nurses. Objectives: This study aimed to determine job security
and turnover intention and also factors behind turnover intention among hospital
nurses who worked in Tehran, Iran. Methods: This cross‑sectional study was
conducted from April to November 2015 in three public and three private tertiary
hospitals in Tehran, Iran. A quota sample of hospital nurses was recruited and a
researcher‑made questionnaire was used for data collection. The data were analyzed
through the Chi‑square and the independent‑sample t‑tests, the one‑way analysis
of variance, Pearson correlation analysis, and multivariate logistic regression
analysis. Results: The mean score of job security was 3.10 ± 0.38 (from a possible
range of 1–5). Around 22.6% of nurses reported low job security. Job security
among nurses in private hospitals was signifcantly greater than those in public
hospitals (P = 0.001). Moreover, 32.7% of nurses reported that they will leave their
profession if they fnd another job opportunity. Factors behind nurses’ turnover
intention were work experience (odds ratio [OR] = 1.30; confdence interval [CI]:
1.117–2.742), organizational justice (OR = 0.516; CI: 0.522–0.785), job prospect
and stability (OR = 0.533; CI: 0.299–0.948), relationships with managers and
colleagues (OR = 0.401; CI: 0.409–0.927), and work environment (OR = 0.414;
CI: 0.227–0.856). Conclusions: Hospital managers need to develop and adopt
effective policies to promote nurses’job security and reduce their turnover intention
through improving their job satisfaction and working conditions, providing fair
compensations, enhancing supportive nursing management, promoting job prospect
and stability, and facilitating competence‑based career advancement. |