Emotional exhaustion and turnover intentions among young ICU nurses: a model based on the job demands-resources theory
Abstract Background Young nurses are the backbone of the intensive care unit nursing team. Their turnover intentions not only directly impact the physiological health and life outcomes of critically ill patients but also significantly affect the efficient operation of the healthcare system. Previous...
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2025-02-01
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| Series: | BMC Nursing |
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| Online Access: | https://doi.org/10.1186/s12912-025-02765-y |
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| author | Xiaona Zhang Haitao Huang Songtao Zhao Dan Li Hua Du |
| author_facet | Xiaona Zhang Haitao Huang Songtao Zhao Dan Li Hua Du |
| author_sort | Xiaona Zhang |
| collection | DOAJ |
| description | Abstract Background Young nurses are the backbone of the intensive care unit nursing team. Their turnover intentions not only directly impact the physiological health and life outcomes of critically ill patients but also significantly affect the efficient operation of the healthcare system. Previous research has noted the association between nurse emotional exhaustion and turnover intentions. However, few studies have examined how both external and internal resources simultaneously moderate this relationship, especially among young intensive care unit nurses. This study explore the potential mechanisms by which emotional exhaustion affects turnover intentions among young intensive care unit nurses. On this basis, it investigates how organizational justice and organizational-based self-esteem, as critical work resources, moderate the relationship between emotional exhaustion and turnover intentions. Methods A cross-sectional survey design was adopted. A total of 490 questionnaires were distributed, with a final valid response rate of 91.2%. SPSS 27.0 was utilized for descriptive analysis and Pearson correlation analysis. AMOS 25.0 was employed to construct the Structural Equation Model and the Bootstrap test. Results Emotional exhaustion among young intensive care unit nurses positively predicts turnover intention, with job performance playing a mediating role. The indirect effect of job performance accounts for 3.24% of the total effect. Organizational justice and organizational-based self-esteem respectively moderated the relationship between emotional exhaustion and turnover intention. The combined indirect effects accounted for 17.18% and 12.76% of the total effect, respectively. Organizational justice and organizational-based self-esteem, as well as organizational justice, organizational-based self-esteem, and job performance, respectively played a chain mediating role between emotional exhaustion and turnover intention. The indirect effect accounted for 3.82% and 3.63% of the total effect, respectively. Conclusion Emotional exhaustion has a positive predictive effect on turnover intention among young intensive care unit nurses, with job performance playing a mediating role. Organizational justice and organizational-based self-esteem, as key work resources, moderated this relationship, mitigating the impact of emotional exhaustion on turnover intention. Clinical trial number Not applicable. |
| format | Article |
| id | doaj-art-089a7badcfad485aa167bb7957a1ab4c |
| institution | Kabale University |
| issn | 1472-6955 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj-art-089a7badcfad485aa167bb7957a1ab4c2025-02-09T12:27:38ZengBMCBMC Nursing1472-69552025-02-0124111110.1186/s12912-025-02765-yEmotional exhaustion and turnover intentions among young ICU nurses: a model based on the job demands-resources theoryXiaona Zhang0Haitao Huang1Songtao Zhao2Dan Li3Hua Du4School of Public Administration, Sichuan UniversityDepartment of Nursing, West China Hospital/West China School of Nursing, Sichuan UniversityXinxiang Central HospitalSchool of Public Administration, Sichuan UniversityKaifeng Central HospitalAbstract Background Young nurses are the backbone of the intensive care unit nursing team. Their turnover intentions not only directly impact the physiological health and life outcomes of critically ill patients but also significantly affect the efficient operation of the healthcare system. Previous research has noted the association between nurse emotional exhaustion and turnover intentions. However, few studies have examined how both external and internal resources simultaneously moderate this relationship, especially among young intensive care unit nurses. This study explore the potential mechanisms by which emotional exhaustion affects turnover intentions among young intensive care unit nurses. On this basis, it investigates how organizational justice and organizational-based self-esteem, as critical work resources, moderate the relationship between emotional exhaustion and turnover intentions. Methods A cross-sectional survey design was adopted. A total of 490 questionnaires were distributed, with a final valid response rate of 91.2%. SPSS 27.0 was utilized for descriptive analysis and Pearson correlation analysis. AMOS 25.0 was employed to construct the Structural Equation Model and the Bootstrap test. Results Emotional exhaustion among young intensive care unit nurses positively predicts turnover intention, with job performance playing a mediating role. The indirect effect of job performance accounts for 3.24% of the total effect. Organizational justice and organizational-based self-esteem respectively moderated the relationship between emotional exhaustion and turnover intention. The combined indirect effects accounted for 17.18% and 12.76% of the total effect, respectively. Organizational justice and organizational-based self-esteem, as well as organizational justice, organizational-based self-esteem, and job performance, respectively played a chain mediating role between emotional exhaustion and turnover intention. The indirect effect accounted for 3.82% and 3.63% of the total effect, respectively. Conclusion Emotional exhaustion has a positive predictive effect on turnover intention among young intensive care unit nurses, with job performance playing a mediating role. Organizational justice and organizational-based self-esteem, as key work resources, moderated this relationship, mitigating the impact of emotional exhaustion on turnover intention. Clinical trial number Not applicable.https://doi.org/10.1186/s12912-025-02765-yEmotional exhaustionOrganizational-based self-esteemOrganizational justiceJob performanceTurnover intentionsNurses |
| spellingShingle | Xiaona Zhang Haitao Huang Songtao Zhao Dan Li Hua Du Emotional exhaustion and turnover intentions among young ICU nurses: a model based on the job demands-resources theory BMC Nursing Emotional exhaustion Organizational-based self-esteem Organizational justice Job performance Turnover intentions Nurses |
| title | Emotional exhaustion and turnover intentions among young ICU nurses: a model based on the job demands-resources theory |
| title_full | Emotional exhaustion and turnover intentions among young ICU nurses: a model based on the job demands-resources theory |
| title_fullStr | Emotional exhaustion and turnover intentions among young ICU nurses: a model based on the job demands-resources theory |
| title_full_unstemmed | Emotional exhaustion and turnover intentions among young ICU nurses: a model based on the job demands-resources theory |
| title_short | Emotional exhaustion and turnover intentions among young ICU nurses: a model based on the job demands-resources theory |
| title_sort | emotional exhaustion and turnover intentions among young icu nurses a model based on the job demands resources theory |
| topic | Emotional exhaustion Organizational-based self-esteem Organizational justice Job performance Turnover intentions Nurses |
| url | https://doi.org/10.1186/s12912-025-02765-y |
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