Investigating the role of psychological need satisfaction as a moderator in the relationship between job demands and turnover intention among nurses

Purpose Job demands can contribute to nurses' turnover intention and this can have an impact on health services among the general population. It appears important to identify the work environment factors associated with turnover intention, as well as the psychological resources liable to act on this relationship. Drawing on self-determination theory (SDT), the purpose of this study (n=1179) is to investigate the relationship between two job demands (role ambiguity and role conflict) and turnover intention, as well as the moderating role of basic need satisfaction (autonomy, competence and relatedness) within these relationships. Design/methodology/approach This cross-sectional study was conducted among nurses (Quebec, Canada). Nurses completed an online questionnaire. To test the proposed moderating effect of satisfaction of the three psychological needs (i.e. autonomy, competence and relatedness) in the relationship between job demands (i.e. role ambiguity and role conflict) and turnover intention, path analysis was conducted using Mplus v.8 (Muthen and Muthen, 2017). Two models, one for each demand, were tested. Findings As expected, role ambiguity and role conflict are positively related to turnover intention. Results reveal a significant interaction between role ambiguity and satisfaction of the need for autonomy in the prediction of turnover intention. The satisfaction of the need for competence and the satisfaction of the need for relatedness did not moderate the relationship between role ambiguity and turnover intention. Satisfaction of the need for autonomy moderated the relationship between role conflict and turnover intention. Moreover, results revealed a significant interaction between role conflict and satisfaction of the need for competence in the prediction of turnover intention. Satisfaction of the need for relatedness did not moderate the relationship between role conflict and turnover intention. Social implications By promoting a sense of effectiveness and feelings of self-endorsement at work, health care establishments can reduce nurses' turnover intention and help prevent staffing shortages among this important work group. Originality/value Although past research shows that workers' motivational profile can modulate the relationship between characteristics within the work environment and workers' functioning, studying the quality of work motivation is not sufficient to completely understand the factors that can influence workers' reactions to job demands. Need satisfaction is crucial to the development and maintenance of high quality motivation. Evaluating need satisfaction as a moderator in the stressor-strain relationship could offer a better understanding of the psychological experiences that can promote workers' adaptation to their work environment. To date, no study has investigated the buffering role of psychological needs in the stressor-strain relationship.