Factors influencing nurse turnover intention at private Hospitals in Purwokerto in 2024
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Jun 30, 2025
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Abstract
The turnover intention rate among nurses in hospitals in Indonesia is quite high, exceeding 10% annually (above the normal limit). This phenomenon also occurred in Purwokerto, where in 2023 the turnover rate exceeded the minimum threshold of 10% per year. The causes of nurse turnover intention include workload, work stress, perceived organizational support, job satisfaction, and compensation. Nurse turnover intention can lead to a decrease in trained and expert nurses in their field. Method: This study used a cross-sectional design with 302 respondents from 6 private hospitals in Purwokerto. The sampling technique was stratified proportional random sampling. Data were collected using questionnaires, and the analysis employed binary logistic regression with the enter method. Results: The analysis of the relationship between workload, work stress, perceived organizational support, job satisfaction, and compensation on nurse turnover intention showed a p-value <0.001. Multivariate analysis using the enter method found that workload and work stress had significant effects (p = 0.001), while perceived organizational support (p = 0.368), job satisfaction (p = 0.125), and compensation (p = 0.175) did not have significant effects. Conclusion: There is a relationship between workload, work stress, perceived organizational support, job satisfaction, and compensation with nurse turnover intention. However, multivariate analysis shows that workload and work stress simultaneously influence nurse turnover intention in hospitals.
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How to Cite
Rahmansyah, I., Aji, B., Suratman, S. and Arum, K. K. (2025) “Factors influencing nurse turnover intention at private Hospitals in Purwokerto in 2024”, Science Midwifery, 13(2), pp. 696-703. doi: 10.35335/midwifery.v13i2.1989.
References
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Halijah, S., Fauzia, L., Kadir, A., Nani, S., Makassar, H., Perintis, J., Viii, K., & Makassar, K. (2021). DENTIFIKASI TINGKAT STRES KERJA PERAWAT YANG Terlibat Dalam Perawatan Covid-19. Jurnal Ilmiah Mahasiswa & Penelitian Keperawatan, 1(3), 374–380.
Hosmer, D. W., Lemeshow, S., & Sturdivant, R. X. (2013). Applied Logistic Regression (3rd ed.). Wiley.
Hulwani, T. Z., Ketaren, O., Sembiring, E., Zulfendri, Z., & Manurung, K. (2021). Hubungan Disiplin Dan Kompensasi Dengan Kinerja Perawat Unit Pelayanan Khusus Di Rumah Sakit Umum Daerah Kota Langsa Tahun 2017. PREPOTIF : Jurnal Kesehatan Masyarakat, 6(1), 58–67. https://doi.org/10.31004/prepotif.v6i1.2599
Lee, E. K., & Kim, J. S. (2020). Nursing stress factors affecting turnover intention among hospital nurses. International Journal of Nursing Practice, 26(6), 1–7. https://doi.org/10.1111/ijn.12819
Lemeshow et al., 1990. (2006). Sample size determination in health studies. 55–62.
Lestari, S., Ariyanto, J., & Zen, A. (2023). Hubungan Kompensasi dan Promosi Jabatan Dengan Kepuasan Kerja Perawat Instalasi Rawat Inap RSU Tangerang Selatan. JURNAL PROMOTIF PREVENTIF, 6(6), 903–907.
Manoppo, V. P. (2020). Transformational leadership as a factor that decreases turnover intention: a mediation of work stress and organizational citizenship behavior. TQM Journal, 32(6), 1395–1412. https://doi.org/10.1108/TQM-05-2020-0097
Muharni, S., & Wardhani, U. (2020). Analisa Faktor-Faktor Yang Mempengaruhi Terjadinya Turnover Intention Perawat di Rumah Sakit Santa Elisabeth Kota Batam. Jurnal Kesehatan Saelmakers Perdana (JKSP), 3(2), 236–245.
Mulyaningsih, S. A., & Tanuwijaya, J. (2023). Pengaruh Job Stress, Perceived Organizational Support, Work Family Conflict Terhadap Turnover Intention Pada Pt Xyz. Jesya, 6(2), 1546–1561. https://doi.org/10.36778/jesya.v6i2.1066
Nadia;Musni, Riza; Julistia, R. (2024). Gambaran Stres Kerja Perawat di Rumah Sakit Umum Cut Meutia Aceh. Jurnal Penelitian Psikologi, 2(2), 439–447.
Niartiningsih, A., Khairunnisa, A., & Nur, N. H. (2021). The Effect of Workload on the Performance of Nurses in the Inpatient Installation of RSUP Dr. Tadjuddin Chalid Makassar. International Journal Papier Advance and Scientific Review, 2(2), 65–71. https://doi.org/10.47667/ijpasr.v2i2.126
Nofiani, A., Murni, N. S., & Wahyudi, A. (2025). ANALISIS KEPUASAN KERJA PERAWAT DI RUMAH SAKIT. Jurnal ‘Aisyiyah Medika, 10.
Okstoria, M. R. (2022). Kecenderungan Turnover Intention Pada Perawat Sebagai Dampak Dari Beban Kerja. Dohara Publisher Open Access Journal, 1(9), 340–347. http://dohara.or.id/index.php/hsk%7C
Peni Cahyati, Tetet Kartilah, Heri Djamiatul, Dudi Hartono, S. A. (2024). Pengaruh Beban Kerja terhadap Stress Kerja Perawat di Ruang Rawat Inap. Media Informasi, 20, 51–59.
Phillips, C. (2020). Relationships between workload perception, burnout, and intent to leave among medical-surgical nurses. International Journal of Evidence-Based Healthcare, 18(2), 265–273. https://doi.org/10.1097/XEB.0000000000000220
Piaster, E. H., Mardiyati, S. H., Kartika, P., Hasanah, U., & Almubaroq, M. M. (2024). STIKes Mitra Keluarga Jurnal PENGARUH BEBAN KERJA TERHADAP KELELAHAN PADA PERAWAT DI INSTALASI RSUP SURAKARTA TAHUN 2023 THE EFFECT OF WORKLOAD ON FATIGUE IN NURSES IN THE HOSPITAL OF SURAKARTA IN 2023 pelayanan . Sistem shift kerja di Inggris dan Eropa u. Jurnal Mitra Kesehatan, 07(01), 50–63.
Putri, F. R., & Anggraini, D. (2020). Perceived Organizational Support dan Keterlibatan Kerja Pada Perawat Kontrak. Psychology Journal of Mental Health, 2(1986), 13–23.
Rahagia, R. (2023). HUBUNGAN ANTARA BEBAN KERJA DENGAN TURNOVER INTENTION PADA PERAWAT DI RUANG HCU RUMAH SAKIT Dr. ISKAK TULUNGAGUNG. Jurnal Penelitian Keperawatan Kontemporer, 2(2), 16–23. https://doi.org/10.59894/jpkk.v2i2.494
Rahmayana, M., Rachmah, & Yusuf, M. (2022). Gambaran Tingkat Stres Kerja Perawat. JIM Fkep, VI, 1–6.
Ridho, J. M. (2022). Pengaruh Kepuasan Kerja, Stres Kerja dan Kompenasi terhadap Turnover Intention Karyawan (Studi Empiris Pada PT. Surya Mandiri Jaya Sakti 1 Secang). http://repositori.unimma.ac.id/3828/
Sabatini, M. S. N., Dwiantoro, L., & Dewi, N. S. (2023). Turnover Intention Perawat Di Rumah Sakit. Jurnal Surya Muda, 5(1), 104–109. https://doi.org/10.38102/jsm.v5i1.150
Saputra, M. R., & Dirdjo, M. M. (2021). Hubungan Antara Beban Kerja Terhadap Keinginan Pindah Perawat di Rumah Sakit : Suatu Literature Review. Borneo Student Reseacrh, 2(3), 1796–1800.
Saputro, A. W. (2023). Pengaruh E-Service Quality Terhadap E-loyalty dengan Brand Image dan E-Satisfcation Sebagai Variabel Mediasi. Jurnal Ilmiah Manajemen Kesatuan, 11(2), 203–212. https://doi.org/10.37641/jimkes.v11i2.1750
Shany, Adira Miftah Shany; Susanti, F. (2025). Turnover Intention Ditinjau Dari Konflik Peran Ganda Dan Work Stress Pada Perawat Kontrak Di Rumah Sakit. Center of Economic Student Journa, 1(1), 395–409.
Sugiyono. (2017). Metode Penelitian Kuantitatif, Kualitatif, dan R&D. Alfabeta.
Sukma et al. (2024). Analisis Faktor-Faktor Yang Mempengaruhi Turnover Intention Perawat. Protein : Jurnal Ilmu Keperawatan Dan Kebidanan., 2(2), 281–294. https://doi.org/10.61132/protein.v2i2.297
Suseno, B. D., & Kuwartika, Y. (2023). Analysis of workload and role conflict on work stress and their implications on turnover intention. Jurnal Ekonomi Modernisasi, 19(2), 96–111. https://doi.org/10.21067/jem.v19i2.7533
Tariq, K. (2024). Occupational Stress and Turnover Intentions: Implicationfor Nursing Management. Nursearcher, 4, 18–23.
Triarso, Y. (2023). Upaya Untuk Meningkatkan Kepuasan Kerja Perawat Di Rumah Sakit. Jurnal Keperawatan, 15, 1–850.
Wahyuni, A., & Budiono, B. (2022). Pengaruh Lingkungan Kerja Dan Kompetensi Terhadap Kinerja Karyawan Melalui Motivasi Kerja. Jurnal Ilmu Manajemen, 10(3), 769–781.
Yang, T., Jin, X., Shi, H., Liu, Y., Guo, Y., Gao, Y., & Deng, J. (2021). Occupational stress, distributive justice and turnover intention among public hospital nurses in China: A cross-sectional study. Applied Nursing Research, 61(5), 151481. https://doi.org/10.1016/j.apnr.2021.151481
Yati, A. Y. (2024). Studi Kasus: Kehidupan Kerja Perawat Ekspatriat di Arab Saudi. Jurnal Ilmu Kesehatan Masyarakat, 13(50), 204–214. https://journals.stikim.ac.id/index.php/jikm/article/view/2743%0Ahttps://journals.stikim.ac.id/index.php/jikm/article/download/2743/1262
Yuliani, E. N. S., Tirtayasa, K., Adiatmika, I. P. G., Iridiastadi, H., & Adiputra, N. (2021). Studi Literatur : Pengukuran Beban Kerja. Jurnal Penelitian Dan Aplikasi Sistem & Teknik Industri (PASTI), XV(2), 194–205. p-ISSN 2085-5869
Yati, A. Y. (2024). Studi kasus: Kehidupan kerja perawat ekspatriat di Arab Saudi. Jurnal Ilmu Kesehatan Masyarakat, 13(2), 204–214. https://doi.org/10.33221/jikm.v13i02
Azhari, D. (2024). Faktor yang berhubungan dengan Stress Kerja Perawat di Ruang Rawat Inap RSUD Pringsewu Tahun 2024. Jurnal Riset Ilmu Kesehatan Dan Keperawatan, 2024(4).
Derrick, D. (2022). Pengaruh Kepuasan Kerja dan Stres Kerja terhadap Turnover Intention. Jurnal Manajemen Bisnis Dan Kewirausahaan, 6(1), 29. https://doi.org/10.24912/jmbk.v6i1.16350
Deswarta, D., Masnur, & Adil Mardiansah. (2021). Pengaruh Stres Kerja dan Kepuasan Kerja Terhadap Turnover Intention Perawat Rumah Sakit Prima Pekanbaru. E-Bisnis : Jurnal Ilmiah Ekonomi Dan Bisnis, 14(2), 58–63. https://doi.org/10.51903/e-bisnis.v14i2.476
Halijah, S., Fauzia, L., Kadir, A., Nani, S., Makassar, H., Perintis, J., Viii, K., & Makassar, K. (2021). DENTIFIKASI TINGKAT STRES KERJA PERAWAT YANG Terlibat Dalam Perawatan Covid-19. Jurnal Ilmiah Mahasiswa & Penelitian Keperawatan, 1(3), 374–380.
Hosmer, D. W., Lemeshow, S., & Sturdivant, R. X. (2013). Applied Logistic Regression (3rd ed.). Wiley.
Hulwani, T. Z., Ketaren, O., Sembiring, E., Zulfendri, Z., & Manurung, K. (2021). Hubungan Disiplin Dan Kompensasi Dengan Kinerja Perawat Unit Pelayanan Khusus Di Rumah Sakit Umum Daerah Kota Langsa Tahun 2017. PREPOTIF : Jurnal Kesehatan Masyarakat, 6(1), 58–67. https://doi.org/10.31004/prepotif.v6i1.2599
Lee, E. K., & Kim, J. S. (2020). Nursing stress factors affecting turnover intention among hospital nurses. International Journal of Nursing Practice, 26(6), 1–7. https://doi.org/10.1111/ijn.12819
Lemeshow et al., 1990. (2006). Sample size determination in health studies. 55–62.
Lestari, S., Ariyanto, J., & Zen, A. (2023). Hubungan Kompensasi dan Promosi Jabatan Dengan Kepuasan Kerja Perawat Instalasi Rawat Inap RSU Tangerang Selatan. JURNAL PROMOTIF PREVENTIF, 6(6), 903–907.
Manoppo, V. P. (2020). Transformational leadership as a factor that decreases turnover intention: a mediation of work stress and organizational citizenship behavior. TQM Journal, 32(6), 1395–1412. https://doi.org/10.1108/TQM-05-2020-0097
Muharni, S., & Wardhani, U. (2020). Analisa Faktor-Faktor Yang Mempengaruhi Terjadinya Turnover Intention Perawat di Rumah Sakit Santa Elisabeth Kota Batam. Jurnal Kesehatan Saelmakers Perdana (JKSP), 3(2), 236–245.
Mulyaningsih, S. A., & Tanuwijaya, J. (2023). Pengaruh Job Stress, Perceived Organizational Support, Work Family Conflict Terhadap Turnover Intention Pada Pt Xyz. Jesya, 6(2), 1546–1561. https://doi.org/10.36778/jesya.v6i2.1066
Nadia;Musni, Riza; Julistia, R. (2024). Gambaran Stres Kerja Perawat di Rumah Sakit Umum Cut Meutia Aceh. Jurnal Penelitian Psikologi, 2(2), 439–447.
Niartiningsih, A., Khairunnisa, A., & Nur, N. H. (2021). The Effect of Workload on the Performance of Nurses in the Inpatient Installation of RSUP Dr. Tadjuddin Chalid Makassar. International Journal Papier Advance and Scientific Review, 2(2), 65–71. https://doi.org/10.47667/ijpasr.v2i2.126
Nofiani, A., Murni, N. S., & Wahyudi, A. (2025). ANALISIS KEPUASAN KERJA PERAWAT DI RUMAH SAKIT. Jurnal ‘Aisyiyah Medika, 10.
Okstoria, M. R. (2022). Kecenderungan Turnover Intention Pada Perawat Sebagai Dampak Dari Beban Kerja. Dohara Publisher Open Access Journal, 1(9), 340–347. http://dohara.or.id/index.php/hsk%7C
Peni Cahyati, Tetet Kartilah, Heri Djamiatul, Dudi Hartono, S. A. (2024). Pengaruh Beban Kerja terhadap Stress Kerja Perawat di Ruang Rawat Inap. Media Informasi, 20, 51–59.
Phillips, C. (2020). Relationships between workload perception, burnout, and intent to leave among medical-surgical nurses. International Journal of Evidence-Based Healthcare, 18(2), 265–273. https://doi.org/10.1097/XEB.0000000000000220
Piaster, E. H., Mardiyati, S. H., Kartika, P., Hasanah, U., & Almubaroq, M. M. (2024). STIKes Mitra Keluarga Jurnal PENGARUH BEBAN KERJA TERHADAP KELELAHAN PADA PERAWAT DI INSTALASI RSUP SURAKARTA TAHUN 2023 THE EFFECT OF WORKLOAD ON FATIGUE IN NURSES IN THE HOSPITAL OF SURAKARTA IN 2023 pelayanan . Sistem shift kerja di Inggris dan Eropa u. Jurnal Mitra Kesehatan, 07(01), 50–63.
Putri, F. R., & Anggraini, D. (2020). Perceived Organizational Support dan Keterlibatan Kerja Pada Perawat Kontrak. Psychology Journal of Mental Health, 2(1986), 13–23.
Rahagia, R. (2023). HUBUNGAN ANTARA BEBAN KERJA DENGAN TURNOVER INTENTION PADA PERAWAT DI RUANG HCU RUMAH SAKIT Dr. ISKAK TULUNGAGUNG. Jurnal Penelitian Keperawatan Kontemporer, 2(2), 16–23. https://doi.org/10.59894/jpkk.v2i2.494
Rahmayana, M., Rachmah, & Yusuf, M. (2022). Gambaran Tingkat Stres Kerja Perawat. JIM Fkep, VI, 1–6.
Ridho, J. M. (2022). Pengaruh Kepuasan Kerja, Stres Kerja dan Kompenasi terhadap Turnover Intention Karyawan (Studi Empiris Pada PT. Surya Mandiri Jaya Sakti 1 Secang). http://repositori.unimma.ac.id/3828/
Sabatini, M. S. N., Dwiantoro, L., & Dewi, N. S. (2023). Turnover Intention Perawat Di Rumah Sakit. Jurnal Surya Muda, 5(1), 104–109. https://doi.org/10.38102/jsm.v5i1.150
Saputra, M. R., & Dirdjo, M. M. (2021). Hubungan Antara Beban Kerja Terhadap Keinginan Pindah Perawat di Rumah Sakit : Suatu Literature Review. Borneo Student Reseacrh, 2(3), 1796–1800.
Saputro, A. W. (2023). Pengaruh E-Service Quality Terhadap E-loyalty dengan Brand Image dan E-Satisfcation Sebagai Variabel Mediasi. Jurnal Ilmiah Manajemen Kesatuan, 11(2), 203–212. https://doi.org/10.37641/jimkes.v11i2.1750
Shany, Adira Miftah Shany; Susanti, F. (2025). Turnover Intention Ditinjau Dari Konflik Peran Ganda Dan Work Stress Pada Perawat Kontrak Di Rumah Sakit. Center of Economic Student Journa, 1(1), 395–409.
Sugiyono. (2017). Metode Penelitian Kuantitatif, Kualitatif, dan R&D. Alfabeta.
Sukma et al. (2024). Analisis Faktor-Faktor Yang Mempengaruhi Turnover Intention Perawat. Protein : Jurnal Ilmu Keperawatan Dan Kebidanan., 2(2), 281–294. https://doi.org/10.61132/protein.v2i2.297
Suseno, B. D., & Kuwartika, Y. (2023). Analysis of workload and role conflict on work stress and their implications on turnover intention. Jurnal Ekonomi Modernisasi, 19(2), 96–111. https://doi.org/10.21067/jem.v19i2.7533
Tariq, K. (2024). Occupational Stress and Turnover Intentions: Implicationfor Nursing Management. Nursearcher, 4, 18–23.
Triarso, Y. (2023). Upaya Untuk Meningkatkan Kepuasan Kerja Perawat Di Rumah Sakit. Jurnal Keperawatan, 15, 1–850.
Wahyuni, A., & Budiono, B. (2022). Pengaruh Lingkungan Kerja Dan Kompetensi Terhadap Kinerja Karyawan Melalui Motivasi Kerja. Jurnal Ilmu Manajemen, 10(3), 769–781.
Yang, T., Jin, X., Shi, H., Liu, Y., Guo, Y., Gao, Y., & Deng, J. (2021). Occupational stress, distributive justice and turnover intention among public hospital nurses in China: A cross-sectional study. Applied Nursing Research, 61(5), 151481. https://doi.org/10.1016/j.apnr.2021.151481
Yati, A. Y. (2024). Studi Kasus: Kehidupan Kerja Perawat Ekspatriat di Arab Saudi. Jurnal Ilmu Kesehatan Masyarakat, 13(50), 204–214. https://journals.stikim.ac.id/index.php/jikm/article/view/2743%0Ahttps://journals.stikim.ac.id/index.php/jikm/article/download/2743/1262
Yuliani, E. N. S., Tirtayasa, K., Adiatmika, I. P. G., Iridiastadi, H., & Adiputra, N. (2021). Studi Literatur : Pengukuran Beban Kerja. Jurnal Penelitian Dan Aplikasi Sistem & Teknik Industri (PASTI), XV(2), 194–205. p-ISSN 2085-5869
Yati, A. Y. (2024). Studi kasus: Kehidupan kerja perawat ekspatriat di Arab Saudi. Jurnal Ilmu Kesehatan Masyarakat, 13(2), 204–214. https://doi.org/10.33221/jikm.v13i02