Dilemmas for Effective Service Delivery Among Nurses: The Interface Between Organizational Support, Organizational Cynicism and Turnover Intention

Obinna OI, Ngozi NC and Peace CA

Published on: 2023-10-11

Abstract

Introduction: Understanding work dynamics is imperative for organizational efficiency. Therefore, achieving such a feat is akin to knowing the interplay between organizational cynicism, organizational support and turnover.

Objectives: This present study examined the influence of organizational cynicism dimensions -cognitive, affective, and behavioural dimensions on turnover intention and the moderating role of organizational support in such relationships among nurses.

Methods: The participants were a sample of 515 nurses, aged between 29-55 years with mean age=34.3 and SD= 9.4 drawn across different government-owned hospitals from the six geographical regions of Nigeria through snowball sampling method, while Hayes PROCESS Macro version 23 was used for data analysis.

Results: The results showed that organizational cynicism dimensions cognitive β = .43, 95% CI [.33, .53], p = <.01, affective β = .67, 95% CI [.56, .77], p = <.01 and behavioural β = .56, 95% CI [.45, .66], p = <.01 positively predicted nurses’ turnover intention. Organizational support negatively predicted turnover intention among nurses β = -.22, 95% CI [-.27, -.18], p = <.01. In addition, the association between organizational cynicism affective β = -.01, 95% CI [-.02, -.01], p = <.01 and behavioural β = .01, 95% CI [.00, .02], p = <.01 dimensions and turnover intention was moderated by organizational support.

Discussion and Conclusion: The study evidenced a strong association between organizational cynicism and turnover intention among nurses in their work setting. Encouraging organizational support will reduce organizational cynicism and turnover intention among nurses. The study observed that organizational cynicism is a recipe for nurses’ turnover intention in the hospital and that organizational support decreased the extent to which nurses experience turnover intention. The results provided further evidence of how organizational support can influence motivation and morale in the workplace.