ArticleFrontiers in public health2026
The effect of hospital safety climate on nurses' turnover intention: the mediating role of work engagement.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Nurses are vital in addressing global healthcare workforce shortages. The shortage of nurses and high turnover rates are concerned with the quality of care. To further explore the mechanisms underlying nurse turnover, this study focuses on the mediating role of work engagement, examining the relationship between hospital safety climate, work engagement, and turnover intention. Methods: This was a cross-sectional research design of nurses in hospitals in Guangdong Province using a convenience sampling method. General information survey, hospital safety climate scale, work engagement scale, and turnover intention scale were adopted. The obtained data were analyzed through descriptive statistics, Pearson's correlation coefficient, and the mediating effect of work engagement was tested through the PROCESS macro mediation model in SPSS. Results: The hospital safety climate was positively correlated with work engagement ( Conclusions: The turnover intention of nurses in Guangdong Province is high. Work engagement plays a partial mediating role between hospital safety climate and turnover intention among nurses. This study further enriches JD-R theory and new ideas for nurse managers to take measures to stabilize the nursing workforce and reduce turnover.
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