The mediating role of nurse-physician collaboration in the effect of organizational commitment on turnover intention

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Yılmaz G., Kıran Ş., Bulut H. K.

JOURNAL OF INTERPROFESSIONAL CARE, vol.37, no.1, pp.66-72, 2023 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 37 Issue: 1
  • Publication Date: 2023
  • Doi Number: 10.1080/13561820.2021.2004099
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, ASSIA, CINAHL, Educational research abstracts (ERA), EMBASE, MEDLINE, Psycinfo, Public Affairs Index, Social services abstracts
  • Page Numbers: pp.66-72
  • Keywords: Organizational commitment, turnover intention, nurse, physician, nurse-physician collaboration, JOB-SATISFACTION, PROFESSIONAL COMMITMENT, EMPLOYEE TURNOVER, OUTCOMES, IMPACT, COMMUNICATION, PERCEPTIONS, CLIMATE, STRESS, MODEL
  • Karadeniz Technical University Affiliated: Yes


Despite extensive research having been carried out on nurse-physician collaboration, there remains a paucity of evidence on how collaboration interacts with organizational commitment and its effect on turnover intention. This study aims to determine the mediating role of nurse-physician collaboration on the effect of organizational commitment on turnover intention. We used a cross-sectional design based on voluntary paper surveys from the inpatient clinics of six public hospitals in the north of Turkey. Data including measures of nurse-physician collaboration, organizational commitment, and turnover intention were collected from a convenience sample of the nurses (n = 212) and physicians (n = 109). Pearson's correlation analysis was used to determine the relationships between variables, and the mediating effect was analyzed with PROCESS Macro "Model 4" for IBM SPSS. Statistical significance was specified at 95% confidence intervals and two-tailed P values of <0.05 for all tests. While most of the participants were nurses (66%), 34% were physicians. For both nurses and physicians, organizational commitment and nurse-physician collaboration negatively affected the turnover intention. However, the mediating role of nurse-physician collaboration was only significant for nurses (b = -0.025). The results demonstrate the importance of harmony, joint decision-making, and responsibility-sharing between nurses and physicians concerning dedication, engagement, and job satisfaction, especially for nurses.