Özet:

This study aims to identify the effects of work stress on turnover intention among health staff in primary care. In this cross-sectional study, the General Work Stress Scale and two single-item measures of turnover intention (one question for each organisational and professional turnover intention) were used as the data collection tools. This study included 281 healthcare providers (88 family physicians, 164 family health staff and 27 other staff) working in primary care institutions in the city center of Niğde and the biggest district of Niğde, Bor district center. In this study, independent sample t-test, one-way ANOVA, eta coefficient, Cramer V coefficient, Pearson correlation coefficient, simple and multiple linear regression analysis were used. The mean of the General Work Stress Scale on a 5-point Likert of health staff was 2.29±0.93 and the mean of professional turnover intention (2.46±1.31) was slightly higher than the mean of organisational turnover intention (2.37±1.22). The work stress mean score (2.60±0.95), the professional turnover intention mean score (2.73±1.29) and the organisational turnover intention mean score (2.73±1.29) of family physicians were higher than the mean scores of other health staff (p<0.05). Work stress had high correlations with professional turnover intention (r=0.72; p<0.05) and organisational turnover intention (r=0.66; p<0.05). The effects of work stress on professional turnover intention (b=1.01; p<0.05) and organisational turnover intention (b=0.86; p<0.05) were statistically significant. These effects continued to exist even when occupational and sociodemographic characteristics were included in the model as control variables (p<0.05). Consequently, it was evaluated that work stress had an impact on turnover intention among health care providers working in primary care. Work stress was higher for health staff who had postgraduate degree and 48 hours of work per week and who worked as family physicians. Moreover, turnover intention was higher for health staff who had 35 years of age or younger, postgraduate degree, professional experience of 15 years or less, 48 hours of work per week and who worked as family physicians. In addition to work stress, age, education level and years in the profession were other determinants of turnover intention. It was recommended that health managers who want to reduce turnover intention should deal with work stress by considering the professional and other characteristics of health staff.

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