Cynicism in hospital staff nurses: the effect of intention to leave and job change over time

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AimTo determine whether cynicism changes over time as a function of job change for nurses with high and low intentions to leave.BackgroundCynicism develops in reaction to organisational events including leaders' actions and can result in costly passive withdrawal behaviours.MethodHospital staff nurses (n = 436) completed a survey assessing their intentions to leave the job and cynicism and then completed follow-up surveys assessing cynicism and job change 1 or 2 years later. Hierarchical linear modelling was used to examine the effect of the interaction between intention to leave, job change and time on cynicism.ResultNurses who left their hospital and nurses with high initial intention to leave who changed jobs within their hospital reported declining levels of cynicism over 2 years. Cynicism increased for nurses with low intention to leave who remained at the same job and for those who experienced an internal job change despite low intention to leave.ConclusionFor those who desire it, an internal job change may allow for a recalibration of cynicism and increase employee engagement.Implications for nursing managementTo attenuate cynicism, hospital leaders need to act and communicate with integrity and be cautious not to arbitrarily change the jobs of nurses with low intention to leave.

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