THE MEDIATING ROLE OF JOB SATISFACTION IN THE RELATIONSHIP BETWEEN PERCEIVED ORGANIZATIONAL SUPPORT AND QUIET QUITTING AMONG NURSES
DOI:
https://doi.org/10.5281/zenodo.22776195Keywords:
Perceived Organizational Support, Job Satisfaction, Quiet Quitting, NursesAbstract
The aim of this study was to examine the mediating role of job satisfaction in the relationship between perceived organizational support and quiet quitting behavior among nurses. The study was conducted using a descriptive and correlational research design. The sample consisted of 417 female nurses working in healthcare institutions in Elazığ, Türkiye. Data were collected using a Personal Information Form, the Perceived Organizational Support Scale, the Job Satisfaction Scale, and the Quiet Quitting Scale. Descriptive statistics, Pearson correlation analysis, and mediation analysis were performed using Hayes' PROCESS Macro Model 4. The findings revealed that perceived organizational support had a significant positive effect on job satisfaction, while both perceived organizational support and job satisfaction had significant negative effects on quiet quitting behavior. Furthermore, bootstrap analysis indicated that job satisfaction partially mediated the relationship between perceived organizational support and quiet quitting behavior. In conclusion, perceived organizational support was found to play an important role in reducing quiet quitting behavior by increasing nurses' job satisfaction. The findings are expected to contribute to managerial practices aimed at reducing quiet quitting behavior as well as to the nursing management literature.
References
Abdullah, A., & Bangcola, A. (2024). Investigating the Perspectives of Millennial and Gen Z Nurses on Quiet Quitting in Marawi City, Lanao del Sur, Philippines. Malaysian Journal of Nursing, 16(1), 135–148. https://doi.org/10.31674/mjn.2024.v16i01.014
Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA 288 (16), 1987-1993. https://doi.org/10.1001/jama.288.16.1987
Akkoç, İ., Çalışkan, A. & Turunç, Ö. (2012). Örgütlerde Gelişim Kültürü ve Algılanan Örgütsel Desteğin İş Tatmini ve İş Performansına Etkisi: Güvenin Aracılık Rolü. Celal Bayar Üniversitesi, İktisadi ve İdari Bilimler Fakültesi, 19(1), 105-135. https://izlik.org/JA94NC86UD
Andrade, C. & Petiz Lousã, E. (2021). Telework and Work-Family Conflict During COVID-19 Lockdown in Portugal: The Influence of Job-Related Factors. Administrative Sciences, 11(3), 103. https://doi.org/10.3390/admsci11030103
Arvaniti, P., Antoniadou, M. & Galanis, P. (2024). Silent Disengagement: Investigating Quiet Quitting Among Greek Healthcare Professionals. International Journal of Caring Sciences, 17(3), 1245–1253. https://internationaljournalofcaringsciences.org/docs/1.galanis.pdf
Arneja, J.S. & Gilardino, M.S. (2023). Quiet Quitting: Why Is ItWorse in Healthcare and What DoWe Do About It? Plastic Surgery, 31(4), 319–320. https://doi.org/10.1177/22925503231208495
Başol, O. & Çömlekçi, M.F. (2020). İş Tatmini Ölçeğinin Uyarlanması: Geçerlik ve Güvenirlik Çalışması. Kırklareli Üniversitesi Sosyal Bilimler Meslek Yüksekokulu Dergisi, 1(2), 17-31. https://izlik.org/JA63MX64KU
Boy, Y. & Sürmeli, M. (2023). Quiet quitting: A significant risk for global healthcare. J Glob Health, 13, 03014. https://doi.org/10.7189/jogh.13.03014
Brayfield, A. & Rothe, H. F. (1951). An Index of Job Satisfaction. Journal of Applied Psychology, 35(5), 307-311. http://dx.doi.org/10.1037/h0055617
Burke, R. J. (2003). Nursing staff attitudes following restructuring: The role of perceived organizational support, restructuring processes, and stressors. International Journal of Sociology and Social Policy, 23(8-9), 129-157. https://doi.org/10.1108/01443330310790679
Chang, C. S. (2015). Moderating Effects of Nurses’ Organizational Support on the Relationship Between Job Satisfaction and Organizational Commitment. Western Journal of Nursing Research, 37 (6), 724-745. https://doi.org/10.1177/0193945914530047
Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.). Lawrence Erlbaum Associates Publishers. https://doi.org/10.4324/9780203774441
Cordero, D. A. (2025). Keeping ‘Quiet Quitting’ Away Among Filipino nurses. Journal of the Royal Society of Medicine, 118(5), 148. https://doi.org/10.1177/01410768251335184
Dağlı A., Baysal, N. & Tekler, E. N. (2025). Sessiz İstifa Ölçeği’nin Türkçe’ye Uyarlanması: Geçerlik ve Güvenirlik Çalışması. Elektronik Sosyal Bilimler Dergisi, 24(2), 703-723 https://doi.org/10.17755/esosder.1560398
Domingue, J.L., Lauzier, K. & Foth, T. (2024). Quiet Quitting: Obedience a Minima as a Form of Nursing Resistance. Nursing Philosophy, 25(3), e12493. https://doi.org/10.1111/nup.12493
Eisenberger, R., Huntington, R., Hutchison, S., & Sowa, D. (1986). Perceived Organizational Support. Journal of Applied Psychology,71, 500-507. https://doi.org/10.1037/0021-9010.71.3.500
Eisenberger, R., & Stinglhamber, F. (2011). Perceived Organizational Support: Fostering Enthusiastic and Productive Employees. American Psychological Association Books, Washington. https://doi.org/10.1037/12318-000
Falatah, R. (2021). The Impact of the Coronavirus Disease (COVID-19) Pandemic on Nurses' Turnover Intention: An Integrative Review. Nursing Reports, 11(4), 787–810. https://doi.org/10.3390/nursr ep11040075
Fasbender, U., Van der Heijden, B. I. J. M. & Grimshaw, S. (2019). Job Satisfaction, Job Stress and Nurses' Turnover Intentions: The Moderating Roles of On-The-Job and Off-The-Job Embeddedness. Journal of Advanced Nursing, 75(2), 327–337. https://doi.org/10.1111/jan.13842
Filippova, A. A. (2011). Relationships among ethical climates, perceived organizational support, and intent to leave for licensed nurses in skilled nursing facilities. Journal of Applied Gerontology, 30(1), 1-23. https://doi.org/10.1177/0733464809356546
Galanis, P., Moisoglou, I., Katsiroumpa, A., Vraka, I., Siskou, O., Konstantakopoulou, O. & Kaitelidou, D. (2024). Moral Resilience Reduces Levels of Quiet Quitting, Job Burnout, and Turnover Intention among Nurses: Evidence in the Post COVID-19 Era. Nursing reports (Pavia, Italy), 14(1), 254–266. https://doi.org/10.3390/nursrep14010020
Galanis, P., Katsiroumpa, A., Vraka, I., Siskou, O., Konstantakopoulou, O., Katsoulas, T., Moisoglou, I., Gallos, P., & Kaitelidou, D. (2024). Nurses quietly quit their job more often than other healthcare workers: An alarming issue for healthcare services. International nursing review, 71(4), 850–859. https://doi.org/10.1111/inr.12931
Geng, R., Geng, X. & Geng, S. (2025). Identifying Key Antecedents of Quiet Quitting Among Nurses: A Cross-Profession Meta-Analytic Review. Journal of Advanced Nursing, 82(1), 913-933. https://doi.org/10.1111/jan.16934
Gillet, N., Colombat, P., Michinov, E., Pronost, A. M., & Fouquereau, E. (2013). Procedural justice, supervisor autonomy support, work satisfaction, organizational identification, and job performance: the mediating role of need satisfaction and perceived organizational support. Journal of Advanced Nursing, 69(11), 2560-71. https://doi.org/10.1111/jan.12144
Gün, I., Cetinkaya, Kutun, F. & Soyuk, S. (2025). Mediating Effect of Turnover Intention on the Relationship Between Job Burnout and Quiet Quitting in Nurses. Journal of Advanced Nursing, 81, 6569–6577. https://doi.org/10.1111/jan.16807
Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2019). Multivariate data analysis (8th ed.). Cengage Learning. https://eli.johogo.com/Class/CCU/SEM/_Multivariate%20Data%20Analysis_Hair.pdf
Hamouche, S., Koritos, C. & Papastathopoulos, A. (2023). Quiet quitting: relationship with other concepts and implications for tourism and hospitality. International Journal of Contemporary Hospitality Management, 35(12), 4297–312. https://doi.org/10.1108/IJCHM-11-2022-1362
Han, R. M., Carter, P., & Champion, J. D. (2018). Relationships among factors affecting advanced practice registered nurses’ job satisfaction and intent to leave: A systematic review. Journal of the American Association of Nurse Practitioners, 30(2), 101-113. https://doi.org/10.1097/JXX.0000000000000006
Handayani, S.A & Hamzah, W. (2024). Pengaruh dukungan organisasi terhadap kepuasan kerja pada perawat di RSUD Haji Makassar dengan beban kerja sebagai variabel intervening. Journal of Aafiyah Health Research (JAHR), 5(2), 134-40. https://doi.org/10.52103/jahr.v5i2.1669
Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (2nd ed.). The Guilford Press. https://www.researchgate.net/profile/Muhammad-Khan-1095/post/Kindly-help-me-in-the-area-of-impact-of-Quality-of-Work-Life-on-Employee-productivity-moderated-by-work-life-balance-and-Employee-Commitment/attachment/59d63c4179197b807799939e/AS%3A414507122872322%401475837607966/download/andrew+hayes.pdf
Hongvichit, S. (2015). A review of the research on perceived organizational support. International Business Research, 10. https://www.researchgate.net/publication/282531386_A_Review_of_the_Research_on_Perceived_Organizational_Support
Hungerford, C., Jackson, D. & Cleary, M. (2025). Quiet Quitting, Resenteeism and Other Forms of Disengagement: What Are the Answers for Nurses?. Journal of Advanced Nursing, 81(6), 2855–2857. https://doi.org/10.1111/jan.16574
Judge, T. A., Locke, E. A., Durham, C. C & Kluger, A. N. (1998). Dispositional Effects on Job and Life satisfaction: The Role of Core Evaluations. Journal of Applied Psychology, 83(1), 17-34. https://doi.org/10.1037/0021-9010.83.1.17
Kang, J., Jeong, W. & Kim, S. (2025). The Mediating Effects of COVID-19 Infection Control Fatigue on Quiet Quitting: Focusing on Organisational Justice, Role Ambiguity and Job Satisfaction. Journal of Advanced Nursing, 81, 3952–3961. https://doi.org/10.1111/jan.16865
Karadas, A., & Çevik, C. (2025). Psychometric analysis of the quiet quitting and quiet firing scale among Turkish healthcare professionals. Journal of evaluation in clinical practice, 31(2), e14136. https://doi.org/10.1111/jep.14136
Karrani, M. A., Bani-Melhem, S. & Mohd-Shamsudin, F. (2023): Employee quiet quitting behaviours: conceptualization, measure development and validation, The Service Industries Journal, 44(6), 1-19. https://doi.org/10.1080/02642069.2023.2286604
Katsiroumpa, A., Moisoglou, I., Konstantakopoulou, O., Kalogeropoulou , M., Gallos, P., Tsiachri, M. & Galanis, P. (2024b). Practice Environment Scale of the Nursing Work Index (5 Items Version): Translation and Validation in Greek. International Journal of Caring Sciences, 17(3), 1509–1512. https://internationaljournalofcaringsciences.org/docs/25.konstantakopoulou.pdf
Keeney, D., & Horvath, C. (2023). The Silence Is Deafening: Are Certified Registered Nurse Anesthetists Quiet Quitting?. AANA Journal. https://www.onlinedigeditions.com/article/The+Silence+Is+Deafening%3A+Are+Certified+Registered+Nurse+Anesthetists+Quiet+Quitting%3F/4616786/798095/article.html
Kurtessis, J. N., Eisenberger, R., Ford, M. T., Buffardi, L. C., Stewart, K. A., & Adis, C. S. (2015). Perceived Organizational Support: A Meta-Analytic Evaluation of Organizational Support Theory. Journal of Management, 43(6), 1854–1884. https://doi.org/10.1177/0149206315575554
Kwak, C., Chung, B. Y., Xu, Y., & Eun-Jung, C. (2010). Relationship of job satisfaction with perceived organizational support and quality care among South Korean nurses: A questionnaire survey. International Journal of Nursing Studies, 47(10), 1292-1298. https://doi.org/10.1016/j.ijnurstu.2010.02.014
Lawani, K., Hare, B., & Cameron, I. (2019), Evaluating workplace trust as a construct of worker engagement in construction. Proceedings of Institution of Civil Engineers: Management, Procurement and Law, 172(3), 125-134. https://doi.org/10.1680/jmapl.18.00034
Lee, A.S.Y., Fung, W.K., J. A. Daep Datu, J.A. & Chung, K.K.H. (2024). Well-Being Profiles of Pre-Service Teachers in Hong Kong: Associations With Teachers' Self-Efficacy During the COVID-19 Pandemic. Psychological Reports 127(1), 1009–1031. https://doi.org/10.1177/00332941221127631
Li, M., Wang, Y., Du, M., Wang, H., Liu, Y., Richardson, B.N. & Bai, J. (2023). Working Hours Associated with the Quality of Nursing Care, Missed Nursing Care and Nursing Practice Environment in China: A Multicenter Cross-Sectional Study. J. Nurs. Manag. 8863759. https://doi.org/10.1155/2023/8863759
Li, X., Zhang, Y., Yan, D., Wen, F., & Zhang, Y. (2020). Nurses’ intention to stay: The impact of perceived organizational support, job control and job satisfaction. Journal of Advanced Nursing, 76(5), 1141-50. https://doi.org/10.1111/jan.14305
Martela, F. & Pessi, A.B. (2018). Significant work is about self-realization and broader purpose: defining the key dimensions of meaningful work. Front Psychol, 9, 363. https://doi.org/10.3389/fpsyg.2018.00363
Moisoglou, I., Katsiroumpa, A., Katsapi, A., Konstantakopoulou, O. & Galanis, P. (2025). Poor Nurses' Work Environment Increases Quiet Quitting and Reduces Work Engagement: A Cross-Sectional Study in Greece. Nursing Reports, 15(1), 19. https://doi.org/10.3390/nursrep15010019
Moisoglou, I., Katsiroumpa, A., Kolisiati, A., Tsiachri, M., Tsakalaki, A. & Galanis, P. (2024). Innovative Behavior Inventory and Innovation Support Inventory: Translation and Validation in Greek. International Journal of Caring Sciences, 17(2), 886–894. https://doi.org/10.21203/rs.3.rs-4306204/v1
Moltot Ayalew, B. & Walia, N. (2024), Does job satisfaction mediate the nexus between perceived organizational justice and organizational citizenship behavior? Empirical evidence from Ethiopian Public Higher Education Institutions. Cogent Business and Management, 11(1), 2297801. https://doi.org/10.1080/23311975.2023.2297801
Montgomery, A.P. & Patrician, P.A. (2022). Work environment, resilience, burnout, intent to leave during COVID pandemic among nurse leaders: A cross-sectional study. J. Nurs. Manag., 30(8), 4015–4023. https://doi.org/10.1111/jonm.13831
Ng, E.S. & Stanton, P. (2023). The great resignation: managing people in a post COVID-19 pandemic world. Personnel Review, 52(2), 401–7. https://doi.org/10.1108/PR-03-2023-914
Poulose, S. & Sudarshan, N. (2017). Assessing the influence of work-life balance dimensions among nurses in the healthcare sector. Journal of Management Development, 36(3), 427-37. https://doi.org/10.1108/JMD-12-2015-0188
Prentice, C., Dominique-Ferreira, S., Wang, X., Tuominen, J., Duarte, M., & Rocha, H. (2025). Work-life imbalance, burning out, feeling down, I will quit, but quietly - the case of hospitality employees. Journal of Hospitality Marketing and Management, 34(1), 24-45. https://doi.org/10.1080/19368623.2024.2389074
Rhoades, L. & Eisenberger, R. (2002). Perceived Organizational Support: A review of the literature. Journal of Applied Psychology, 87(4), 698-714. https://doi.org/10.1037//0021-9010.87.4.698
Scheyett, A. (2022). Quiet Quitting. Soc. Work. 68(1), 5–7. https://doi.org/10.1093/sw/swac051
Serenko, A. (2024), The human capital management perspective on quiet quitting: recommendations for employees, managers, and national policymakers. Journal of Knowledge Management, 28(2), 27-43. https://doi.org/10.1108/JKM-10-2022-0792
Shore, L.M. & Tetrick, L.E. (1991). A construct validity study of the survey of perceived organizational support. Journal of Applied Psychology, 76(5), 637-643. https://doi.org/10.1037/0021-9010.76.5.637
Stinglhamber, F. & Caesens, G. (2023). Perceived organizational support. In book: Encyclopedia of Organizational Psychology. Edward Elgar. https://doi.org/10.4337/9781803921761.00100
Syani, R. S., Tentama, F. & Diponegoro, A. M. (2021). Validity and Reliability of the Teacher Job Satisfaction Scale Construct. Jurnal Penelitian Dan Pengukuran Psikologi, 10(2), 91–99. https://doi.org/10.21009/jppp.102.04
Türe, A. & Yıldırım, A. (2018). Algılanan örgütsel destek ölçeğinin hemşirelikte geçerlik ve güvenirliği. Sağlık ve Hemşirelik Yönetimi Dergisi, 1(5), 9-18. https://doi.org/10.5222/SHYD.2018.009
Xie, A., Xu, G. & Duff. J. (2025). Quiet Quitting: A Growing Concern or Just a Buzzword?. Journal of Perioperative Nursing, 38(1). https://doi.org/10.26550/2209-1092.1406
Yasin, Y. M., Khraim, F. & Kehyayan, V. (2024). Job Satisfaction Among Expatriate Nurses During the COVID-19 Pandemic: A Cross-Sectional Study. International Nursing Review, 71(1), 77–83. https://doi.org/10.1111/inr.12847
Zakiah, N., Nurrizka, R. H., Nurdiantami, Y. & Hardy, F. R. (2020). Relationship between Job Satisfaction and Organizational Commitment of Nurses at Prikasih Hospital, Jakarta. Jurnal Kedokteran Dan Kesehatan, 16(1), 55. https://doi.org/10.24853/jkk.16.1.55-67
Zuzelo, P.R. (2023). Discouraging quiet quitting: potential strategies for nurses. Holistic Nursing Practice, 37(3), 174–175. https://doi.org/10.1097/HNP.0000000000000583
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Bilgen Gaye YALPA
This work is licensed under a Creative Commons Attribution 4.0 International License.
