The association between supervisor support and ethical dilemmas on Nurses' intention to leave: The mediating role of the meaning of work.

Aim To examine the association of supervisor support and ethical dilemmas on nurses' intention to leave health care organizations, both directly and through the mediating role of the meaning of work. Background The shortage of nurses makes it vital that organizations retain nurses and so reduce the costs associated with replacing experienced nurses. Methods This cross-sectional study samples 2946 registered nurses from a selected health region in Norway. Structural equation modelling was used to test a hypothesized model. Results Social support from the supervisor and ethical dilemmas is associated with nurses' intention to leave, both directly and indirectly through the mediating role of the meaning of work. Conclusion Health care organizations should enhance social support from supervisors and the meaning of work, and reduce the level of ethical dilemmas in hospitals. Implications for nursing management Health care organizations should continuously develop and offer training in nurse manager skills, such as being empathic, understanding employees' needs and how to communicate and handle ethical dilemmas. Managers should value staff contributions, encourage staff involvement in ethical questions, and highlight the impact of nurses' work on improving the welfare of others.