Aim The aim of the present study was to investigate whether job satisfaction mediates between leader-member exchange and nurse turnover intentions.
Background Limited knowledge is available on the mediating role of job satisfaction between leader-member exchange and turnover intentions in the nursing field.
Method This is a cross-sectional survey study. Data were collected in a US hospital.
Results Higher leader-member exchange was associated with lower turnover intentions ($\beta = -0.41$, $p < 0.001$). Leader-member exchange was positively related to one’s job satisfaction ($\beta = 0.50$, $p < 0.001$). Job satisfaction was negatively related to turnover intentions ($\beta = -0.64$, $p < 0.001$). When leader-member exchange and job satisfaction were both controlled for, the link between leader-member exchange and turnover intentions was no longer significant ($\beta = -0.12$, $p > 0.05$).
Conclusion Job satisfaction mediates the link between leader-member exchange and turnover intentions.
Implications for nursing management The present study reinforces the significant role of managers. Nurse managers can try to cultivate a good relationship with the nurses. This can enhance nurses’ job satisfaction and in turn lower their turnover intentions.