title: Nursing staff and their team: Impact on intention to leave.
abstract: OBJECTIVE
  The aim was to examine the relationship between the quality of team-member exchange experienced by nursing staff and their intention to leave. Job satisfaction and affective organizational commitment are considered as mediators.
  
  
  BACKGROUND
  While the shortage of nurses is a management and policy priority, few studies have studied the relationships between nursing staff and their team, key organizational attitudes, and intentions to leave the organization.
  
  
  METHODS
  A questionnaire was administered to 217 registered nurses and nurse assistants in Belgium. Data were collected in 2012. To analyse the data, descriptive statistics, correlation, regression and path analyses were conducted.
  
  
  RESULTS
  Team-member exchange has a positive impact on nursing staff satisfaction and affective commitment. Job satisfaction and affective organizational commitment fully mediated the impact of team-member exchange on nursing staff's intention to leave.
  This study illustrates the potential benefits of the positive influence of team-member exchange on key organizational attitudes of nursing staff, and the negative influence on intention to leave through affective commitment and job satisfaction.
authors.affiliation: Department of Public Health, Ghent University, Ghent, Belgium.
authors.forename: J
authors.identifier: http://orcid.org/0000-0001-7278-1473
authors.initials: J
authors.lastname: Trybou
authors.affiliation: Department of Public Health, Ghent University, Ghent, Belgium.
authors.forename: S
authors.initials: S
authors.lastname: Malfait
authors.affiliation: Department of Management, Innovation & Entrepreneurship, Ghent University, Ghent, Belgium.
authors.forename: P
authors.initials: P
authors.lastname: Gemmel
authors.affiliation: Department of Public Health, Ghent University, Ghent, Belgium.
authors.forename: E
authors.initials: E
authors.lastname: Clays
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001530:Belgium; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D033182:Intention; D007400:Interprofessional Relations; D007588:Job Satisfaction; D008297:Male; D009740:Nursing Staff; D009746:Nursing, Team; D010558:Personnel Loyalty; D010563:Personnel Turnover; D011795:Surveys and Questionnaires
keywords: Affective Commitment; Belgium; Intention to Leave; Nursing; Satisfaction; Team-Member Exchange