Abstract
The current global nursing shortage is a significant issue with substantial implications for nursing practice. Increased nurse turnover will yield five percent of the total annual hospital operating costs, estimated to be around 5 trillion dollars annually, due to the cost of hiring and training new nursing staff. In the United States, Filipino immigrant nurses play an integral part in the healthcare systems to patch the critical staffing gaps. The changing landscape of healthcare system delivery in the US, threatens Filipino nurses to stay at their current jobs. This study aimed to explore the mediating effects of professional commitment in the prediction of nurses’ professional quality of life (ProQol) and resilience on turnover among Filipino RNs in the US.
Causal predictive with mediation analysis was used to determine the mediating effects of professional commitment in the prediction of ProQol and Resilience on nurse turnover. The population was chosen using the convenience sampling technique based on the inclusion criteria: (a) Filipino registered nurses currently employed in a hospital for more than one year in Pennsylvania, United States, (b) >18 years old and above. The statistical tool was treated using Partial Least Square- Structural Equation Modelling and adopted Baron and Kenny four four-step approach to test the mediation.
It was found that ProQol and Resilience didn’t significantly predict one's intention to stay. This is further supported by non-significance in terms of direct effect. The inability of ProQol and Resilience to significantly predict turnover (regression and direct effect) indicates that Professional Commitment mediates the predicting effect of ProQol and Resilience on nurse Turnover.
The mediating role of Professional Commitment in the predicting effects of PoQol and Resilience on nurse Turnover reflected the significance in terms of indirect effect and total effect. This indicates that being committed to one's profession and being resilient alone would not influence one's decision to stay in one's job.
Sigma Membership
Epsilon Phi
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Other
Keywords:
Workforce, Policy/Advocacy, Succession Planning, ProQol, Professional Quality of Life, Resilience, Turnover, Filipino Nurses, Global Nursing Shortage, Psychological Resilience, Quality of Work Life, Quality of Life, Labor Turnover, Foreign Nurses, Labor Supply
Recommended Citation
Ignacio, Ejay H., "Professional Commitment as a Mediator between ProQol, Resilience and Turnover among Filipino Nurses" (2026). Creating Healthy Work Environments (CHWE). 16.
https://www.sigmarepository.org/chwe/2026/presentations_2026/16
Conference Name
Creating Healthy Work Environments
Conference Host
Sigma Theta Tau International
Conference Location
Washington, DC, USA
Conference Year
2026
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Date of Issue
2026-04-23
Professional Commitment as a Mediator between ProQol, Resilience and Turnover among Filipino Nurses
Washington, DC, USA
The current global nursing shortage is a significant issue with substantial implications for nursing practice. Increased nurse turnover will yield five percent of the total annual hospital operating costs, estimated to be around 5 trillion dollars annually, due to the cost of hiring and training new nursing staff. In the United States, Filipino immigrant nurses play an integral part in the healthcare systems to patch the critical staffing gaps. The changing landscape of healthcare system delivery in the US, threatens Filipino nurses to stay at their current jobs. This study aimed to explore the mediating effects of professional commitment in the prediction of nurses’ professional quality of life (ProQol) and resilience on turnover among Filipino RNs in the US.
Causal predictive with mediation analysis was used to determine the mediating effects of professional commitment in the prediction of ProQol and Resilience on nurse turnover. The population was chosen using the convenience sampling technique based on the inclusion criteria: (a) Filipino registered nurses currently employed in a hospital for more than one year in Pennsylvania, United States, (b) >18 years old and above. The statistical tool was treated using Partial Least Square- Structural Equation Modelling and adopted Baron and Kenny four four-step approach to test the mediation.
It was found that ProQol and Resilience didn’t significantly predict one's intention to stay. This is further supported by non-significance in terms of direct effect. The inability of ProQol and Resilience to significantly predict turnover (regression and direct effect) indicates that Professional Commitment mediates the predicting effect of ProQol and Resilience on nurse Turnover.
The mediating role of Professional Commitment in the predicting effects of PoQol and Resilience on nurse Turnover reflected the significance in terms of indirect effect and total effect. This indicates that being committed to one's profession and being resilient alone would not influence one's decision to stay in one's job.
Description
This study explores the mediating role of professional commitment in the relationship between professional quality of life, resilience, and turnover among Filipino registered nurses in the US. Using causal predictive mediation analysis showed that ProQol and resilience alone did not significantly predict nurse turover. However, professional commitment demonstrated a significant indirect effect, highlighting its critical role in nurse retention.