Effects of job insecurity, burnout and competence on turnover intention with spiritual intelligence as a moderating variable onfor implementing nurses in Islamic hospital in Palembang

High turnover intention among nurses remains a serious issue in hospitals, as it affects service continuity, operational costs, and the quality of patient care. This study aims to analys the influence of job insecurity, burnout, and competence on turnover intention and to examine the moderating role of spiritual intelligence among nurses in Islamic hospitals in Palembang. A quantitative cross-sectional design was utilized, targeting nurses from three Islamic hospitals in Palembang. A multistage sampling method was implemented. Initially, three Islamic hospitals were purposively selected because they are the largest Islamic healthcare institutions in Palembang. Subsequently, nurses meeting the inclusion criteria were selected through purposive sampling. The Slovin formula determined a minimum sample size of 227 respondents. Data were collected through questionnaires and analysed using structural equation modelling partial least squares (SEM‒PLS). The findings reveal that job insecurity has a positive and significant effect on turnover intention, whereas burnout also significantly increases nurses’ intention to leave. Conversely, competence has a negative and significant effect on turnover intention, indicating that greater competence reduces the likelihood of nurses leaving the organization. Furthermore, spiritual intelligence was found to moderate the relationships among job insecurity, burnout, competence, and turnover intention. Nurses with higher levels of spiritual intelligence were better able to mitigate the adverse effects of job insecurity and burnout and to strengthen the positive influence of competence on retention. This study concludes that enhancing spiritual intelligence, managing workload, and developing nurses’ competence are essential strategies for reducing turnover intention in Islamic hospitals. Theoretically, this research contributes to the literature by integrating the psychological, competency, and spiritual dimensions of human resource management within the healthcare sector. In practice, the results provide valuable insights for hospital management in formulating more effective and sustainable nurse retention policies.