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Han and Lee: The Relationship of Post-traumatic Stress, Job Stress and Turnover Intention in Emergency Department Nurses
Original Article
Journal of Korean Academy of Nursing Administration

Journal of Korean Academy of Nursing Administration 2013; 19(3): 340-350.

Published online: 30 June 2013

DOI: https://doi.org/10.11111/jkana.2013.19.3.340

The Relationship of Post-traumatic Stress, Job Stress and Turnover Intention in Emergency Department Nurses

Jeong Won Han1, Byoungsook Lee2

1Hospital of Hwawon Dongsan, Korea.

2College of Nursing, Keimyung University, Korea.

Corresponding author: Lee, Byoung Sook. College of Nursing, Keimyung University, 1095 Dalgubeol-daero, Daegu 704-701, Korea. Tel: +82-53-580-3908, Fax: +82-53-580-3916, lbs@kmu.ac.kr

Received 29 January 2013       Revised 29 March 2013       Accepted 27 April 2013

Copyright © 2013 Korean Academy of Nursing Administration

Abstract

Purpose

This study was done to identify relationships among post-traumatic stress (PTS), job stress and turnover intention in emergency department (ED) nurses.

Methods

Participants were 250 ED nurses who had worked for one month or longer in the ED one of three university hospitals or seven general hospitals in Daegu City or Gyeong Buk Province in Korea. Structured questionnaires were used to measure PTS, job stress, and turnover intention of participants. Data were analyzed using descriptive statistics, one-way ANOVA, path analysis, and stepwise multiple regression with the SPSS program.

Results

There were significant relationships between PTS, job stress and turnover intention. PTS influenced turnover intention directly and was indirectly mediated by job stress. The experience of traumatic events influenced PTS, job stress, and turnover intention. Indirect experience of traumatic events in the ED was an important predictor, explaining 20.1% of PTS in high-risk post-traumatic participants.

Conclusion

PTS can be an important factor for job stress and turnover intention. The direct and indirect experience of traumatic events can influence PTS, job stress, and turnover intention in ED nurses. Based on these results, strategies for managing PTS and relating job stress are recommended to reduce turnover intention in ED nurses.

Keywords: Emergencies, Nurses, Post-traumatic stress disorders

Figures and Tables

Table 1
General Characteristics and Job-related Characteristics (N=250)
jkana-19-340-i001

ED=emergency department.

Table 2
Characteristics of Participants according to the Post-traumatic Stress, Job Stress and Turnover Intention (N=250)
jkana-19-340-i002

ED=Emergency department.

Table 3
Post-traumatic Stress, Job Stress, and Turnover Intention (N=250)
jkana-19-340-i003

PTS=post-traumatic stress.

Table 4
Predictors of Post-traumatic Stress, Job Stress, Turnover Intention (N=250)
jkana-19-340-i004

ED=emergency department.

*p<.05; **p<.001.

Table 5
Predictors of Turnover Intention in Participants with High-risk of Post-traumatic Stress (N=51)
jkana-19-340-i005

ED=emergency department.

*p<.05; **p<.001.

Notes

This article based on a part of the first author's master's thesis from Keimyung University.

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