Journal List > J Korean Acad Nurs > v.42(1) > 1002874

TOOLS
Park, Kim, Kim, and Chang: A Model on Turnover Intention of Chief Nurse Officers
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2012; 42(1): 9-18.

Published online: 29 February 2012

DOI: https://doi.org/10.4040/jkan.2012.42.1.9

A Model on Turnover Intention of Chief Nurse Officers

Kwang-Ok Park1, Jong Kyung Kim2, Se Young Kim3, Sunju Chang4

1Assistant Professor, Department of Nursing, Sunchon National University, College of Life Science and Natural Resources, Sunchon, Korea.

2Assistant Professor, Department of Nursing, Dankook University, Cheonan, Korea.

3Full-time lecturer, College of Nursing, Eulji University, Daejeon, Korea.

4Critical Care Nurse Educator, Seoul National University Hospital, Seoul, Korea.

Address reprint requests to: Kim, Jong Kyung. Department of Nursing, Dankook University, San#29, Anseo-dong, Dongnam-gu, Cheonan 330-714, Korea. Tel: +82-41-550-3893, Fax: +82-41-559-7902, jongkimk@dankook.ac.kr

Received 9 April 2011       Accepted 5 February 2012

© 2012 Korean Society of Nursing Science

Abstract

Purpose

The purpose of this study was to test the turnover intention model for chief nurse officers in general hospitals. The variables for the study included job stress, social support, job satisfaction, and organization commitment.

Methods

A predictive, non-experimental design was used with a sample of 144 chief nurse officers from 144 general hospitals. Data were collected using self-administered questionnaires and analyzed using SPSS, AMOS program.

Results

The overall fitness of the hypothetical model to the data was good (χ2=16.80, p=.052, GFI=.96, AGFI=.90, NFI=.97, CFI=.99). Job stress, social support, job satisfaction, and organization commitment explained 59.0% of the variance in turnover intention by chief nurse officers. Both organization commitment and social support directly influenced turnover intention for chief nurse officers, and job stress and job satisfaction indirectly influenced turnover intention.

Conclusion

The results imply that chief nurse officers in hospitals need social support and management of job stress to increase job satisfaction and organization commitment, and lower turnover intention.

Keywords: Personnel turnover, Job satisfaction, Stress, Physiological, Social support, Nurse administrators

Figures and Tables

Figure 1
Theoretical framework of study.
jkan-42-9-g001
Figure 2
Path diagram of the model.
x1=Personal occupational stress; x2=Organizational occupational stress;
x3=Peer support; x4=Family support; y1=Job satisfaction; y2=Organizational commitment;
y3=Turnover intention.
jkan-42-9-g002
Table 1
General Characteristics of Participants (N=144)
jkan-42-9-i001

CNO=Chief nurse officer.

Table 2
Descriptive Statistics of Observed Variables (N=144)
jkan-42-9-i002
Table 3
Correlations among Observed Variables
jkan-42-9-i003

*p<.05; **p<.01.

Table 4
Effects of Predictive Variables on Endogenous Variables in the Model
jkan-42-9-i004

SMC=Squared multiple correlations.

*p<.05; **p<.01.

References

1. AbuAlrub R.F., Al-Zaru I.M. Job stress, recognition, job performance and intention to stay at work among Jordanian hospital nurses. Journal of Nursing Management. 2008. 16:227–236. http://dx.doi.org/10.1111/j.1365-2834.2007.00810.x.
2. An S.Y., Kim H.S. The effect of family, job, and organization-related situation to turnover intention of women managers. The Women's Studies. 2009. 77(2):5–48.
3. Bae B.L. Structural equation modeling with AMOS 17.0. 2009. Seoul: Cheongram.
4. Bettencourt L.A., Brown S.W. Role stressors and customer-oriented boundary-spanning behaviors in service organizations. Journal of the Academy of Marketing Science. 2003. 31(4):394–408. http://dx.doi.org/10.1177/0092070303255636.
5. Chang S.J., Koh S.B., Kang D., Kim S.A., Kang M.G, Lee C.G., et al. Developing an occupational stress scale for Korean employees. Korean Journal of Occupational and Environmental Medicine. 2005. 17(4):297–317.
6. Ha N.S., Choi J. The relationship among leadership style of nurse managers, job satisfaction, organizational commitment, andturnover intention. Journal of Korean Academy of Nursing. 2002. 32:812–822.
7. Ha N.S., Choi J. An analysis of nursing competency affecting on job satisfaction and nursing performance among clinical nurses. Journal of Korean Academy of Nursing Administration. 2010. 16:286–294.
8. Hair J.F., Black W.C., Babin B.J., Anderson R.E., Tatham R.L. Multivariate data analysis. 2006. 6th ed. Upper Saddle River, NJ: Prentice Hall.
9. Havens D.S., Thompson P.A., Jones C.B. Chief nursing officer turnover: Chief nursing officers and healthcare recruiters tell their stories. The Journal of Nursing Administration. 2008. 38:516–525. http://dx.doi.org/10.1097/NNA.0b013e31818ebf32.
10. Jones C.B., Havens D.S., Thompson P.A. Chief nursing officer retention and turnover: A crisis brewing? Results of a national survey. Journal of Healthcare Management. 2008. 53:89–105.
11. Kang S.Y., Park K.O., Kim J.K. The role adaptation process of the executive director of nursing department. Journal of Korean Academy of Nursing. 2010. 40:785–798.
12. Kim C.H., Yang S.S., Kim Y.J., Son Y.J., You M.A., Song J.E. A structural model of nurses turnover intention. Journal of Korean Academy of Nursing Administration. 2009. 15:550–562.
13. Kim M.H., Jung M.S. The effect of head nurses' emotional leadership on nurses' job satisfaction & organizational commitment. Journal of Korean Academy of Nursing Administration. 2010. 16:336–347.
14. Kline R.B. Principle and practice of structural equation modeling. 2005. 2nd ed. New York, NY: Guilford Press.
15. Kwon J.S., Sohn I.S., Cho S.H., Han Y.H., Park K.S. A survey about work conditions of hospital nurses. 2009. Seoul: Association of Hospital Nurses.
16. Langford C.P., Bowsher J., Maloney J., Lillis P.P. Social support: A conceptual analysis. Journal of Advanced Nursing. 1997. 25(1):95–100. http://dx.doi.org/10.1046/j.1365-2648.1997.1997025095.x.
17. Lawler E.E. Satisfaction and behavior. 1983. New York, NY: McGraw Hill.
18. Lee B.S., Jung Y.S., Lee E.J., Jo E.J., Kang S.R., Ahn H.K., et al. Nursing management. 2008. Seoul: Jungdam.
19. Lee H., Lim J. Structural equation modeling and AMOS 16.0. 2009. Seoul: Bupmoonsa.
20. Marquis B.L., Houston C.J. Leadership roles and management functions in nursing: Theory and application. 2005. 5th ed. Philadelphia, PA: Lippincott Williams & Wilkins.
21. Mobley W.H. Intermediate linkages in the relationship between job satisfaction and employee turnover. Journal of Applied Psychology. 1977. 62(2):237–240. http://dx.doi.org/10.1037/0021-9010.62.2.237.
22. Mowday R.T., Steers R.M., Porter L.W. The measurement of organizational commitment. Journal of Vocational Behavior. 1979. 14(2):224–247. http://dx.doi.org/10.1016/0001-8791(79)90072-1.
23. Park H.S. Relationship between perceived nursing care role orientation, job characteristics, and turnover among nurses. 2002. Seoul: Yonsei University;Unpublished master thesis.
24. Park J.W. A study for development of social support. 1985. Seoul: Yonsei University;Unpublished doctoral dissertation.
25. Price J.L., Mueller C.W. Absenteeism and turnover of hospital employees. 1986. Stanford, CA: JAI Press.
26. Sager J.K. A structural model depicting salespeople's job stress. Journal of the Academy of Marketing Science. 1994. 22(1):74–84. http://dx.doi.org/10.1177/0092070394221007.
27. Shin Y.G. Human resource management. 2001. Seoul: Sinkwang publishing Co.
28. Yoon G.S., Kim S.Y. Influence of job stress and burnout on turnover intention of nurses. Journal of Korean Academy of Nursing Administration. 2010. 16:507–516.
29. Yoon J.A., Lee H.J. Internal marketing, job stress, organizational commitment and turnover intention in nursing organization. Journal of Korean Academy of Nursing Administration. 2007. 13:293–301.
30. Weiss D.J., Dawis R.V., England G.W., Lofguist L.H. Manual for the Minnesota Satisfaction Questionaire. 1967. Minneapolis, MN: University of Minnesota, Industrial relations Center.
TOOLS
Similar articles