Journal List > J Korean Acad Nurs Adm > v.20(5) > 1051777

Hwang and Kang: Factors Influencing Nurse Turnover Intention in Small and Medium Sized Hospitals in the Metropolitan Area

Abstract

Purpose

The purpose of this study was to investigate the factors influencing nurse turnover intention in small and medium sized hospitals in the metropolitan area.

Methods

A cross-sectional survey design was used. A questionnaire was distributed to the nurses in small and medium sized hospitals. The data of 209 nurses was analyzed using t-test, ANOVA, Pearson correlation coefficient and multiple regression.

Results

Organizational commitment and age were identified as factors influencing turnover intention. These factors explained 56.8% of variance of turnover intention.

Conclusion

Results suggest that establishment of organizational commitment needs to be discussed and continuously developed. Further study is also necessary to identify the key mechanism in nurse turnover intention.

Figures and Tables

Table 1
Demographic and General Characteristics of Participants (N=209)
jkana-20-576-i001

Note. Missing responses excluded.

ICU/ER=Intensive care unit/emergency room; Unit: Ten thousand won/month.

Table 2
Degree of Professionalism, Job Involvement, Organizational Commitment, Practice Environment, and Turnover Intention (N=209)
jkana-20-576-i002
Table 3
Professionalism, Job Involvement, Organizational Commitment, Practice Environment, and Turnover Intention according to General Characteristics of Participants (N=209)
jkana-20-576-i003

Note. Missing responses excluded.

ICU/ER=Intensive care unit/emergency room; Unit: Ten thousand won/month.

Table 4
Correlation among Professionalism, Job Involvement, Organizational Commitment, Practice Environment, Turnover Intention (N=209)
jkana-20-576-i004
Table 5
Predictors of Nurses' Turnover Intention (N=209)
jkana-20-576-i005

References

1. Jeong EJ, Chae GS, Noh WJ, Park MM, Cho UY, Kim HJ. A Survey on hospital nursing staffing. Business report for Hospital Nurses Association. Seoul: Hospital Nurses Association;2013.
2. Kim YM, Jeon KJ, Kim JY. Analysis of trends in hospital nursing staffing and working conditions. Business Report for Hospital Nurses Association. Seoul: Hospital Nurses Association;2011.
3. Center for Health and Social Change. The changing structure for quality improvement of health services in hospital-focused on nursing workforce. Seoul: The Korean Public Service Workers Union;2008.
4. Lee YT, Kim JD, Lee TH, Kang DW, Park JA. A Survey on the demand and supply of nursing workforce and the grade system of nursing management fee. Seoul: Korea Health Industry Development Institute;2008.
5. Han YH, Sohn IS, Park KO, Kang KH. The relationships between Professionalism, Job involvement, organizational commitment and turnover intention among clinical nurses. J Korean Clin Nurs Res. 2010; 16(2):17–31.
6. Nam MH, Kwon YC. The relationship between better life index, nursing performance and intents to leave among hospital nurses. J Digit Converg. 2012; 10(9):417–427.
7. Jeong JH, Kim JS, Kim KH. The risk factors influencing turnover intention of nurses. J Korean Acad Nurs Adm. 2008; 14(1):35–44.
8. Yoo SJ, Choi YH. Predictive factors influencing turnover intention of nurses in small and medium-sized hospitals in Daegu city. J Korean Acad Nurs Adm. 2009; 15(1):16–25.
9. Kang KN. Factors influencing turnover intention of nurses in small-medium sized hospitals. J Korean Acad Nurs Adm. 2012; 18(2):155–165.
10. Kwon JO, Kim EY. Impact of Unit-level nurse practice environment on nurse turnover intention in the small and medium sized hospitals. J Korean Acad Nurs Adm. 2012; 18(4):414–423. http://dx.doi.org/10.11111/jkana.2012.18.4.414.
11. Kim SM, No YJ, Kim JL, Park JS. A study on expand jobs and improve working condition in health care in health and medical industry. Seoul: Economic and Social Development Commission;2010.
12. Lee TW, Kang KH, Ko YK, Cho SH, Kim EY. Issues and Challenges of Nurse Workforce Policy: A Critical Review and Implication. J Korean Acad Nurs Adm. 2014; 20(1):106–116. http://dx.doi.org/10.11111/jkana.2014.20.1.106.
13. Baek HC, Kim-Godwin YS, Yeoun S. Translation and validation of Korean version of Hall's professionalism inventory. J Korean Acad Nurs Adm. 2007; 13(4):509–515.
14. Lee MH. Role Stress, Organizational commitment and job involvement in clinical nurses. J Nurs Acad Soc. 1996; 26(2):467–482.
15. Kanungo RN. Measurement of job and work involvement. J Appl Psychol. 1982; 67(3):341–349.
16. Mowday RT, Steers RM, Poter LW. The measurement of organizational commitment. J Vocat Behav. 1979; 14:224–247.
17. Cho EH, Choi MN, Kim EY, Yoo IY, Lee NJ. Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. J Korean Acad Nurs. 2011; 41(3):325–332.
18. Lawler EE. Satisfaction and behavior. In : Hackman JR, Lawler EE, Porter LW, editors. Perspectives on behavior in organizations. 2nd ed. New York: McGraw Hill;1983. p. 78–87.
19. Park HS. Relationship between perceived nursing care role orientation, job characteristics, and turnover among nurses [master's thesis]. Seoul: Department of Public Health, The Graduate School of Yonsei University;2002.
20. Oh EH, Chung BY. The effect of empowerment on nursing performance, job satisfaction, organizational commitment, and turnover intention in hospital nurses. J Korean Acad Nurs Adm. 2011; 17(4):391–401.
21. Lake ET, Friese CR. Variations in nursing practice environments relation to staffing and hospital characteristics. Nurs Res. 2006; 55:1–9.
22. Kim MA, Park KO, You SJ, Kim MJ, Kim ES. A survey of nursing activities in small and medium-size hospitals: reasons for turnover. J Korean Clin Nurs Res. 2009; 15(1):149–165.
23. Han SS, Sohn IS, Kim NE. New nurse turnover intention and influencing factors. J Korean Acad Nurs. 2009; 39(6):878–887. http://dx.doi.org/10.4040/jkan.2009.39.6.878.
24. Lee YS, Jung MS. Relationship of followership to organizational commitment, job satisfaction, turnover intention, and customer orientation in nurses. J Korean Acad Nurs Adm. 2013; 19(2):187–195. http://dx.doi.org/10.11111/jkana.2013.19.2.187.
25. Kim MR, Seomun GA. Relationships among burnout, job satisfaction, organizational commitment and turnover intention to resign in hospital nurses. Korean J Occup Health Nurs. 2013; 22(2):93–101. http://dx.doi.org/10.5807/kjohn.2013.22.2.93.
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