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Yoo and Kim: A Structural Model of Hospital Nurses' Turnover Intention: Focusing on Organizational Characteristics, Job Satisfaction, and Job Embeddedness
Original Article

Journal of Korean Academy of Nursing Administration 2016; 22(3): 292-302.

Published online: 30 June 2016

DOI: https://doi.org/10.11111/jkana.2016.22.3.292

A Structural Model of Hospital Nurses' Turnover Intention: Focusing on Organizational Characteristics, Job Satisfaction, and Job Embeddedness

Mi Ja Yoo1, Jong Kyung Kim2

1Dankook University Hospital, Korea.

2College of Nursing, Dankook University, Korea.

Corresponding author: Kim, Jong Kyung. College of Nursing, Dankook University, 119, Dandae-ro, Dongnam-gu, Cheonan 31116, Korea. Tel: +82-41-550-3893, Fax: +82-41-559-7902, jongkimk@dankook.ac.kr

Received 20 April 2016       Revised 6 June 2016       Accepted 7 June 2016

Copyright © 2016 Korean Academy of Nursing Administration

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study was done to build and verify a model of clinical nurses' turnover intention using organizational characteristics, job satisfaction and job embeddedness.

Methods

The study participants were 389 hospital nurses. SPSS and AMOS 22.0 program were used to analyze the data and the modeling of turnover intention.

Results

A total of 41% of turnover intention was explained by job satisfaction, job embeddedness and organizational characteristics. Nurses with higher job satisfaction and job embeddedness showed lower turnover intention, while organizational characteristics had an indirect effect on their turnover intention. It was found that organizational characteristics had positive effects on both job satisfaction and job embeddedness, and job embeddedness played a mediating role between organizational characteristics and turnover intention.

Conclusion

To reduce nurses' turnover intention, hospitals' organizational characteristics should be considered. Nurse managers should strive to increase nurses' job satisfaction and job embeddedness through an understanding of the factors of organizational characteristics such as organizational fairness, nursing work environment, motivation, organizational citizenship behavior, and transformational leadership.

Keywords: Nurses, Job satisfaction, Personnel turnover, Organization and administration, Health facility environment

Figures and Tables

Figure 1

The hypothetical model for organizational characteristics, job satisfaction, job embeddedness, and turnover intention.

jkana-22-292-g001
Figure 2

The modified model for organizational characteristics, job satisfaction, job embeddedness, and turnover intention.

jkana-22-292-g002
Table 1

The Results of Descriptive Statistics of Research Variables

jkana-22-292-i001
Table 2

The Results of Correlation among Research Variables

jkana-22-292-i002

**p<.01; 1. Organizational fairness; 2. Nursing work environment; 3. Motivation; 4. Organizational citizenship behavior; 5. Transformational leadership; 6. Autonomy; 7. Specializing in professional level; 8. Task needs; 9. Interaction; 10. Relationship with the nurse-physician; 11. Compatibility; 12. Sacrifice; 13. Turnover intention.

Table 3

The Standardized Effects of Organizational characteristics, Job satisfaction, Job embeddedness, and Turnover intention

jkana-22-292-i003

**p<.01, ***p<.001.

Notes

This article is a revision of the first author's doctoral dissertation from Dankook University.

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