Journal List > Korean J Health Promot > v.18(4) > 1115980

You, Kim, Jung, Kim, and Kim: Factors Influencing Nursing Students' Choices of a Place of Employment

Abstract

Background

Despite increasing the number of newly licensed nurses across Korea, shortages caused by geographical imbalances remains a significant concern. Therefore, understanding nursing students' attitudes to working and living, factors influencing where they first choose to work after graduation is useful in formulating appropriate interventions to retain nurses in regional areas.

Methods

A total of 329 senior nursing students from areas outside Metropolitan Seoul completed self-report questionnaires. Data were analyzed using t-test, chi-square test and multiple logistic regression analysis.

Results

Of the respondents, 57.8% reported that they planned to work in the region in which their school was located. The three factors ranked as having the greatest influence on their decision to work in non-metropolitan regions were: the cost of living, housing costs, and the proximity to family. Enjoyable aspects of rural life contributed positively to students' intentions to work in non-metropolitan regions, whereas isolation and socialization problems negatively affected their intentions to work in such areas.

Conclusions

Greater consideration should be given to improving working conditions and housing environments in non-metropolitan regions.

Figures and Tables

Table 1

General characteristics of the subjects (n=329)

kjhp-18-184-i001
Table 2

Nursing student attitudes to working and living in regional areas (n=329)

kjhp-18-184-i002

Values are presented as mean±standard deviation.

Modified from reference 15 with permission from author via e-mail.

Table 3

Factors influencing the choice to work in regional areas (n=329)

kjhp-18-184-i003

Values are presented as mean±standard deviation.

Modified from reference 16 with permission from author via e-mail.

Table 4

Factors influencing first career choice of nursing students (n=329)

kjhp-18-184-i004

Values are presented as mean±standard deviation.

Modified from reference 17 with permission from author via e-mail.

Table 5

Factors influencing students' intention to pursue a first career in their nursing school region (n=329)

kjhp-18-184-i005

Abbreviations: OR, odds ratio; CI, confidence interval.

Notes

This Research was supported (in part) by Research Funds of Mokpo National University in 2016.

References

1. Kim Y, You S, Kim J. Impact of increased supply of newly licensed nurses on hospital nurse staffing and policy implications. J Korean Acad Nurs. 2017; 47(6):828–841.
crossref
2. Center for Educational Statistics. University Educational statistics [Internet]. Jincheon: Korean Education Statistics Service;2018. Accessed Feb 16, 2018. Available from: http://kess.kedi.re.kr/publ/view?survSeq=2018&menuSeq=3894&publSeq=2&item-Code=02&menuId=0&language=en.
3. Korean Nurses Association. Registered nurses supply and demand forecasts through the integrated nursing and caring service [Internet]. Seoul: Korean Nurse Association;2018. Accessed Feb 16, 2018. Available from: http://webzine.koreanurse.or.kr/Webzine2014/read_article.php?webzine_id=49&sub_cat_id=474&is_sub_no=850&article_id=1112.
4. National Health Insurance Service. Health Insurance Review & Assessment Service. National health insurance statistical yearbook [Internet]. Wonju: National Health Insurance Service;2018. Accessed Sep 15, 2018. Available from: http://stat.kosis.kr/statHtml_host/statHtml.do?orgId=350&tblId=TX_35001_A018&dbUser=NSI_IN_350.
5. Cho SH, Lee JY, Mark BA, Lee HY. Geographical imbalances: Migration patterns of new graduate nurses and factors related to working in non-metropolitan hospitals. J Korean Acad Nurs. 2012; 42(7):1019–1026.
crossref
6. Smith S, Edwards H, Courtney M, Finlayson K. Factors influencing student nurses in their choice of a rural clinical placement site. Rural Remote Health. 2001; 1(1):89.
crossref
7. Ahn JK, Oh SM. How have the job selection criteria of young university graduates changed? Employment Issues [Internet]. Eumseong: Korea Employment Information Service;2016. Accessed Sep 15, 2018. Available from: http://enx.enx.co.kr/office/enx/IDArchive/Policy/2016/고용정보원-고용이슈(2016년3월호)160426.pdf.
8. Schofield D, Fletcher S, Fuller J, Birden H, Page S. Where do students in the health professions want to work? Hum Resour Health. 2009; 7:74.
crossref
9. Yoon HJ, Cho SH. Geographic mobility and related factors among newly graduated nurses. J Korean Acad Soc Nurs Educ. 2017; 23(3):353–362.
crossref
10. Moon NC. Employment mobility of university graduates and regional development. [Internet]. Seoul: Korean Association of Professional Geographers;2010. Accessed Feb 16, 2018. Available from: http://www.kaopg.or.kr/contents/bbs/bbs_content.html?bbs_cls_cd=002002008.
11. Shim J, Kim E. Analysis of occupational mobility of college graduates [Internet]. Sejong: Korea Research Institute for Human Settlements;2012. Accessed Sep 15, 2018. Available from: http://region.snu.ac.kr/bk/achievement/data/7year/7.pdf.
12. Park B, Kim SY. Patterns and influential factors of inter-regional migration of new and experienced nurses in 2011~2015. J Korean Acad Nurs. 2017; 47(5):676–688.
crossref
13. Bang KS, Jun MH, Kim HS, Son HM, Kang JH, Yu SJ, et al. Nursing students' awareness of nursing and future career. J Korean Acad Soc Nurs Educ. 2009; 15(1):22–31.
crossref
14. Park SK, Cho KM. Clinical career preferences and associated factors of nursing students in Korea [Internet]. Seoul: Korean Association of Health Economics and Policy;2016. Accessed Sep 15, 2018. Available from: http://210.101.116.28/W_files/kiss9/50300442_pv.pdf.
15. Adams ME, Dollard J, Hollins J, Petkov J. Development of a questionnaire measuring student attitudes to working and living in rural areas. Rural Remote Health. 2005; 5(1):327.
crossref
16. Schofield D, Fuller J, Fletcher S, Birden H, Page S, Kostal K, et al. Decision criteria in health professionals choosing a rural practice setting: development of the Careers in Rural Health Tracking Survey (CIRHTS). Rural Remote Health. 2007; 7(3):666.
crossref
17. Shin CG, Hwang KH, Jo MS, Park JH. 2007 Employment panel survey and analysis [Internet]. Eumseong: Korea Employment Information Service;2015. 2007. Accessed Dec 2017. Available from: https://www.keis.or.kr/user/extra/main/2102/publication/publicationList/jsp/LayOutPage.do?categoryIdx=131&pubIdx=4270&onlyList=N.
18. Ministry of Education. 2014 restructuring entrance quota of university and industrial university freshman intake [Internet]. Sejong: Ministry of Education;2013. Accessed Feb 16, 2018. Available from: https://www.moe.go.kr/boardCnts/view.do?boardID=337&boardSeq=40942&lev=0&m=030301.
19. Kim EY, Cho HH. Factors associated with the choices of local hospitals among new graduate nurses. J Korean Acad Nurs Adm. 2018; 24(3):202–210.
crossref
20. Ahn YJ. Employment structure of university graduates and regional development: a case study of Chonnam National University. Journal of the Economic Geographical Society of Korea. 2001; 4(2):37–56.
21. Eley DS, Baker PG. Will Australian rural clinical schools be an effective workforce strategy? Early indications of their positive effect on intern choice and rural career interest. Med J Aust. 2007; 187(3):166–167.
crossref
22. Playford D, Wheatland B, Larson A. Does teaching an entire nursing degree rurally have more workforce impact than rural placements? Contemp Nurse. 2010; 35(1):68–76.
crossref
23. Lea J, Cruickshank M, Paliadelis P, Parmenter G, Sanderson H, Thornberry P. The lure of the bush: do rural placements influence student nurses to seek employment in rural settings? Collegian. 2008; 15(2):77–82.
crossref
24. Yang JS. An analysis on the determinants that lead provincial college graduates to get jobs at regional small and medium enterprises and leave the jobs. Journal of Employment and Skills Development. 2014; 17(2):153–177.
25. Yoo JE, Nam HJ, Kim JH. Who leaves and who stays?: When entering college and finding job after graduation. Journal of Employment and Skills Development. 2015; 18(1):191–219.
26. Blaauw D, Erasmus E, Pagaiya N, Tangcharoensathein V, Mullei K, Mudhune S, et al. Policy interventions that attract nurses to rural areas: a multicountry discrete choice experiment. Bull World Health Organ. 2010; 88(5):350–356.
27. Mitchell R. Perceived inhibitors to rural practice among physiotherapy students. Aust J Physiother. 1996; 42(1):47–52.
crossref
28. McDonough JE, Lambert VA, Billue JS. A rural nursing practicum: making it work. Nurse Educ. 1992; 17(4):30–34.
crossref
29. Barney T, Russell M, Clark M. Evaluation of the provision of fieldwork training through a rural student unit. Aust J Rural Health. 1998; 6(4):202–207.
30. 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.
TOOLS
Similar articles