Influence of Secondary Trauma Stress, and Vocation on Turnover Intention of Nurses in Regional Trauma Centers

Hyun-Gwan Lee; Ji-Soo Kim

doi:10.11111/jkana.2020.26.1.65

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Lee and Kim: Influence of Secondary Trauma Stress, and Vocation on Turnover Intention of Nurses in Regional Trauma Centers

Original Article

Journal of Korean Academy of Nursing Administration 2020; 26(1): 65-72.

Published online: 31 January 2020

DOI: https://doi.org/10.11111/jkana.2020.26.1.65

Influence of Secondary Trauma Stress, and Vocation on Turnover Intention of Nurses in Regional Trauma Centers

Hyun-Gwan Lee¹

, Ji-Soo Kim²

¹RN, Department of Nursing, Gachon University Gil Medical Center, Korea.

²Associate Professor, College of Nursing, Gachon University, Korea.

Corresponding author: Kim, Ji-Soo. College of Nursing, Gachon University, 191 Hambakmoe-ro, Yeonsu-gu, Incheon 21936, Korea. Tel: +82-32-820-4206, Fax: +82-32-820-4201, kimjisoo@gachon.ac.kr

Received 23 October 2019 Revised 3 December 2019 Accepted 3 December 2019

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 examine the influence of secondary trauma stress, and vocation on turnover intention of nurses in regional trauma centers.

Methods

For this study a descriptive cross-sectional study using questionnaires was used. Data were collected from 170 nurses working in regional trauma centers in 10 hospitals. Data collection period was March and April, 2019.

Results

The mean score for secondary trauma stress was 27.66 out of 50, vocation, 36.04 out of 54, and turnover intention, 31.08 out of 45. Secondary trauma stress was positively related to turnover intention (r=.27, p<.001), whereas vocation was negatively related to turnover intention among trauma nurses (r=−.26, p=.001). In multiple regression analysis, vocation was associated with turnover intention among trauma nurses (β=−.22, p=.001), however secondary trauma stress was not related. Among the adjusted confounding variables, job stress (β=.56, p<.001), and in case of selection of trauma center voluntarily (β=−.13, p=.035) was also associated with turnover intention.

Conclusion

The study results suggest that higher vocation was associated lower turnover intention among trauma nurses. To reduce the turnover intention among trauma nurses, it is necessary to encourage trauma nurses' vocation with administrative support.

Keywords: Nurses, Trauma center, Vocation

Figures and Tables

Table 1

Characteristics of the Participants (N=170)

Table 2

Correlations between Secondary Traumatic Stress, Vocation, and Turnover Intention (N=170)

Table 3

Hierarchical Regression Prediction Effects of Secondary Traumatic Stress and Vocation on Turnover Intention (N=170)

^*Dummy coded; ^†Satisfaction with salary was entered as an ordinal measure (1=very unsatisfied, 2=satisfied, 3=neutral, 4=satisfied, 5=very satisfied).

Notes

This article is a condensed form of the first author's master's thesis from Gachon University.

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ORCID iDs

Hyun-Gwan Lee
https://orcid.org/0000-0003-3170-9488

Ji-Soo Kim
https://orcid.org/0000-0002-6633-5167

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