PURPOSE The purpose of this study was to investigate the impact of the unit-level nurse practice environment on nurse turnover intention in the small and medium sized hospitals. METHODS A cross-sectional study was conducted using a questionnaire survey with 308 nurses in 38 nursing units of 6 small and medium sized hospitals, having over 200 beds and under 300 beds and located in B metropolitan city. Data were collected from July 20 to August 10, 2011. Data were analyzed using hierarchical multiple regression. RESULTS The mean turnover intention in nurses of small and medium sized hospitals was 3.52+/-0.53. Factors affecting turnover intention in the nurses included age, work unit, monthly income, number of night-duties, work hours per day and unit-level nurse practice environment. The unit-level nurse practice environment accounted for 15% of turnover intention when other variables were controlled. CONCLUSION The results of the study indicate that nurse turnover intention is associated with the nurse practice environment at the unit level. Small and medium sized hospitals can improve nurse retention and lower turnover intention by changing the nurse practice environment of unit, such as creating better support services and nurse participation in hospital affairs.
Citations
Citations to this article as recorded by
Factors Affecting the Field Adaptation of Early-Stage Nurses in South Korea Eunhee Hwang, Miyeong Kim, Yunkyeong Lee Healthcare.2024; 12(14): 1447. CrossRef
A Structural Equation Model for Turnover Intention of General Hospital Nurses: Focusing on Mediation Effect of Organizational Silence Mi-Hwan Kim, Myungja Kim Journal of Korean Academy of Nursing Administration.2024; 30(2): 102. CrossRef
Effect of the Nursing Work Environment on Turnover Intention: Serial Mediation Effects of Career Motivation and Job Satisfaction Young Deok Park, Sun Ju You Journal of Korean Academy of Nursing Administration.2023; 29(5): 529. CrossRef
Comparative Study on Work-Life Balance, Nursing Work Environment, Nursing Organizational Culture, and Job Satisfaction before Turnover among Nurses Leaving Hospital: Current Clinical Nurses versus Non-clinical Nurses Yejin Seo, Mi Yu Journal of Korean Academy of Nursing Administration.2023; 29(4): 385. CrossRef
Effects of Nursing Work Environment, Need Satisfaction, and Depression on Turnover Intention in Korea Sun-Hwa Shin, On-Jeon Baek, Eun-Hye Lee Healthcare.2023; 11(12): 1698. CrossRef
Influence of the Patient Safety Culture and Nursing Work Environment on Fall Prevention Activities of Hospital Nurses Se-Young Jung, Eun-Young Kim Journal of Korean Academy of Nursing Administration.2022; 28(2): 78. CrossRef
Structural Model of Retention Intention of Nurses in Small- and Medium-Sized Hospitals: Based on Herzberg’s Motivation-Hygiene Theory Joo Yeon Lee, Mi Hyang Lee Healthcare.2022; 10(3): 502. CrossRef
Impact of Perceived Importance to Rehabilitation Nursing, Role Conflict, and Working Environment on Performance of Rehabilitation Nursing of Nurses in Rehabilitation Hospitals Ji Hye Kim, Ji Yun Lee The Korean Journal of Rehabilitation Nursing.2021; 24(1): 86. CrossRef
Factors Influencing Retention Intention of Nurses at Long-Term Care Hospitals in Korea So Young Shin, Joo Hee Kim Journal of Gerontological Nursing.2021; 47(10): 44. CrossRef
Specific stressors relate to nurses' job satisfaction, perceived quality of care, and turnover intention John Robert Bautista, Percy Aiggie S. Lauria, Maria Cecilia S. Contreras, Maheni Micarla G. Maranion, Hermeliza H. Villanueva, Robert C. Sumaguingsing, Ronne D. Abeleda International Journal of Nursing Practice.2020;[Epub] CrossRef
Effects of Hospital Characteristics on Employment Rate, Working Period and Retirement of Ward Nurses in Korea: A Retrospective Cohort Study Based on HIRAS Data Hee-Jung Seo, Gi Yon Kim, Sei-Jin Chang Journal of Korean Academy of Nursing.2020; 50(6): 837. CrossRef
Intention to leave among staff nurses in small‐ and medium‐sized hospitals Jeong Hye Park, Min Jung Park, Hye Young Hwang Journal of Clinical Nursing.2019; 28(9-10): 1856. CrossRef
Factors affecting Organizational Commitment of General Hospital Nurses in Small and Medium Sized Cities Jin Hee Kim, Min Young Kim Journal of Korean Academy of Nursing Administration.2019; 25(1): 14. CrossRef
Relationship among Nursing Professionalism, Nursing Work Environment, and Patient Safety Nursing Activities in General Hospital Nurses Mi-Aie Lee, Sunjoo Kang, Hye Sun Hyun Journal of Korean Academy of Nursing Administration.2019; 25(4): 317. CrossRef
Importance and Performance Analysis of Competency for Advanced Beginner-stage Nurses of Ward Inhee Hwang, Soyoung Yu Journal of Health Informatics and Statistics.2019; 44(3): 292. CrossRef
Effects of Emotional Intelligence and Nursing Working Environment on Nursing Performance of Nurses Caring for Cancer Patients in Small and Medium Hospitals: The Mediating Effect of Communication Competence Yoon-Ji Kang, Kwuy-Im Jung Asian Oncology Nursing.2019; 19(4): 233. CrossRef
Factors Associated with the Choices of Local Hospitals among New Graduate Nurses Eun-Young Kim, Hun Ha Cho Journal of Korean Academy of Nursing Administration.2018; 24(3): 202. CrossRef
Effects of Group Rational Emotive Behavior Therapy on the Nurses' Job Stress, Burnout, Job Satisfaction, Organizational Commitment and Turnover Intention Hye-Lyun Kim, Sook-Hee Yoon Journal of Korean Academy of Nursing.2018; 48(4): 432. CrossRef
Nursing Tasks and Practice Environment for Nursing Work Perceived by Nurses Working on Comprehensive Wards versus General Wards Sung Hee Ahn, Sun Hee Jung, Jung Hwa You, Mi-Aie Lee Journal of Korean Academy of Nursing Administration.2018; 24(1): 10. CrossRef
Mediating Effect of Self-efficacy in the Relationship between Informal Learning, Shared Leadership and Organizational Socialization of Beginner · Advanced Beginner Nurses Nam Yi Kim, Chung Hee Woo Journal of Korean Academy of Nursing Administration.2018; 24(1): 1. CrossRef
Influence of Nurses' Work Environment, Organizational Commitment, and Nursing Professionalism on Turnover Intention of Nurses in Long Term Care Hospitals Hyun Suk Joo, Won Hee Jun Journal of Korean Academy of Nursing Administration.2018; 24(4): 265. CrossRef
Effects of Nursing Practice Environment and Self-esteem on Critical Thinking Disposition among Clinical Nurses Eunju Choi, Jihyeon Hwang, Insil Jang Journal of Korean Academy of Nursing Administration.2017; 23(2): 161. CrossRef
Patterns and Influential Factors of Inter-Regional Migration of New and Experienced Nurses in 2011~2015 Bohyun Park, Se Young Kim Journal of Korean Academy of Nursing.2017; 47(5): 676. CrossRef
Predictors of Turnover Intention among Nurses in Small and Medium-sized Hospitals Jeong Hye Park, Hye Young Hwang Journal of Korean Academy of Nursing Administration.2017; 23(5): 471. CrossRef
Impact of Unit-level Nurse Practice Environment on Nurse Turnover Intention Youngjin Lee, GyeongAe Seomun Journal of Digital Convergence.2016; 14(6): 355. CrossRef
Relationships among Nursing Work Environment, Job Embeddedness, and Turnover Intention in Nurses Hae Jin Ko, Jeong-Hee Kim Journal of Korean Academy of Nursing Administration.2016; 22(3): 279. CrossRef
Effects of Advanced Beginner-Stage Nurses' Sense of Calling, Job Satisfaction and Organizational Commitment on Retention Intention Jin Ock Park, Kwuy Im Jung Journal of Korean Academy of Nursing Administration.2016; 22(2): 137. CrossRef
A Structural Model of Hospital Nurses' Turnover Intention: Focusing on Organizational Characteristics, Job Satisfaction, and Job Embeddedness Mi Ja Yoo, Jong Kyung Kim Journal of Korean Academy of Nursing Administration.2016; 22(3): 292. CrossRef
The Relationship among Practice Environment, Organizational Justice, and Job Satisfaction of Male Nurses Mi-Kyoung Cho, Chul-Gyu Kim Korean Journal of Occupational Health Nursing.2016; 25(3): 177. CrossRef
Influence of Job Embeddedness Factors on Turnover Intention of Nurses in Small and Medium Sized General Hospitals Yun-Sook Kim, Seang Ryu Journal of Korean Academy of Nursing Administration.2016; 22(2): 158. CrossRef
Effects of Work Environment, Organizational Culture and Demands at Work on Emotional Labor in Nurses Ji Yun Lee, Hye Ri Nam Journal of Korean Academy of Nursing Administration.2016; 22(2): 119. CrossRef
The effects of workplace bullying on turnover intention in hospital nurses Hyun-Jung Kim, Dahye Park Journal of Digital Convergence.2016; 14(1): 241. CrossRef
Factors Influencing Nurse Turnover Intention of Senior Convalescence Hospitals in the Metropolitan Area Youn Sun Hwang, Eunyoung Cho Korean Journal of Occupational Health Nursing.2016; 25(3): 156. CrossRef
Impacts of Critical Thinking Disposition and Nursing Work Environment on Nurses' Clinical Decision Making Abilities Insook Oh, Jeong-Hee Kim The Journal of Korean Academic Society of Nursing Education.2016; 22(3): 304. CrossRef
Effects of Nursing Practice Environment, Compassion Fatigue and Compassion Satisfaction on Burnout in Clinical Nurses Mi Young Han, Min Sook Lee, Ju Young Bae, Young Suk Kim Journal of Korean Academy of Nursing Administration.2015; 21(2): 193. CrossRef
Moderating Effects of Work-family Conflict between Job · Organizational · Career Characteristics and Turnover Intention among Nurses in Small and Medium-sized Hospitals Hyun Ju Choi Journal of Korean Academy of Nursing Administration.2015; 21(3): 297. CrossRef
Effect of Job Embeddedness and Job Satisfaction on Turnover Intention in Nurses So-Young Son, Jeong Sil Choi Korean Journal of Adult Nursing.2015; 27(2): 180. CrossRef
Relationship between the Practice Environment of Nursing and Critical Thinking Disposition of Nurses in Local General Hospitals Ji Yun Lee, So Young Pak Journal of Korean Academy of Nursing Administration.2014; 20(2): 145. CrossRef
Factors Influencing Nurse Turnover Intention in Small and Medium Sized Hospitals in the Metropolitan Area Youn Sun Hwang, Kyeong Hwa Kang Journal of Korean Academy of Nursing Administration.2014; 20(5): 576. CrossRef
Roles of Empowerment and Emotional Intelligence in the Relationship between Job Embeddedness and Turnover Intension among General Hospital Nurses Jae Hee Jeon, Young-Hee Yom Journal of Korean Academy of Nursing Administration.2014; 20(3): 302. CrossRef
Effects of General Hospital Nurses' Work Environment on Job Embeddedness and Burnout Jong Kyung Kim, Myung Ja Kim, Se Young Kim, Mi Yu, Kyoung A Lee Journal of Korean Academy of Nursing Administration.2014; 20(1): 69. CrossRef
Factors Affecting Tuberculosis (TB) Control Nurses' Job Satisfaction Jin Beom Lee, Young Im Kim, Hyo Geun Geun Journal of Korean Academy of Community Health Nursing.2014; 25(2): 128. CrossRef
The Relationship among Career Plateau, Self-efficacy, Job Embeddedness and Turnover Intention of Nurses in Small and Medium Sized Hospitals Yu-Mi Kim, Young-Sil Kang Journal of the Korea Academia-Industrial cooperation Society.2013; 14(10): 5078. CrossRef
Factors to Affect Turnover Intention of Nurse: Focusing on Personal, Situational and Interpersonal Relation Variables Sook Bin Im, Mi-Kyoung Cho, Myoung Lyun Heo Korean Journal of Occupational Health Nursing.2013; 22(4): 314. CrossRef
First
Prev
