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"Turnover"

Original Articles

Effect of Nursing Professionalism on Turnover Intention among Nurses: The Mediating Effect of Job Embeddedness
Ja In Kim, Seok Hee Jeong, Hyoung Eun Chang, Sunmi Kim
J Korean Acad Nurs Adm 2025;31(4):446-457.   Published online September 30, 2025
DOI: https://doi.org/10.11111/jkana.2025.0013
Purpose
This study investigates the mediating effect of job embeddedness in the relationship between nursing professionalism and turnover intention among clinical nurses. Methods: A nationwide online survey was conducted using a structured questionnaire. Participants included 204 clinical nurses from tertiary hospitals in South Korea. Data on general characteristics, nursing professionalism, job embeddedness, and turnover intention were collected through self-reported questionnaires from March 19 to March 22, 2024. The analysis involved descriptive statistics, independent t-tests, one-way analysis of variance, Scheffé test, Pearson's correlation coefficients, multiple linear regression analysis, and bootstrapping, using SPSS/WIN version 29.0 and the SPSS PROCESS macro 4.2 version programs. Results: The mean score of nursing professionalism was 3.48±0.45 out of 5, job embeddedness was 3.13±0.52 out of 5, and turnover intention was 2.80±1.00 out of 5. Nursing professionalism did not directly impact turnover intention (B=-0.07, p=.649). Job embeddedness acted as a mediating factor in the relationship between nursing professionalism and turnover intention (B=-0.46, p<.05). Conclusion: These findings suggest that increasing job embeddedness can reduce nurses' turnover intention. Therefore, to decrease nurses' turnover intention, it is essential to enhance nursing professionalism while simultaneously promoting job embeddedness.
  • 1,006 View
  • 41 Download
Influences of Generation Z Characteristics on Job Embeddedness and Turnover Intention
Su Hyun Kim, Chae Yeon Park, Seung Mok Shin, Seung Hun Shin, Grace Choe, Da Yeong Hwang, Young Hee Chae, Geun-Hee Kim
J Korean Acad Nurs Adm 2025;31(3):291-301.   Published online June 30, 2025
DOI: https://doi.org/10.11111/jkana.2024.0050
Purpose
This study explored how Generation Z characteristics—specifically work–life balance, growth needs, and individualism—along with work environment, emotional labor, and interpersonal skills, affect job embeddedness among newly graduated nurses. It also examined whether job embeddedness mediates the relationship between these factors and turnover intention. Methods: A correlational descriptive study was conducted by analyzing survey data collected from 131 clinical nurses born between 1995 and 2000, who had less than three years of nursing work experience in South Korea. Hierarchical multiple regression analysis was employed to identify the independent effects of Generation Z characteristics on job embeddedness, over and above the effects of work environment, emotional labor, and interpersonal skills. Path analysis using bootstrapping method was conducted to examine the mediating role of job embeddedness in turnover intention. Results: Needs for growth and work environment were significant predictors of job embeddedness among newly graduated nurses. Furthermore, the effects of needs for growth and work environment on turnover intention were significantly mediated by job embeddedness. Conclusion: Understanding the characteristics of Generation Z, particularly their needs for growth, along with the work environment, is essential for enhancing job embeddedness among newly graduated nurses. Strengthening job embeddedness can effectively reduce their turnover intention.
  • 1,437 View
  • 117 Download
Purpose
This study investigated the effects of newly graduated nurses’ perceived readiness for nursing practice, resilience, and preceptors’ teaching behaviors on turnover intention.
Methods
A survey was conducted among 168 newly graduated nurses between August 7 and 31, 2023. The data were analyzed using descriptive statistics, t-tests, one-way ANOVA, Pearson's correlation, and hierarchical multiple regression analysis.
Results
The factors that significantly affected turnover intention included preceptors' teaching behavior (β=-.29, p=.001) and resilience (β=-.21, p=.026). This model explained 32.0% of the variance.
Conclusion
Newly graduated nurses’ resilience and their initial training environment are key factors influencing turnover intention. Therefore, nursing managers should develop strategies to enhance the resilience of newly graduated nurses and improve training systems. Additionally, efforts should be made to promote positive teaching behaviors among the educators responsible for training newly graduated nurses.

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  • Perceptions on Fixed Night Shift System and Turnover Intention of General Hospital Nurses
    Mi-Aie Lee, Hye-Jin Cho, Sung-Hee Ahn, Hyo-Ju Kim
    Journal of Korean Academy of Nursing Administration.2015; 21(5): 519.     CrossRef
  • 3,207 View
  • 198 Download
  • 1 Crossref
Purpose
This study aimed to investigate the relationship between socio-cognitive mindfulness, job stress, social support, and turnover intention among general hospital nurses and identify the factors influencing nurses’ turnover intention.
Methods
A descriptive survey was conducted among 218 nurses from five general hospitals located in G metropolitan city. The participants completed a questionnaire measuring the study variables, and the data were analyzed using t-tests, ANOVA, Pearson’s correlation coefficient, and hierarchical multiple regression analysis in SPSS/WIN 28.0.
Results
Significant differences were found in turnover intention by gender (t=-2.12, p=.036), family type (t=-3.09, p=.002), work department (F=7.01, p<.001), and work type (t=2.55, p=.011). Socio-cognitive mindfulness was positively related to social support (r=.331, p<.001), and turnover intention was positively related to job stress (r=.347, p<.001). The factors influencing nurses’ turnover intention included job stress (β=.317, p<.001), work department (artificial kidney room: β=-.287, p=.004; emergency room: β=-.219, p=.015), social support (β=-.183, p=.005), and work type (shift work: β=.170, p=.036), respectively. These factors explained 23.4% of the variance.
Conclusion
The findings indicate the need to develop programs to effectively cope with job stress and implement mentoring systems or psychological support programs to reduce turnover intention among nurses at the organizational level.
  • 2,094 View
  • 67 Download
Purpose
This study aimed to examine the moderating effect of calling on the relationship between post-traumatic stress and turnover intention among nurses caring for COVID-19 patients.
Methods
Data were collected from 151 nurses caring for COVID-19 patients at three university hospitals located in D City. Participants completed selfreported online surveys on post-traumatic stress (IES-R-K), calling (CVQ-R), and turnover intention. Descriptive statistics, t-tests, one-way ANOVA, Scheffé test, Pearson's correlation coefficients, and hierarchical multiple regression were performed using SPSS 25.0.
Results
The mean scores of post-traumatic stress, calling, and turnover intention were 0.83±0.70, 1.51±0.71, and 2.89±1.10, respectively. Post-traumatic stress had positive correlations with calling (r=.20, p=.011) and turnover intention (r=.29, p=.001), whereas calling had a negative correlation with calling and turnover intention (r=-.17, p=.029). Calling had a moderating effect in the relationship between post-traumatic stress and turnover intention (β=-.16, p=.032).
Conclusion
Calling has a moderating effect on the relationship between post-traumatic stress and turnover intention. Therefore, developing and implementing a program is necessary to strengthen nurses' perceptions of calling to prevent nurses with post-traumatic stress from leaving their jobs.
  • 739 View
  • 44 Download
Purpose
This study examined the impact of professional Quality of life (QoL) on turnover intention among general hospital nurses using linear and nonlinear analytical techniques.
Methods
Data were collected from 159 general hospital nurses and analyzed using SPSS, t-test, ANOVA, Pearson's correlation coefficients, multiple linear regression, and nonlinear machine learning models (Bootstrap Forest and Boosted Tree).
Results
Significant correlations were observed between turnover intention and both compassion satisfaction (r=-.26, p<.001) and burnout (r=.27, p=.001). Compassion satisfaction, burnout, and compassion fatigue were identified as the key variables influencing turnover intention. The explanatory power of multiple linear regression analysis was 6.9%, whereas the nonlinear machine learning models demonstrated an explanatory power of 50.5% for Bootstrap Forest and 45.1% for Boosted Tree.
Conclusion
Continuous investment in human resource management, within nursing organizations, is essential to promote the long-term retention of general hospital nurses. This investment should focus on enhancing compassion satisfaction and reducing burnout and compassion fatigue by fostering a sense of vocation and positive job satisfaction.
  • 1,342 View
  • 91 Download
Effect of Work-Family Conflict on Turnover Intention among Married Female Nurses: The Mediating Effect of Nursing Work Environment
Min Gyeong Jeong, So Young Choi
J Korean Acad Nurs Adm 2024;30(5):451-461.   Published online December 31, 2024
DOI: https://doi.org/10.11111/jkana.2024.30.5.451
Purpose
This descriptive correlation study sought to evaluate the mediating effect of nursing work environment on the relationship between work-family conflict and turnover intention among married female nurses.
Methods
This study enrolled 149 married female nurses employed at a university hospital in G. province J City. For data analysis, the SPSS/WIN 25.0 program and SPSS PROCESS Macro version 4.2 was used.
Results
The mean score of work-family conflict among married female nurses was 2.99±72 out of 5 points, nursing work environment was 2.50±39 out of 4 points, and turnover intention was 3.96±69 out of 5 points. Turnover intention was positively correlated with work-family conflict (r=.34, p<.001), and negatively correlated with nursing work environment (r=-.34, p<.001). The nursing work environment had a parial mediating effect (β=.32, p<.001) on the relationship between work-family conflict and turnover intention.
Conclusion
Work-family conflict and turnover intention among married female nurses influenced each other, with the nursing work environment having a partial mediating effect. This study can serve as basis for addressing work-family conflict, improving the nursing work environment and reducing turnover among married female nurses.

Citations

Citations to this article as recorded by  
  • The mediating effects of nurses’ professional values on the relationship between work environment and organizational commitment among long-term care hospital nurses
    Won Hee Jun
    BMC Nursing.2025;[Epub]     CrossRef
  • A Grounded Theory Approach to Understanding Retention among Career Nurses in Clinical Practice
    Su Mi Choi, Ji Won Kim
    The Korean Journal of Health Service Management.2025; 19(2): 57.     CrossRef
  • 1,129 View
  • 50 Download
  • 2 Crossref
Effects of Resilience, Nursing Managers’ Empowering Leadership on Turnover Intention among New Nurses: Mediating role of Transition Shock
Hyun Jin Jung, Hyun Kyung Kim, Seok Hee Jeong
J Korean Acad Nurs Adm 2024;30(3):212-223.   Published online June 30, 2024
DOI: https://doi.org/10.11111/jkana.2024.30.3.212
Purpose
This study aimed to identify the effects of resilience and nursing managers’ empowering leadership on turnover intention among new nurses, as well as the mediating role of transition shock.
Methods
This was a descriptive, cross-sectional study. Data were collected from 167 new nurses working in tertiary hospitals in Korea between July 1st and July 13, 2022. The relationships among the variables were analyzed using Pearson’s correlation coefficients, and the factors affecting turnover intention were identified using PROCESS macro analysis.
Results
Resilience (direct effect=-0.02, p=.781) and nursing managers’ empowering leadership (direct effect=-0.00, p=.992) did not directly affect new nurses’ turnover intention. Transition shock had mediating role in the relationship between resilience and turnover intention (indirect effect=-0.12, 95% Boot confidence interval=-0.23~-0.04) and between nursing managers’ empowering leadership and turnover intention (indirect effect=-0.14, 95% Boot confidence interval=-0.23~-0.06).
Conclusion
Resilience and nursing managers’ empowering leadership indirectly influence turnover intention through transition shock among new nurses. To reduce turnover intention among new nurses, programs for preventing or mitigating their transition shock should be provided. In addition, improving the resilience of new nurses and nursing managers’ empowering leadership may contribute to reducing turnover intention among new nurses by mitigating their transition shock.
  • 1,134 View
  • 94 Download
Purpose
This study aimed to identify the effects of the nursing practice environment and reciprocity among hospital nurses on their intent to leave, and to investigate the mediating effect of reciprocity in this process.
Methods
This study was conducted with 218 full-time nurses working for more than 6 months at four general hospitals located in two cities in South Korea. Data were collected using questionnaires from July 26 to August 12, 2022, and analyzed using IBM SPSS/WIN 23.0 and SPSS Process Macro.
Results
The nursing practice environment (r=-.38, p<.001) and reciprocity (r=-.33, p<.001) were negatively related to the intention to leave. The nursing practice environment and reciprocity affected intent to leave, reciprocity had a partial mediating effect between the nursing practice environment and intent to leave.
Conclusion
Nursing managers should strengthen the nursing work environment and reciprocity levels to reduce nurses’ intention to leave. Additionally, nursing managers need to effectively manage the organizational culture so that nursing services can be provided in a friendly medical culture that values fair and equal cooperation.
  • 1,030 View
  • 57 Download
Purpose
This study used a structural model to identify organizational characteristics, such as work environment, nursing organizational culture, and manager leadership of general hospital nurses, and to examine the effect of organizational characteristics on turnover intention through organizational silence.
Methods
Data were collected from July 1, 2017 to August 30, 2017, using structured questionnaires. Participants were nurses in general hospitals with more than 250 beds and less than 500 beds in Busan City and Gyeongsangnam Province. The collected data were analyzed using IBM SPSS 23.0 and AMOS 23.0.
Results
The nursing work environment, external employment opportunities, relationship-oriented culture, and acquiescent and defensive silence directly impacted turnover intention. Additionally, the nursing work environment and external employment opportunities indirectly affected turnover intention through acquiescent silence.
Conclusion
To lower general hospital nurses’ turnover intention, the external environment should be reviewed and continuously compared to provide a better internal nursing work environment. In addition, it is necessary to find a way to lower the acquiescent silence, which can negatively affect the organization, by creating a relationship-oriented culture that emphasizes the relationship between members.
  • 1,203 View
  • 43 Download
Purpose
This study aimed to determine the mediating effect of leader-member exchange (LMX) on the relationship between nursing unit managers’ethical leadership and nurses’turnover intentions.
Methods
A cross-sectional nationwide survey was performed using structured questionnaires. A total of 225 clinical nurses working in general tertiary hospitals were recruited through proportional quota sampling; the quota used represented the location of working hospitals in South Korea. Data were collected through an online survey and snowball sampling from June to September 2022 and analyzed using the SPSS 25.0 program. A mediation analysis was performed using a simple mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval.
Results
In bootstrapping, the indirect effect (X→M→Y) was statistically significant (B=-0.77, 95% CI:-1.02 to -0.50). LMX showed a mediating effect on the relationship between nursing unit managers’ethical leadership and clinical nurses’ turnover intention. In this model, the total effect was B=-0.93 (p<.001).
Conclusion
These findings suggest that LMX must be considered when making a strategy for nursing retention in the hospital setting. Nursing unit managers with ethical leadership could decrease nurses’ turnover intention by improving the LMX.

Citations

Citations to this article as recorded by  
  • Effect of Nursing Professionalism on Turnover Intention among Nurses: The Mediating Effect of Job Embeddedness
    Ja In Kim, Seok Hee Jeong, Hyoung Eun Chang, Sunmi Kim
    Journal of Korean Academy of Nursing Administration.2025; 31(4): 446.     CrossRef
  • 1,461 View
  • 82 Download
  • 1 Crossref
Purpose
Turnover rates among nurses in South Korea are higher than those of other job groups, affecting hospital performance. This study clarified the mediating role of perceived organizational and supervisor support in the relationship between nurses’ organizational citizenship behavior and turnover intention.
Methods
This study involved a descriptive survey of 160 nurses working in two hospitals in S, South Korea. Data were analyzed using the Hayes PROCESS macro (Model 4) program, version 3.4.
Results
Organizational citizenship behavior was positively correlated with perceived organizational support and perceived supervisor support but negatively correlated with turnover intention. Perceived organizational support was positively correlated with perceived supervisor support. Additionally, perceived organizational and supervisor support were negatively correlated with turnover intention. The authors verified the mediating role of perceived organizational support in the relationship between organizational citizenship behavior and turnover intention. However, the mediating role of perceived supervisor support was not confirmed.
Conclusion
The higher a nurse’s organizational citizenship behavior, the higher their perceived organizational support, which reduces turnover intention. High-quality nursing contributes to organizational performance; therefore, the nursing workforce should be carefully preserved.

Citations

Citations to this article as recorded by  
  • Measured nursing perception of the working environment through authentic leadership with technology support and OCB among Chinese public hospitals
    Abid Hussain, Wang Ruowei, Xu Xia, Shahida Kanwel, Shen Chunhong, Arif Jameel
    BMC Nursing.2025;[Epub]     CrossRef
  • Perceived Organisational Support as a Mediator Between Green Organisational Culture and Organisational Commitment: Evidence From Manufacturing Firms in Peru
    Cristian Villar, Ruben Guevara
    SAGE Open.2025;[Epub]     CrossRef
  • Nurse Engagement in Professional and Organisational Citizenship Over the Past Decade: An Integrative Review
    Adrianna Watson, Carmel Bond, Rebecca Jarden, Debra Jackson
    Journal of Advanced Nursing.2025;[Epub]     CrossRef
  • 3,662 View
  • 116 Download
  • 3 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
J Korean Acad Nurs Adm 2023;29(5):529-539.   Published online December 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.5.529
Purpose
This study investigated whether the work environment affects nurses' turnover intention with career motivation and job satisfaction acting as mediating factors.
Methods
Data were collected from January 6-25, 2022, using a cross-sectional design. The participants were 205 nurses who had worked for more than six months at four small-to-medium-sized general hospitals in South Korea. Data analysis consisted of descriptive statistics, Pearson's correlation coefficients, independent t-tests, one-way ANOVAs, Scheffé test, and mediation analysis using Hayes’ PROCESS Macro Model 6.
Results
The nursing work environment had a significant positive association with career motivation and job satisfaction and negative effects on nurses' turnover intention. The single mediating effect of job satisfaction and the serial mediation effects of career motivation and job satisfaction on the relationship between the nursing work environment and turnover intention were significant. Thus, nurses' positive perceptions of the work environment strengthened career motivation, which in turn increased job satisfaction and reduced turnover intention.
Conclusion
Providing a healthy work environment to nurses can help reduce their turnover intention. Therefore, the government and hospitals should implement human resource strategies to improve nursing work environments and take steps to enhance career motivation and job satisfaction to strengthen nurse retention.

Citations

Citations to this article as recorded by  
  • Association Between Nurse Turnover and Nurses’ Perception of Patient Outcomes in Acute Care Hospitals in South Korea
    Sung-Heui Bae
    Journal of Nursing Care Quality.2025; 40(4): E57.     CrossRef
  • 4,842 View
  • 131 Download
  • 1 Crossref
Purpose
This study examined the effect of missed nursing care on nursing sensitive indicators.
Methods
A nationwide cross-sectional survey was conducted using structured questionnaires. Data of 174 clinical nurses employed in general or tertiary hospitals were collected through proportional quota sampling; the quota used was the location of a working hospital in South Korea. Data were collected through an online survey and snowball sampling from July 16 to July 20, 2022. The collected data were analyzed using IBM SPSS 26.0.
Results
Missed nursing care had statistically significant negative correlations with patient safety management activity and job satisfaction, and significant positive correlation with turnover intention. Significant correlation was not found between missed nursing care and adverse event experiences. Hierarchical multiple regression analysis revealed that missed nursing care explained an additional 21%p of patient safety management activity, 14%p of job satisfaction, and 3%p of turnover intention. Thus, missed nursing care was found to be a statistically significant predictor of patient safety management activity, job satisfaction, and turnover intention.
Conclusion
Missed nursing care significantly affects nursing sensitive indicators. To improve positive outcomes and decrease negative outcomes, nurses and nursing managers must make efforts to minimize missed nursing care.

Citations

Citations to this article as recorded by  
  • Effect of Nursing Professionalism on Turnover Intention among Nurses: The Mediating Effect of Job Embeddedness
    Ja In Kim, Seok Hee Jeong, Hyoung Eun Chang, Sunmi Kim
    Journal of Korean Academy of Nursing Administration.2025; 31(4): 446.     CrossRef
  • Effects of presenteeism on turnover intention in clinical nurses through the serial mediating roles of missed nursing care and job satisfaction: a cross-sectional predictive correlational study
    Hyeonseon Cheon, Seok Hee Jeong, Hyun Kyung Kim, Hyoung Eun Chang
    Journal of Korean Academy of Nursing.2025; 55(4): 584.     CrossRef
  • Role of Hi-Tech Call Center Employees’ ESG Activity Recognition in Increasing Corporate Performance via Organizational Identification and Job Satisfaction
    So Ra Park
    Journal of Digital Contents Society.2024; 25(2): 503.     CrossRef
  • Impact of Emotional Labor and Positive Psychological Capital on the Turnover Intention of Nurses Caring for Patients with COVID-19: A Descriptive Survey Study
    Mira Kwon, Yeoungsuk Song, Majd T. Mrayyan
    Journal of Nursing Management.2024; 2024: 1.     CrossRef
  • 1,730 View
  • 81 Download
  • 4 Crossref
Relationship between Ethical Climate, Workplace Bullying, and Turnover Intention of Hospital Nurses in Korea
Mi-Aie Lee, Hyun Ju Park, Bonghwa Kim
J Korean Acad Nurs Adm 2023;29(4):457-467.   Published online September 30, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.4.457
Purpose
This study aimed to investigate the relationship between' perceived ethical climate, workplace bullying, and turnover intention among hospital nurses.
Methods
This study was conducted with 190 full-time nurses working in hospitals in Korea as participants. Data were collected from online communities using Google Docs from July 22 to July 25, 2022.
Results
Average values were as follows: ethical climate was 3.79±0.60, workplace bullying was 2.31±0.77, and turnover intention was 3.79±0.60. While turnover intention had no correlation with ethical climate, it had a positive relationship with workplace bullying. Workplace bullying was influenced by verbal aggression (β=.48, p=.001), inappropriate task assignment (β=.26, p=.006), monthly salary (β=.18, p=.001), and working department (β=-.13, p=.012). These four variables may explain 60.0% of hospital nurses' turnover intention.
Conclusion
To prevent turnover of hospital nurses, nursing managers should establish nursing career development programs to ensure adequate retention of experienced nurses. The need to provide nurses with communication skills training to prevent verbal attacks and bullying in the workplace has been identified.

Citations

Citations to this article as recorded by  
  • Effects of Clinical Nurses' Ethical Climate and Ethical Nursing Competence on Moral Distress
    Sun Mi Ha, Yeong Ju Yoon
    Journal of Korean Academy of Nursing Administration.2025; 31(1): 25.     CrossRef
  • 801 View
  • 15 Download
  • 1 Crossref
Purpose
This study investigated the effects of nursing unit managers' authentic, transformational, and transactional leadership styles on positive psychological capital and turnover intention in advanced beginner-stage nurses (ABNs).
Methods
The study included 157 nurses with clinical experience ranging form more than one year to less than 3 years in three general hospitals. Data analysis was conducted using the SPSS/WINdows software version 26.0.
Results
Authentic, transformational, and transactional leadership styles of nursing unit managers increased the positive psychological capital of ABNs, thereby lowering their turnover intention. Additionally, the turnover intention of ABNs was negatively correlated with the authentic, transformational, and transactional leadership styles of a nursing unit manager and positive psychological capital. Positive psychological capital showed a mediating effect in the relationship between authentic, transformational, and transactional leadership styles of nursing unit manager and turnover intention of ABNs.
Conclusion
To reduce ABNs turnover, medical institutions and nursing organizations should focus on enhancing nursing unit managers’ transformational and authentic leadership styles. Moreover, as transactional leadership has been found to decrease the turnover intention among ABNs, nursing unit managers should carefully consider their responsibilities and resources allocation to provide conditional compensation support to nurses.
  • 1,788 View
  • 137 Download
Purpose
This study examined hospital nurses’ perception of work-life balance, nursing work environment, nursing organizational culture, and job satisfaction before turnover, and compared differences in variables between current clinical nurses and non-clinical nurses.
Methods
This descriptive study involved 172 nurses with over six months experience, who changed jobs within the last 5 years in G Province. Data were collected from September 5th-22nd, 2022, and analyzed through independent t-test, one-way ANOVA, and Pearson correlation coefficient using SPSS/WIN 25.0 program.
Results
Total work-life balance (t=3.85, p<.001), work-family balance (t=4.79, p<.001), work-leisure balance (t=2.96, p=.004), work-growth balance (t=3.01, p=.003), and overall work-life balance (t=2.95, p=.004) in work-life balance, the role of professionalism (r=2.05, p=.042) and interpersonal relationships (t=2.59, p=.011) in job satisfaction, the relationship-oriented nursing organizational culture (t=2.68, p=.008), and the nurse-doctor relationship within the nursing work environment (t=2.51, p=.013) were all significantly higher among current clinical nurses than non-clinical nurses.
Conclusion
Hospital-level interventions should be established and implemented to improve work-life balance, the relationship-oriented nursing organizational culture, and job satisfaction through interprofessional relationships to retain hospital nurses.
  • 1,296 View
  • 68 Download
The Effect of Nurses’ Perceived Leader-Member Exchange on Psychological Ownership, Job Engagement, and Turnover Intention
Eun Ah Cho, Myun Sook Jung, Eun Ju Heo
J Korean Acad Nurs Adm 2023;29(3):298-308.   Published online June 30, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.3.298
Purpose
This study is a hypothetical model of the effect of the leader-member exchange relationship on psychological ownership, job engagement, and turnover intention.
Methods
Data collection was conducted for general nurses who have worked for at least 6 months in a university hospital. The collected data were analyzed using the SPSS/WIN 25.0, and AMOS 18.0 program was used to conduct confirmatory factor analysis as well as goodness of fit verification and hypothesis testing for the hypothetical model.
Results
The leader-member exchange had a significant, static effect on psychological ownership. The leader-member exchange relationship did not have a significant effect on job engagement and psychological ownership had a significant, static effect on job engagement. The leader-member exchange relationship did not have a significant effect on turnover intention and psychological ownership and job engagement had significant, negative effects on turnover intention.
Conclusion
Intervention and the development of programs to increase the psychological ownership and job engagement of members are proposed to improve the leader-member exchange relationship through leadership education and training and reduce the turnover intention of nurses.

Citations

Citations to this article as recorded by  
  • Hospital Nurses’ Professional Quality of Life Model: A Cross‐Sectional Study Based on the Expanded Job Demands‐Resources Model
    Younghee Kim, Mi Yu, Jacopo Fiorini
    Journal of Nursing Management.2025;[Epub]     CrossRef
  • Mediating Effect of Leader-Member Exchange on the Ethical Leadership of Nursing Unit Managers and Turnover Intention of Clinical Nurses: A Nationwide Survey using Proportional Quota Sampling
    Jihun Kim, Sunmi Kim, Nara Han, Seok Hee Jeong
    Journal of Korean Academy of Nursing Administration.2024; 30(1): 42.     CrossRef
  • The Effect of Work Value, Psychological Ownership and Nursing Working Environment on Intention of Retention in Hospital Nurses
    Ji Hey Kim, Yoon Ju Cho, So Eun Jang
    Journal of Korean Critical Care Nursing.2023; 16(3): 62.     CrossRef
  • 952 View
  • 36 Download
  • 3 Crossref
Purpose
This study aimed to examine the influence of nurses’ general and job-related characteristics, nursing practice environment, and grit on the intent to stay of operating room nurses.
Methods
This descriptive study focused on 198 operating room nurses employed in university hospitals at Busan metropolitan city and Kyungnam district, with a minimum of six months of experience in the operating room. Data were collected between February 16, 2022 and May 25, 2022, using self-report questionnaires and analyzed using SPSS 21.0.
Results
The average of operating room nurses' intent to stay was 5.01, indicating a high intent to stay. Positive correlations were found between grit(r=.58, p<.001) and nursing practice environment(r=.36, p<.001) with intent to stay. Grit(β=.52, p<.001) and nursing practice environment(β=.13, p=.035) significantly influenced the intent to stay and explained 35% of the variance in the intent to stay.
Conclusion
The findings of this study suggest that strengthening nurses’ grit and providing a healthy practice environment may help increase their intent to stay. Developing a grit-enhancing program, especially one that fosters enthusiasm and perseverance toward long-term goals, can improve operating room nurses’ psychological resources and enhance their willingness to stay.

Citations

Citations to this article as recorded by  
  • The Influences of Teamwork and Grit on Job Adaptation and Intention to Remain among Advanced Beginner Nurses
    Seon Kyeong Jeong, Kyoung Ja Kim, Eun Ji Choi
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 379.     CrossRef
  • 807 View
  • 25 Download
  • 1 Crossref
Effect of Nurses’ Person-Environment Fit on Positive Psychological Capital, Career Commitment, and Turnover Intention
Hyeon Ju Kim, Myun Sook Jung, Eun Ju Heo
J Korean Acad Nurs Adm 2023;29(2):169-180.   Published online March 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.2.169
Purpose
This study aimed to examine the effect of person-environment fit on positive psychological capital, career commitment, and turnover intention among nurses working in university hospitals.
Methods
A survey was administered to 277 nurses working in a university hospital with more than 800 beds in J city. SPSS 25.0 and AMOS 18.0 were used for analysis.
Results
Factors that directly explain turnover intention, person-environment fit, career commitment, and psychological capital exhibited a negative effect. However, while person-job fit did not directly affect turnover intention, it exhibited an indirect effect and total effect via positive psychological capital and career commitment.
Conclusion
Various programs should be developed to enhance nurses’ person-environment fit and person-job fit. Forming a positive attitude and strengthening nurses’ attachment and commitment toward nursing contribute to a lower turnover intention.

Citations

Citations to this article as recorded by  
  • Hospital Nurses’ Professional Quality of Life Model: A Cross‐Sectional Study Based on the Expanded Job Demands‐Resources Model
    Younghee Kim, Mi Yu, Jacopo Fiorini
    Journal of Nursing Management.2025;[Epub]     CrossRef
  • The impact of nurses’ career crafting and career satisfaction on career commitment
    Sujeong Han
    The Journal of Korean Academic Society of Nursing Education.2025; 31(3): 337.     CrossRef
  • Effects of Person-Environment Fit, Career Commitment, and Organizational Silence on Turnover Intention among Shift-Working Nurses
    Gyeong-Hee Bae, Ji-Won Kim
    The Korean Journal of Health Service Management.2025; 19(3): 43.     CrossRef
  • Effects of presenteeism on turnover intention in clinical nurses through the serial mediating roles of missed nursing care and job satisfaction: a cross-sectional predictive correlational study
    Hyeonseon Cheon, Seok Hee Jeong, Hyun Kyung Kim, Hyoung Eun Chang
    Journal of Korean Academy of Nursing.2025; 55(4): 584.     CrossRef
  • Mediating Effect of Leader-Member Exchange on the Ethical Leadership of Nursing Unit Managers and Turnover Intention of Clinical Nurses: A Nationwide Survey using Proportional Quota Sampling
    Jihun Kim, Sunmi Kim, Nara Han, Seok Hee Jeong
    Journal of Korean Academy of Nursing Administration.2024; 30(1): 42.     CrossRef
  • 729 View
  • 33 Download
  • 5 Crossref
The Experiences of Overcoming Turnover Intention among Experienced Nurses
Min Jeong Kwon, Kyung Mi Sung
J Korean Acad Nurs Adm 2023;29(1):32-44.   Published online January 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.1.32
Purpose
The purpose of this study was to explore the experiences through which nurses overcame turnover intention when first joining the field. Methods: Study subjects included 10 nurses, each of whom had four to six years of work experience at a general hospital. The experiences of overcoming turnover intentions were analyzed from the perspectives of beginner and experienced nurses, using qualitative contents analysis as a method of deduction. Results: The subjects’ turnover intention was low, with an average score of 2.25±0.35. Five themes and 15 sub-themes were extracted from their experiences. The five themes included: “gaining an understanding of the nursing scene”, “experiencing a support system”, “being satisfied with my job”, “developing into a skilled nurse”, and “overcoming and growing”. Conclusion: Subjects maintained low levels of turnover intention, and they were able handle difficulty and grow into their careers as nurses. These findings may inform the development of programs to overcome turnover intention, specifically in terms of factors affecting norvice nurses’ positive achievement factor.

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  • Influential factors of moral distress and job satisfaction on turnover intention of long-term care hospital nurses: A cross-sectional descriptive study
    Ningjie Liu, Sun Mi Ha
    Journal of Korean Gerontological Nursing.2025; 27(2): 216.     CrossRef
  • The Experience of turnover to long-term care hospital nurse: A phenomenological qualitative research
    Inhee Choo, Milim Cho, Eunha Kim
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  • Influences of Organizational Culture, Nursing Workplace Spirituality, and Nurses’ Perceived Health Status on Quality of Nursing Work Life according to Nursing Clinical Ladder
    Hyun Sook Lee, Ju Hyun Jin, Ju Ri Lee, Hye Jin Kim, Yeon Jae Jung
    Journal of Korean Academy of Nursing Administration.2024; 30(1): 31.     CrossRef
  • Experiences of Career Nurses Balancing Clinical Nursing with Ongoing Studies
    Yunhyung Kim, Yeonsook Joo, Eun Hee Kang, Jeong Hye Kim
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  • Mediating Effect of Leader-Member Exchange on the Ethical Leadership of Nursing Unit Managers and Turnover Intention of Clinical Nurses: A Nationwide Survey using Proportional Quota Sampling
    Jihun Kim, Sunmi Kim, Nara Han, Seok Hee Jeong
    Journal of Korean Academy of Nursing Administration.2024; 30(1): 42.     CrossRef
  • Examining the experiences of mid-career nurses in hospitals: a phenomenological study
    Yukyung Ko, Soyoung Yu, Bohyun Park
    Contemporary Nurse.2024; 60(4): 333.     CrossRef
  • 2,700 View
  • 52 Download
  • 6 Crossref
Relationship of Job Stress to Turnover Intention in Hospital Nurses of Rural Areas: Job Embeddedness as a Mediator
Eun Hee Kang, Im Sun Seo
J Korean Acad Nurs Adm 2022;28(5):534-544.   Published online December 31, 2022
DOI: https://doi.org/10.11111/jkana.2022.28.5.534
Purpose
The purpose of this study was to identify the relationship between job stress and turnover intention and the mediating effect of job embeddedness on the relationship among hospital nurses in rural areas. Methods: This is a descriptive study. A total of 277 registered nurses were enrolled in the study from three hospitals in rural areas of South Korea from April 29 to May 10, 2019. The participants completed self-reporting questionnaires, which measured job stress, turnover intention, and job embeddedness, and collected demographic information. The data were analyzed using IBM SPSS Statistics 25.0, for multiple regression, and a simple mediation model applying the Hayes PROCESS macro with a 95% bias-corrected bootstrap confidence interval (5,000 bootstrap resampling). Results: Job stress had a direct effect (c’=0.35, p<.001) on turnover intention. It was also demonstrated that job embeddedness partially mediated the relationship between job stress and turnover intention among the hospital nurses (a ․ b=-0.40 × -0.58=0.23, 95% Boot C). Conclusion: The job stress and turnover intention of nurses in rural areas are not higher than those in large cities. Nevertheless, hospital administrators need to provide a nursing workforce policy to increase job embeddedness and reduce nurses’ turnover intention.

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  • Effects of Role Conflict, Work Environment, and Meaning of Work on Job Embeddedness among Physician Assistants
    Kwang Hoon Seo, Tae Yeong Yang, Nam Gyu Park, Jung Eun Park
    Journal of Korean Academy of Nursing Administration.2025; 31(3): 249.     CrossRef
  • Moderating Effect of Job Satisfaction in the Relationship Between Nursing Work Environment and Turnover Intention: A Perspective From Magnet Hospitals in South Korea
    Wonji Lee, Soyoung Yu
    SAGE Open.2025;[Epub]     CrossRef
  • Effect of Nursing Professionalism on Turnover Intention among Nurses: The Mediating Effect of Job Embeddedness
    Ja In Kim, Seok Hee Jeong, Hyoung Eun Chang, Sunmi Kim
    Journal of Korean Academy of Nursing Administration.2025; 31(4): 446.     CrossRef
  • 957 View
  • 59 Download
  • 3 Crossref
Purpose
This descriptive correlation study explored the moderating effect of social support and coping in the correlation between experiences of verbal violence and turnover intention among operating room nurses. Methods: The data collection for this study was conducted from July 22 to August 2, 2019, covering 213 operating room nurses working at six general hospitals. Data were analyzed using descriptive statistics, independent t-test, one-way analysis of variance, Pearson’s correlation coefficient, and multiple regression with the SPSS/WIN 25.0 program. Results: The mean scores on the experiences of verbal violence by doctors and nurses, social support, coping and turnover intention were 2.52, 2.33, 3.42, 2.61 and 3.90, respectively. Experiences of verbal violence by doctors (r=.21, p=.002) and nurses (r=.25, p<.001) showed a statistically significant positive correlation with turnover intention. In the relationship between the experiences of verbal violence and turnover intention, social support from coworkers (β=.80, p=.018) and coping (β=-.87, p=.005) had a moderating effect. Conclusion: The experience of verbal violence among operating room nurses affects turnover intention; therefore, there is a need to reduce verbal violence at medical sites, support programs to encourage social support from coworkers, and an effective system to cope with verbal violence.

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  • Effects of Verbal Abuse Experience and Communication Competence on Burnout among Operating Room Nurses
    Yesol Byon, Yoon Goo Noh
    Journal of Health Informatics and Statistics.2024; 49(2): 117.     CrossRef
  • 661 View
  • 22 Download
  • 1 Crossref
Structural Equation Modeling of Nurses’ Turnover Intention Based on Affective Events Theory
Eun Ha Choi, Eun Gyung Kim
J Korean Acad Nurs Adm 2021;27(5):399-409.   Published online December 31, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.5.399
Purpose
This study aimed to construct and test a hypothetical model of turnover intention for clinical nurses based on affective events theory. Methods: Data were collected from 375 clinical nurses working in an advanced general hospital. The exogenous variable of the hypothetical model was emotional labor, and the endogenous variables were negative emotional events, emotional intelligence, positive affect, organizational commitment, and turnover intention. Data were analyzed using the SPSS/WIN 23.0, and AMOS 22.0. Results: The final modified model demonstrated a good fit. This model explained 70.6% of the variance in the turnover intention of clinical nurses. The statistically significant explanatory factors for turnover intention were emotional labor, negative emotional events and organizational commitment. As for the significant pathway affecting nurses’ turnover intention, emotional labor showed a decreasing effect on turnover intention and was mediated by emotional intelligence, positive affect, and organizational commitment (B=-.33, p=.002). Emotional labor showed a decreasing effect on turnover intention through organizational commitment (B=-.40, p=.006). Conclusion: Various opportunities for education and multiple-approach institutional support must be provided to nurses to increase their vocation about the profession, emotional intelligence, positive affect, and organizational commitment.
  • 424 View
  • 7 Download
Effects of Meaning of Work, Job Embeddedness, and Workplace Bullying on Turnover Intention of Nurses in a University Hospital
Young Suk Sim, Gui Sook Shim, Bong Hi Sim, Joo Hyun Sung
J Korean Acad Nurs Adm 2021;27(4):227-235.   Published online September 30, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.4.227
Purpose
The purpose of this study was to explore the effect of meaning of work, job embeddedness, and workplace bullying on turnover intention in university hospital nurses. Methods: Data were collected from 126 nurses in a university hospital with more than 500 beds in C-city. Data analysis was performed using multiple linear regression with the SPSS 25.0 program. Results: Significant factors influencing the turnover intention of hospital nurses were meaning of work, job embeddedness and workplace bullying. Conclusion: Negative significant factors influencing the turnover intention of university hospital nurses were meaning of work and job embeddedness. Workplace bullying was the only positive significant factor influencing turnover intention of university hospital nurses. In order to reduce turnover intention, it is necessary to find an alternative that strengthens the meaning of work and job embeddedness and prevents the workplace bullying.

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  • The effects of communication competence, meaning of work, and work-life balance on turnover intention in Generation Z nurses in South Korea: A cross-sectional study
    Kyu-Yeon Jeong, MiRa Yun, Eun-Hi Choi
    Applied Nursing Research.2025; 83: 151952.     CrossRef
  • Effects of Role Conflict, Work Environment, and Meaning of Work on Job Embeddedness among Physician Assistants
    Kwang Hoon Seo, Tae Yeong Yang, Nam Gyu Park, Jung Eun Park
    Journal of Korean Academy of Nursing Administration.2025; 31(3): 249.     CrossRef
  • Nurses’ job embeddedness and turnover intention: A systematic review and meta-analysis
    Xin Wang, Ming Liu, Angela Y.M. Leung, Xiaoyan Jin, Hongxia Dai, Shaomei Shang
    International Journal of Nursing Sciences.2024; 11(5): 563.     CrossRef
  • Development of a Nurse Turnover Prediction Model in Korea Using Machine Learning
    Seong-Kwang Kim, Eun-Joo Kim, Hye-Kyeong Kim, Sung-Sook Song, Bit-Na Park, Kyoung-Won Jo
    Healthcare.2023; 11(11): 1583.     CrossRef
  • Impact of workplace bullying and resilience on new nurses' turnover intention in tertiary hospitals
    Gyu Li Baek, EunJu Lee
    Nursing & Health Sciences.2022; 24(4): 801.     CrossRef
  • 775 View
  • 30 Download
  • 5 Crossref
Influences of Job Stress and Positive Psychological Capital on Turnover Intention among Novice Nurses
Soonjeong Kwon, Moonhee Gang
J Korean Acad Nurs Adm 2021;27(3):159-168.   Published online June 30, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.3.159
Purpose
The purpose of this study was to identify the factors influencing of job stress and positive psychological capital on turnover intention among novice nurses. Methods: A descriptive correlational study design was used. Participants were 161 novice nurses with less than 12 months of work at one of two university hospitals in D city. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson’s correlation, and multiple regression analysis with the SPSS statistics 23.0 program. Results: Factors Influencing turnover intention were satisfaction with salary (β=.18, t=2.47, p=.015), length of work (β=.20, t=2.91, p=.004), satisfaction with relationships with (β=.17, t=2.52, p=.013), job stress (β=.18, t=2.52, p=.012) and positive psychological capital (β=-.27, t=-3.90, p<.001). These variables accounted for 25.0% of novice nurses’ turnover intention. Conclusion: To prevent novice nurse turnover and a stable workforce management, it is necessary, in considering work periods, to develop an appropriate compensation system, apply programs to improve interpersonal relations, develop and provide programs to reduce job stress and improve positive psychological capital.

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    Min Ju Woo, Bu Kyung Park
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    Laura Zambrano-Chumo, Ruben Guevara
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  • Effect of Nurses’ Person-Environment Fit on Positive Psychological Capital, Career Commitment, and Turnover Intention
    Hyeon Ju Kim, Myun Sook Jung, Eun Ju Heo
    Journal of Korean Academy of Nursing Administration.2023; 29(2): 169.     CrossRef
  • The Influence of Grit and Resilience on the Retention Intention of New Nurses
    Jee Eun Kim, Jun Ok You, Geun-Hee Kim, Soon-Young Nam, Kyungok Park, Moonhyang Kim
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  • Impact of workplace bullying and resilience on new nurses' turnover intention in tertiary hospitals
    Gyu Li Baek, EunJu Lee
    Nursing & Health Sciences.2022; 24(4): 801.     CrossRef
  • Occupational Stress in Korean Hospital Nurses: Secondary Data Analysis of the Development of a Korean Nurses’ Occupational Stress Scale
    MiRa Yun, Heechong Baek, In A Kim, Jung-Min Sung
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  • 948 View
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Effects of Workplace Bullying and Empowerment on Nurses’ Turnover Intention
Yesul Lee, Yoonju Lee, Ju-Young Ha, Minjeong Jo
J Korean Acad Nurs Adm 2021;27(1):1-11.   Published online January 31, 2021
DOI: https://doi.org/10.11111/jkana.2021.27.1.1
Purpose
This study was done using quantile regression to identify the factors affecting nurses’ turnover intention. Methods: A sample of 163 nurses, who had worked in hospitals for more than 6 months, was recruited from two online nursing communities. Data were collected through self-report questionnaires, which included turnover intention, workplace bullying, empowerment, and sociodemographic and job characteristics. Collected data were analyzed using ANOVA, Kruskal-Wallis test, Mann-Whitney U test, Spearman correlation coefficients, and quantile regression. Results: The factors affecting turnover intentions by quantile were partially different, but the predicting factors over 50% quantile were workplace bullying (Q50, b=0.15, p=.002; Q75, b=0.10, p=.025; Q90, b=0.12, p=.012), structural empowerment (Q50, b=-0.64, p<.001; Q75, b=-0.55, p=.005) and experience in current unit (Q75, b=-0.04, p=.013; Q90: b=-0.05, p=.002). Conclusion: Different factors have an influence on nurses’ turnover intention level. Nursing organizations need to develop customized management strategies to address nurses' turnover intention levels based on policies that reduce workplace bullying and strengthen structural empowerment.

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  • The Impact of Nursing Organizational Culture and Workplace Bullying on Nursing Performance
    Naeyoung LEE
    THE JOURNAL OF FISHERIES AND MARINE SCIENCES EDUCATION.2025; 37(5): 1272.     CrossRef
  • Relationship between Ethical Climate, Workplace Bullying, and Turnover Intention of Hospital Nurses in Korea
    Mi-Aie Lee, Hyun Ju Park, Bonghwa Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 457.     CrossRef
  • Relationship between a University Hospital Nurses’ Structural Empowerment and Quality of Nursing Work Life: Mediating Effect of Psychological Empowerment
    Eun Bee Baek, Sun Hyoung Bae
    Journal of Health Informatics and Statistics.2022; 47(2): 159.     CrossRef
  • 724 View
  • 22 Download
  • 3 Crossref
Purpose
The purpose of this study was to identify the effects of organizational justice, organizational culture and emotional intelligence on intention to stay in reemployed nurses. Methods: Data were collected from 154 reemployed nurses working in the two university hospitals located in G Province. Data were analyzed using t-test, ANOVA, Pearson’s Correlation Coefficient and Multiple Regression Analysis with SPSS/WIN 25.0. Results: Factors influencing intention to stay in the participants were period willing to stay (β=.36, p<.001), emotional intelligence (β=.35, p<.001), career break (β=.16, p=.015), organizational justice (β=.14, p=.046). The total explanatory power was 31%. Conclusion: In this study, organizational justice, emotional intelligence, career interruption, period willing to stay were found to be influential factors affecting intention to stay in reemployed nurses. A systematic intervention program for emotional intelligence is needed to increase the intention of retention in reemployed nurses. Further, human resource managers and specialists should consider organizational justice when designing the talent retention strategies.

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    Ji-Hyun Choi, Mi-Jin Byun, Thi Ninh Do
    Journal of Korean Academy of Nursing Administration.2025; 31(1): 36.     CrossRef
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    Jinju Kim, Yeongmi Ha
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  • The Influence of Transformational Leadership and Organizational Justice on Intention to Stay with Mediated Work Engagement
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  • Factors Influencing Clinical Nurses’ Perception of Structural and Content Career Plateau
    Ji Hye Kim, Ji Yun Lee
    Journal of Korean Academy of Nursing.2024; 54(4): 534.     CrossRef
  • The Effect of Work Value, Psychological Ownership and Nursing Working Environment on Intention of Retention in Hospital Nurses
    Ji Hey Kim, Yoon Ju Cho, So Eun Jang
    Journal of Korean Critical Care Nursing.2023; 16(3): 62.     CrossRef
  • The impact of organizational justice on intention to stay: The mediating role of organizational commitment
    Shatha Mahfouz, Mutia Sobihah Abd Halim, Ayu Suriawaty Bahkia, Noryati Alias
    Corporate Governance and Organizational Behavior Review.2022; 6(1): 139.     CrossRef
  • Workplace spirituality and organizational justice in turnover intention of mental health professionals at small‐sized centres
    Eunmi Hwang, Yeojin Yi
    Journal of Nursing Management.2022; 30(1): 328.     CrossRef
  • The Factors That Affect Turnover Intention According to Clinical Experience: A Focus on Organizational Justice and Nursing Core Competency
    Hanna Choi, Sujin Shin
    International Journal of Environmental Research and Public Health.2022; 19(6): 3515.     CrossRef
  • 848 View
  • 38 Download
  • 10 Crossref
Purpose
This study was done to identify the effect of adversity quotient and reality shock on the turnover intention among new nurses in general hospitals. Methods: Participants were 158 new nurses in general hospitals. A survey was used and data were collected in April 2019. Data were analyzed using the IBM SPSS/WIN 22.0 program. Results:The significant predictors for the turnover intention of new nurses were training status (β=.38), age (β=.19) and reality shock (β=.51). These variables explained 46.3% of the variance in turnover intention of nurses. Also, reality shock had a total mediating effect on the relationship between adversity quotient and turnover intention.
Conclusion
Findings indicate that adversity quotient and reality shock are important factors for turnover intention of new nurses in general hospitals.

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  • Learners' Experiences With First-Person Perspective Video Debriefing Using Smart Glasses in Nursing Simulation Education
    Jiyoung Kim, Mingyo Seo, Hyunjung Shin
    Clinical Simulation in Nursing.2024; 94: 101590.     CrossRef
  • Influence of Nursing Practice Readiness and Social Support from Clinical Nurse Educators on Reality Shock among Newly Graduated Nurses
    Kyoung Hee Youn, Eun Hee Jang
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  • Effects of Resilience, Nursing Managers’ Empowering Leadership on Turnover Intention among New Nurses: Mediating role of Transition Shock
    Hyun Jin Jung, Hyun Kyung Kim, Seok Hee Jeong
    Journal of Korean Academy of Nursing Administration.2024; 30(3): 212.     CrossRef
  • 774 View
  • 15 Download
  • 3 Crossref
Purpose
The purpose of this study was to identify the mediating effect of the nursing work environment in the relationship between job embeddedness and turnover intention of nurses working in long term care hospital. Methods: The study was conducted with 183 nurses working in long term care hospitals. Results: There were significant negative relationships between job embeddedness and turnover intentions. There were significant positive relationships between job embeddedness and nursing work environment. Nursing work environment had a partial mediation effect in job embeddedness and turnover intentions. Conclusion: In this study, the nursing work environment had a partial mediated effect in the relationship between job embeddedness and turnover. In order to reduce turnover intention of nurses working in long term care hospital, it is necessary to improve job embeddedness and the nursing work environment.

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  • Influential factors of moral distress and job satisfaction on turnover intention of long-term care hospital nurses: A cross-sectional descriptive study
    Ningjie Liu, Sun Mi Ha
    Journal of Korean Gerontological Nursing.2025; 27(2): 216.     CrossRef
  • Clinical Nurses’ Job Embeddedness and Its Relationship to Professional Identity, Organizational Climate, and Compassion Fatigue: A Structural Equation Model
    Shuqi Zhai, Congcong Dai, Qinqin Liu, Yifan Lu, Chaoran Chen, Haibo Xu
    Journal of Nursing Management.2025;[Epub]     CrossRef
  • Nurses’ job embeddedness and turnover intention: A systematic review and meta-analysis
    Xin Wang, Ming Liu, Angela Y.M. Leung, Xiaoyan Jin, Hongxia Dai, Shaomei Shang
    International Journal of Nursing Sciences.2024; 11(5): 563.     CrossRef
  • The impact of perceived organizational justice on young nurses’ job performance: a chain mediating role of organizational climate and job embeddedness
    Jiamei Song, Xindi Shi, Xiaojia Zheng, Guangli Lu, Chaoran Chen
    BMC Nursing.2024;[Epub]     CrossRef
  • Factors Influencing Job Embeddedness in Emergency Room Nurses: Focus on Positive Psychological Capital, Gratitude, and Anger Expression
    Sa Rang Joo, Mi-Jung Kang
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(4): 383.     CrossRef
  • Structure equation modeling of job embeddedness in general hospital nurses
    Kyoung Mi Kim, So Yeun Jun, Hyeon Jeong Ju, Youn Hyang Lee, Kyung Mi Woo
    The Journal of Korean Academic Society of Nursing Education.2022; 28(2): 204.     CrossRef
  • 470 View
  • 8 Download
  • 6 Crossref
Purpose
The purpose of this study was to investigate the effects of head nurses’ authentic leadership, job satisfaction and organizational commitment as perceived by newly licensed nurses and to identify related factors influencing turnover intention.
Methods
A descriptive survey study was conducted with survey data collected between September 9 and 27, 2019 from 190 newly licensed nurses. The data was analyzed using statistical methods including descriptive statistics, frequency analysis, independent t-test, Pearson correlation coefficients, and multiple linear regression employing SPSS 24.0.
Results
The analysis results show that the turnover intention had positive correlations with the total work experience and work experience with a head nurse, while negative correlations were found with job satisfaction and organizational commitment. The factors affecting the dependent variable of turnover intention were analyzed as the total work experience (β=23, p=.014) and organizational commitment (β=-.68, p<.001). In addition, the explanation ability of turnover intention of newly licensed nurses was 48% (F=36.06, p<.001).
Conclusion
The results show that even after their preceptee period, there is a need for systematic long-term job-training programs to enhance the work adaptability and organizational commitment of newly licensed nurses.

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    So Yeon Kim, Soo-Hyun Nam, JungMin Lee
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  • The mediating effect of job embeddedness on the nursing work environment and transition shock among new nurses: A cross-sectional study
    Siqi Zhou, Jun Ma, Sisi Fan, Honghong Wang, Wenhong An, Lu Li, Tao Xiao
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  • Relationships among basic psychological needs, organizational commitment, perceived authentic leadership and turnover intention in Korean nurses: A cross‐sectional study
    Jina Hwang, Eun Kyeung Song, Sangjin Ko
    Journal of Nursing Management.2022; 30(7): 2176.     CrossRef
  • 840 View
  • 35 Download
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Review

New Nurses' Experience of Turnover: A Qualitative Meta-Synthesis
Ki Kyong Kim, Gi Yon Kim, Bo Kyoung Kim
J Korean Acad Nurs Adm 2020;26(2):84-99.   Published online March 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.2.84
Purpose
The aim of this research was to identify, appraise and synthesize available evidence exploring new nurses' experiences of turnover.
Methods
The qualitative meta-synthesis method suggested by Thomas and Harden was used. Qualitative research articles considered for inclusion in the review were identified through an extensive search of relevant literature in scientific databases. Data were extracted from the aforementioned articles, and qualitative research findings were pooled according to Thomas and Harden's review process. This process involved the categorization of findings according to similarity of meaning and aggregation of these sub-themes to produce a comprehensive set of synthesized themes.
Results
A total of 4 research articles met the inclusion criteria and were included in the review. The review process resulted in 30 sub-themes that were aggregated into 10 themes: ineffective education; overwhelming work; personal maltreatment by doctors, career nurses, patients and caregivers; lack of professional vision; suffering; fear; loss of confidence; isolation; cynical reaction to turnover; new beginning and growth.
Conclusion
These findings illuminated the necessity of educational, organizational, emotional and social support for new nurses to help them accomplish their developmental tasks during their transition, as well as the need for this support to continue even after the turnover.

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    Kyeungyeun Jang, Hanna Choi
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    Sunmi Kim, Myoung Hee Seo, Seok Hee Jeong
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  • The Experience of turnover to long-term care hospital nurse: A phenomenological qualitative research
    Inhee Choo, Milim Cho, Eunha Kim
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  • Health and medical experience of migrant workers: qualitative meta-synthesis
    Hyun-Jin Cho, Kyoungrim Kang, Kyo-Yeon Park
    Archives of Public Health.2024;[Epub]     CrossRef
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    Su Jin Jung, Jin-Hee Park
    Journal of Korean Academy of Fundamentals of Nursing.2024; 31(1): 100.     CrossRef
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    Hyunmi Hwang, Geun-Hee Kim, Yeoungsuk Song
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  • The Experiences of Overcoming Turnover Intention among Experienced Nurses
    Min Jeong Kwon, Kyung Mi Sung
    Journal of Korean Academy of Nursing Administration.2023; 29(1): 32.     CrossRef
  • Development of a Nurse Turnover Prediction Model in Korea Using Machine Learning
    Seong-Kwang Kim, Eun-Joo Kim, Hye-Kyeong Kim, Sung-Sook Song, Bit-Na Park, Kyoung-Won Jo
    Healthcare.2023; 11(11): 1583.     CrossRef
  • Quality of clinical nursing education for new graduate nurses: A concept analysis with a hybrid model
    Heehwa Choi, Sujin Shin
    The Journal of Korean Academic Society of Nursing Education.2023; 29(1): 27.     CrossRef
  • Impact of workplace bullying and resilience on new nurses' turnover intention in tertiary hospitals
    Gyu Li Baek, EunJu Lee
    Nursing & Health Sciences.2022; 24(4): 801.     CrossRef
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    Eun-Young Kim, Yun-Kyung Oh
    STRESS.2022; 30(3): 163.     CrossRef
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Original Articles
Effect of Nursing Organizational Culture, Organizational Health, and Job Crafting on Intent to Stay among Registered Nurses
Hun Ha Cho, Eun-Young Kim
J Korean Acad Nurs Adm 2020;26(2):172-180.   Published online March 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.2.172
Purpose
The purpose of this study was to identify the effects of nursing organizational culture, organizational health, and job crafting on intent to stay among registered nurses. Methods: A cross sectional study design was used in this study. The participants were 210 nurses working at three hospitals in B city, South Korea. Data were collected from March 2 to 31 2018. A self-report questionnaire was used. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression analyses with the IBM/SPSS 25.0 for Window Program.
Results
Factors affecting intent to stay among registered nurses included relation oriented culture of nursing organization (β=.17, p=.029), organizational health (β=.16, p=.043), job crafting (β=.17, p=.031), and age(β= .25,p<.001), and these variables explained 25.0% of intent to stay (F=17.37, p<.001).
Conclusion
These findings show that there is a correlation between relation oriented culture of nursing organizational culture, organizational health, job crafting, and intent to stay among registered nurses. In order to increase nurses’ retention, it is important to establish a relation oriented culture in the nursing organization and to improve organizational health. Also, more attention should be paid to create positive job crafting to increase nurses’ intent to stay.

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Influences of Workplace Violence Experience on Job Satisfaction and Turnover Intention of New Nurses
Jung Won Im, Ji Young Lim
J Korean Acad Nurs Adm 2020;26(2):130-141.   Published online March 31, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.2.130
Purpose
The purpose of this study was to identify workplace violence experience of new nurses and to investigate effects on organizational variables. Workplace violence experience can lead to new nurses developing negative attitudes towards nursing jobs. A safe organizational culture in which new nurses can work while being protected from workplace violence must be established.
Methods
An online survey was conducted with 180 nurses. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and regression analysis.
Results
The total score for workplace violence experience of new nurses was 1.75±0.55. There was a statistically significant negative correlation between verbal (r=-.32, p <.001), threatening (r=-.26, p <.001), and total (r=-.28, p <.001) workplace violence experience and job satisfaction, and a positive correlation between verbal (r=.18, p =.016), threatening (r=.17, p =.024), total (r=.17, p =.021) and turnover intention, respectively. Verbal violence experience was found to be a significant factor influencing job satisfaction, and the explanatory power of the model was 9.5%.
Conclusion
Based on the results of this study, it is necessary to develop a workplace violence prevention program for new nurses and a procedure and reporting system to cope with workplace violence. Furthermore, there is a need to expand a culture of mutual cooperation and a nonviolent atmosphere.

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Factors Influencing Differences in Turnover Intention according to Work Periods for Newly Graduated Nurses
Moon Sook Yoo, Mang Rae Jeong, Kyoungja Kim, Youngjin Lee
J Korean Acad Nurs Adm 2019;25(5):489-498.   Published online December 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.5.489
PURPOSE
The purpose of this study was to describe differences in turnover intention according to work period for new nurses and to explore factors influencing differences in turnover intention.
METHODS
A longitudinal survey design was used. A structured questionnaire regarding CC (Clinical competence), MNC (Missed Nursing Care), WE (Work Engagement) and turnover intention was administered twice(at 2 months and 5 months of employment) to 98 new nurses working at a tertiary hospital.
RESULTS
The regression model with each of the differences for MNC, WE, and subjective satisfaction with department against differences of turnover intention was statistically significant (F=11.98, p < .001). This model explained 26% of differences in turnover intention (Adj. R²=.26). Especially, differences in WE (β=-.43, p < .001), and differences in MNC (β=.18 p=.044) were identified as factors influencing differences in turnover intention.
CONCLUSION
The turnover intention of new nurses decreased between the first 2 months and 5 months and this difference was influenced by WE and MNC. Therefore, it is necessary to provide social and institutional supports such as effective adaptation programs with sufficient periods of time for newly graduated nurses.

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Influence of Resilience and Job Embeddedness on Turnover Intention in General Hospital Nurses
Kyoung Ja Ko, Soo Kyoung Lee
J Korean Acad Nurs Adm 2019;25(4):362-372.   Published online September 30, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.4.362
PURPOSE
The purpose of this study was to identify the effect of resilience and job placement on general hospital nurse's intention to relocate, prepare a practical transfer management plan, and provide basic data on effective personnel management.
METHODS
Data were collected from 333 nurses in 2 general hospitals with more than 500 beds in P-city. Data analysis was performed using hierarchical regression with the SPSS/WIN 25.0 program.
RESULTS
The significant factors influencing turnover intention of hospital nurses were sacrifice, fit, link, interpersonal relationship, followed by experience of turnover. Explanatory power was 42% in the regression model.
CONCLUSION
Resilience and job embeddedness have a positive effect on turnover intention in general hospital nurses. Therefore, efforts to improve resilience, job embeddedness, and organizational support are required to decrease turnover intention.

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A Study of Desired Work Conditions of Nurses in Small-Medium Hospitals
Kwang Ok Park, Jong Kyung Kim
J Korean Acad Nurs Adm 2019;25(1):1-13.   Published online January 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.1.1
PURPOSE
This study was done to analyze the problems and desired work conditions of nursing organizations in small-medium hospitals.
METHODS
Delphi Technique was used. In the first stage, the work conditions of nurses in small-medium hospitals were identified through a literature review. In the second stage, through 3 consultations with 20 nurse advisory groups, feedback was received on the desired work conditions for nurses in small-medium hospitals. In the third stage, 415 nurses and nurse managers were selected to examine the content validity and importance of the desired work conditions identified in the second stage.
RESULTS
Sixty-four items were developed along eight domains of desired work conditions for nurses in small-medium hospitals. The survey on the desired work conditions revealed the following in order of importance: ‘wages’, ‘personnel’, ‘job’, ‘work hours’, ‘welfare’, ‘education’, ‘culture’, and and ‘other incentives’.
CONCLUSION
The results of this study suggest that small-medium hospitals need to recognize the desired work conditions desired by nurses and accordingly change policies through the efforts of hospitals and professional groups.

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PURPOSE
The study was undertaken to investigate influence of nurses' work environment, organizational commitment, and nursing professionalism on turnover intention of nurses working in long term care hospitals.
METHODS
The study was cross-sectional study. Participants were 199 nurses working in one of 7 long term care hospitals. Data were collected from May 1 to June 30, 2016 and analysed using two stage hierarchial regression analysis with SPSS 22.0.
RESULTS
There was a statistically significant difference in turnover intention according to age (F=6.23, p < .001), present work career (t=−2.11, p=.036), frequency of night duty (t=−3.53, p=.001), and present position (t=−4.07, p < .001). The significant predictors of turnover intention were attachment (β=−0.29, p=.005), nursing professionalism (β=−.21, p=.030), identification (β=−.21, p=.014), continuance (β=−.19, p=.008), collegial nurse-physician relations (β=−.16, p=.039), and originality of nursing (β=.16, p=.014). These factors explained 50.4% of the variance.
CONCLUSION
The results suggest that several points need to be considered in order to reduce turnover intention in long term care hospital nurses. These points include building work environments to improve collegial nurse-physician relations, promoting recognition of nurses' organizational commitment, nursing professionalism and the political efforts of organizations supporting nursing originality.

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Relationship between Career Plateau, Career Planning, Social Support, and Turnover Intention in Nurses
Jeonga Ko, Heeyoung Kim
J Korean Acad Nurs Adm 2018;24(1):97-106.   Published online January 31, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.1.97
PURPOSE
This study was a correlational research to examine the relationship between career plateau, career planning, social support and turnover intention experienced by nurses in the clinical nursing field.
METHODS
Participants were 237 nurses working in general hospitals with 100~300 beds located in G Metropolitan City. Data were collected from September 26 to October 6, 2016, and analyzed using the SPSS/WIN 22.0 program. Descriptive statistics, independent t-test, univariate ANOVA, Scheffé test, correlation analysis, and hierarchical multiple regression analysis were conducted.
RESULTS
Participants' turnover intention was positively correlated with career plateau (r=.38, p < .001), structural career plateau (r=.31, p < .001) and content plateau (r=.35, p < .001), but negatively correlated with social support (r=−.38, p < .001), supervisor support (r=−.36, p < .001), peer support (r=−.32, p < .001), and career planning (r=−.15, p=.043). Factors associated with participants' turnover intention were supervisor support (β=−.22, p=.006), structural career plateau (β=.19, p=.012), and content career plateau (β=.14, p=.047).
CONCLUSION
Results suggest that structural career plateau, content career plateau, and supervisor support are related to nurses' turnover intention. To lower nurses' turnover intention, alternative ways must be developed to improve the structure of nursing organizations to address career plateau and establish an organizational culture that can be supported by supervisors.

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Factor Influencing New Graduate Nurses' Turnover Intention according to Length of Service
Eun A Ji, Ji Soo Kim
J Korean Acad Nurs Adm 2018;24(1):51-60.   Published online January 31, 2018
DOI: https://doi.org/10.11111/jkana.2018.24.1.51
PURPOSE
The purpose of the study was to explore factors influencing turnover intention of new graduate nurses according to length of services.
METHODS
From May to July, 2017, a survey was conducted among 220 nurses working in four hospitals. Inclusion criteria were new graduate nurses who had careers of less than 16 months. Data were collected on organizational socialization, support in work place, job stress, and turnover intention.
RESULTS
Satisfaction with current work department, job satisfaction, organizational commitment, and job stress were significant factors influencing turnover intention of new nurses with less than six months experience. However, in case of nurses with seven to 15 months experience, only organizational commitment influenced turnover intention.
CONCLUSIONS
These findings indicate that the factors influencing turnover intention are different according to the length of time the new graduate nurses have worked. To reduce the turnover intention of new nurses, it is necessary to differentiate human resource management approaches according to length of employment. The study results could be useful evidence for developing strategies to reduce turnover in new nurses.

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Predictors of Turnover Intention among Nurses in Small and Medium-sized Hospitals
Jeong Hye Park, Hye Young Hwang
J Korean Acad Nurs Adm 2017;23(5):471-482.   Published online December 31, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.5.471
PURPOSE
The purpose of this study was to explore the predictors of turnover intention among nurses working in small and medium-sized hospitals in South Korea.
METHODS
Data were obtained from a survey conducted in 2016 on welfare policy and system improvement. The participants were nurses of the Korean Nurses Association who worked in small and medium-sized hospitals. The responses of 2,011 nurses were analyzed using hierarchical multiple regression analysis, which was performed to explore the predictors of nurses' turnover intentions.
RESULTS
The findings of this study showed that the predictors significantly reducing nurses' desire to leave their hospitals were a 40-hour workweek, satisfaction with the salary, and six out of the 40 fringe benefits provided by their hospitals: the provision of uniforms and work shoes, paid menstrual leave, operational costs for the department, job-related educational costs, and in-house nurse training program.
CONCLUSION
These findings suggest that hospitals should provide proper work hours and reasonable rewards for nurses' work in order to reduce turnover intention among their nurses.

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Relationship of Gender Role Conflict and Job Satisfaction to Turnover Intention for Men in Nursing
Ha Man Hwang, Myung Ja Kim
J Korean Acad Nurs Adm 2017;23(1):32-41.   Published online January 31, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.1.32
PURPOSE
The purpose of this study was to identify the relationship between gender role conflict for men in nursing, job satisfaction, and turnover intention.
METHODS
The study data were collected between August 1 and September 1, 2015 from 225 men in nursing currently working in 36 Korean general hospitals, each with ≥100 beds. Frequency and percentages were analyzed, and Pearson correlation coefficient, t-test, ANOVA, and Duncan's test were used.
RESULTS
There was no significant difference in gender role conflict based on the general characteristics of the men. In contrast, significant differences in gender role conflict were found in association with the following job-related characteristics: work experience at the present hospital, work department, work unit, and type of work. A significant negative correlation was detected between male gender role conflict and job satisfaction, a positive correlation was found between male gender role conflict and turnover intention.
CONCLUSION
In order to increase job satisfaction and decrease the turnover intention of men in nursing, measures to reduce gender role conflict are needed.

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Factors Influencing Turnover Intention in Clinical Nurses: Compassion Fatigue, Coping, Social Support, and Job Satisfaction
Young Hee Yang, Jong Kyung Kim
J Korean Acad Nurs Adm 2016;22(5):562-569.   Published online December 31, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.5.562
PURPOSE
This study was done to construct and verify a model of turnover intention in clinical nurses, considering the effects of compassion fatigue, coping, social support, and job satisfaction.
METHODS
For this study a cross-sectional correlational design was used. Participants were 283 clinical nurses in four general hospitals. Data were collected using a questionnaire and were analyzed with descriptive statistics, Pearson correlation coefficient and path analysis.
RESULTS
The modified model of turnover intention had a good fit in this study. Turnover intention was influenced by job satisfaction, and job satisfaction was affected by workload, problem-focused coping, peer support, family-friend support and compassion fatigue. Compassion fatigue was associated with occupational trauma events, problem-focused coping and emotional-focused coping. Job satisfaction was the most important factors controlling nurse's turnover intention.
CONCLUSION
Findings show that job satisfaction, compassion fatigue, and traumatic events are important factors influencing turnover intention. Nurse managers try to manage job satisfaction, compassion fatigue, support, and coping for nurses, it could be expected making proper nursing circumstance.

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Influences of Customer Orientation, Emotional Labor, Unit Manager-nurse Exchange and Relational Bonds on Nurses' Turnover Intension
Young Soon Kim, Kyung Yeon Park
J Korean Acad Nurs Adm 2016;22(4):396-405.   Published online September 30, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.4.396
PURPOSE
The study was done to investigate nurses' customer orientation, emotional labor, unit manager-nurse exchange and relational bonds and to identify the factors affecting nurses' turnover intentions.
METHODS
A cross-sectional survey was conducted using self-report questionnaires. The participants in this study were 276 nurses in tertiary hospital located in a metropolitan city, Korea. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression with the SPSS program 22.0.
RESULTS
The mean scores were 3.74±0.90 (out of 5) for turnover intention, 5.31±0.87 (out of 7) for customer orientation, 4.82±0.96 (out of 7) for emotional labor, 3.58±0.61 (out of 7) for relational bonds, and 3.18±0.57 (out of 5) for unit manager-nurse exchange. Factors influencing turnover intention were 'emotional labor' (β=.39, p<.001), 'unit manager-nurse exchange' (β=-.22, p<.001), 'financial bonds' (β=-.19, p<.001), 'perceived economic status' (β=-.15 p=.003) and 'career' (β=.14, p=.005). These factors explained 34.9% of the variance in turnover intension (F=30.46, p<.001).
CONCLUSION
Findings indicate that to reduce nurses' turnover intention in the hospital, there is a need to improve unit manager-nurse exchange and to manage strategies lowering nurses' emotional labor.

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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.

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Relationships among Nursing Work Environment, Job Embeddedness, and Turnover Intention in Nurses
Hae Jin Ko, Jeong Hee Kim
J Korean Acad Nurs Adm 2016;22(3):279-291.   Published online June 30, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.3.279
PURPOSE
The purpose of this study was to investigate the relationship among nursing work environment, job embeddedness, and turnover intention in order to provide basic data for efficient management of human resources in nursing organizations.
METHODS
A cross-sectional, descriptive study design was conducted with 177 nurses who had worked for more than 6 months in five general hospitals on Jeju Island. A self-report questionnaire was used for data collection.
RESULTS
About 88% of the participants reported that they were considering a turnover plan because of overload in their jobs and poor salaries. Nursing work environment was significantly related to job embeddedness and turnover intention. Job embeddedness was significantly related to turnover intention. Hierarchical multiple regression analysis showed that factors affecting turnover intention were the organizational embeddedness factors of organization fit and organization sacrifice.
CONCLUSION
The results indicate that nurses' turnover intention is associated with nursing work environment and job embeddedness. To reduce nurses' turnover intention and improve nurses' retention, nurse managers should improve the nursing work environment and consider job embeddedness, particularly in relation to the organization fit and sacrifice.

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PURPOSE
The present study was aimed to examine the degree of nurses' emotional labor and occupational stress and demonstrate the moderating and mediating effects of work-family conflict in the relationship among emotional labor, occupational stress, turnover intention of nurses.
METHODS
The participants for this study were 307 nurses currently working in two general hospitals in G city in Korea. Data were collected using structured questionnaires and analyzed for descriptive statistics, t-test, ANOVA, Mann-Whitney U Test, Kruskal Wallis Test, Pearson correlation coefficients and hierarchical multiple regression with SPSS/WIN 21.0 program.
RESULTS
It turned out that work-family conflict plays an important role in the relationship among emotional labor, occupational stress, turnover intention of nurses.
CONCLUSION
Therefore, to reduce nurses' turnover intention, it is necessary to have an intervention focusing on work-family conflict. Also, it is necessary for both the government and hospitals to establish a supportive system and a program to relieve nurses from their work-family conflict.

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Influence of Experiencing Verbal Abuse, Job Stress and Burnout on Nurses' Turnover Intention in Hemodialysis Units
Sun Ae Joung, Kyung Yeon Park
J Korean Acad Nurs Adm 2016;22(2):189-198.   Published online March 31, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.2.189
PURPOSE
The aim of this study was to investigate the relationships between the hemodialysis unit nurses' experience of verbal abuse, job stress, burnout, and turnover intention, and to identify the explained variances for turnover intention.
METHODS
The research design was a descriptive survey using a probability sampling. The data were measured using self-report questionnaires from 231 hemodialysis unit nurses in seven cities in Korea and were analyzed with SPSS 20.0.
RESULTS
The mean scores were 2.45±0.62 (out of 5) for experience of verbal abuse, 2.40±0.26 (out of 4) for job stress, 2.31±0.48 (out of 4) for burnout, and 3.16±0.05 (out of 5) for turnover intention. There were significant correlations among the experience of verbal abuse, job stress, burnout, and turnover intention within the hemodialysis unit nurses. Factors influencing turnover intention were 'burnout' (β=.42, p<.001) and 'job stress' (β=.17, p=.015)which explained 42% of the variance (F=15.98, p<.001).
CONCLUSION
Results suggest that in order to reduce nurses' turnover intention, nurse managers should explore strategies to reduce nurses' burnout and job stress in nurses in hemodialysis units.

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Influence of Job Embeddedness Factors on Turnover Intention of Nurses in Small and Medium Sized General Hospitals
Yun Sook Kim, Seang Ryu
J Korean Acad Nurs Adm 2016;22(2):158-166.   Published online March 31, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.2.158
PURPOSE
This study was done to investigate the influence of organization and community job embeddedness on turnover intention of nurses in small and medium sized general hospitals.
METHODS
The participants, 333 nurses, were recruited from small and medium sized general hospitals in Korea. Data were collected by self-report questionnaires on job-embeddedness and turnover intention and were analyzed using descriptive statistics, Independent t-test, One-way ANOVA and Scheffé', Pearson correlation coefficient, and multiple linear regression analysis with the SPSS 18.0 program.
RESULTS
The score for job embeddedness and it's 6 factors, and turnover intention were above 3 on a 5 point scale with the exception of organizational sacrifice. There was a significant difference in turnover intention according to age, marital status, salary, and position. There were significant negative correlations between the 6 factors of job embeddedness and turnover intention. Variables entered in multiple regression showed that organizational sacrifice, organizational fit and age were significant contributing factors to turnover intention.
CONCLUSION
The findings suggest that there is a need for strategies to enhance job embeddedness, especially organization sacrifice and organization fit. These factors should be developed and used to decrease turnover intention of nurses in small and medium sized general hospitals.

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    Sunmi Kim, Seohee Jeong, Seok Hee Jeong, Myung Ha Lee
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  • 11 Crossref
PURPOSE
This study was designed to construct a structural equation model and identify the effects and relationships of self-efficacy, career plateau, job embeddedness, organizational commitment and intent to turnover for nurses. Also, an attempt was made to derive a hypothetical model from these factors and to verify whether the model has validity as a means of explaining and anticipating turnover intention of nurses.
METHODS
Data were collected from six randomly selected hospitals: a university hospital located in J city, Kyungnam and five general hospitals located in two cities (cities B and C), each having 400 to 720 beds. Also, 318 nurses were surveyed. Data were analyzed using SPSS 21.0 and AMOS 18.0 program.
RESULTS
Job embeddedness and organizational commitment were identified as the most likely paths to turn over intention. Also, organizational commitment had the highest direct effect on turnover intention followed by job embeddedness and then self-efficacy, but career plateau had an indirectly effected turnover intention.
CONCLUSION
As turnover intention was found to be greatly affected by organizational commitment and job embeddedness, methods to improve organizational commitment and job embeddedness should be actively developed to reduce turnover intention among nurses.

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