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"Turnover Intention"

Original Articles
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.

Citations

Citations to this article as recorded by  
  • 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
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  • 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.
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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.
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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.
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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
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  • 1 Crossref
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
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  • 3 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
  • 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
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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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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.

Citations

Citations to this article as recorded by  
  • 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
    Journal of Korean Academy of Nursing Administration.2024; 30(5): 494.     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
    Journal of Korean Academy of Nursing Administration.2024; 30(3): 212.     CrossRef
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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.

Citations

Citations to this article as recorded by  
  • 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
    Nurse Education in Practice.2024; 78: 104034.     CrossRef
  • 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
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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.

Citations

Citations to this article as recorded by  
  • The mediating effect of transition shock on the relationship between readiness for practice and turnover intention of new graduate nurses in South Korea: A longitudinal study
    Taewha Lee, Eunkyung Kim, Yoonjung Ji
    Nurse Education Today.2024; 143: 106394.     CrossRef
  • Effect of Transition Shock on Intention to Stay in Newly Graduated Nurses : The Mediating Effect of Positive Psychological Capital
    Hyuna Kam, Chanhee Kim, Yeonok Yoon, Heeyoung Shin, Junghwa Lee, Myoungohk Kim
    Journal of Korean Critical Care Nursing.2024; 17(3): 25.     CrossRef
  • Trajectories of Wok Adjustment and Influencing Factors Among Newly Registered Nurses
    Sunghee Park, Jin-Hee Park, Ju-Eun Song, Sun Hyoung Bae, Kyoungja Kim, Youngjin Lee
    Asian Nursing Research.2024; 18(1): 36.     CrossRef
  • Temporal Exploration of New Nurses’ Field Adaptation Using Text Network Analysis
    Shin Hye Ahn, Hye Won Jeong, Seong Gyeong Yang, Ue Seok Jung, Myoung Lee Choi, Heui Seon Kim
    Journal of Korean Academy of Nursing.2024; 54(3): 358.     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
  • South Korean Nurse Residency Program for New Graduates: A Posttest Study
    Jihye Song, Kyunghee Kim, Yunjung Jang
    The Journal of Continuing Education in Nursing.2024; 55(8): 393.     CrossRef
  • 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
  • Reliability and Validity Analysis of the Korean Version of the Affinity for Technology Interaction Scale
    Taehui Kim, Seyeon Park, Miri Jeong
    Healthcare.2023; 11(13): 1951.     CrossRef
  • A survival analysis approach to determine factors associated with non-retention of newly hired health workers in Iran
    Vahid Ghavami, Seyed Saeed Tabatabaee
    BMC Health Services Research.2023;[Epub]     CrossRef
  • Health-Related Factors Influencing Nurse Turnover by Clinical Career: A Secondary Data Analysis of Clinical Nurses in South Korea
    Jiwon Kang, Youngjin Lee
    International Journal of Environmental Research and Public Health.2022; 19(22): 15222.     CrossRef
  • Verbal violence and turnover intention among new nurses in Korea: A time‐lagged survey
    Ae Kyung Chang, Ah Young Kim
    Journal of Nursing Management.2022; 30(6): 1823.     CrossRef
  • Retention Rates and the Associated Risk Factors of Turnover among Newly Hired Nurses at South Korean Hospitals: A Retrospective Cohort Study
    Yunmi Kim, Hyun-Young Kim
    International Journal of Environmental Research and Public Health.2021; 18(19): 10013.     CrossRef
  • Turnover Rates and Factors Influencing Turnover of Korean Acute Care Hospital Nurses: A Retrospective Study Based on Survival Analysis
    Bohyun Park, Yukyung Ko
    Asian Nursing Research.2020; 14(5): 293.     CrossRef
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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.

Citations

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  • The influence of tertiary hospital nurses’ ageism, empathy, and work intensity on the performance of geriatric nursing: A cross-sectional study
    Jang mi Park, Jung Suk Park
    Journal of Korean Gerontological Nursing.2025; 27(1): 74.     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 Mediating Effects of Perceived Organizational Support and Perceived Supervisor Support in the Relationship between Clinical Nurses’ Organizational Citizenship Behavior and Turnover Intention
    Kyungmi Lee, Hye Suk Jun
    Journal of Korean Academy of Nursing Administration.2024; 30(1): 11.     CrossRef
  • Burnout and Its Influencing Factors among Hospital Nurses: A Cross-Sectional Study
    Kyeoung Ae Lee, Hye-Ja Park
    Journal of Health Informatics and Statistics.2023; 48(2): 157.     CrossRef
  • Impact of Job Rotation Stress on Nursing Work Performance among Clinical Nurses: Mediating Effects of Job Embeddedness and Moderated Mediating Effects of Resilience
    Jeong A Jeong, Seok Hee Jeong, Hyun Kyung Kim, Hee Sun Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(5): 503.     CrossRef
  • Influence of Nursing Practice Readiness and Resilience on the Nursing Performance among New Nurses
    Hae Ok Kim, Mun Hee Nam, Yo Na Kim
    Journal of Korean Academy of Nursing Administration.2022; 28(4): 352.     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
  • Consequences of abusive supervision on Indian service sector professionals: a PLS-SEM-based approach
    Shalini Srivastava, Sajeet Pradhan, Lata Bajpai Singh, Poornima Madan
    International Journal of Conflict Management.2022; 33(4): 613.     CrossRef
  • Effects of job embeddedness and nursing working environment on turnover intention among trauma centre nurses: A cross‐sectional study
    Hye Ju Lee, Soo‐Kyoung Lee
    Journal of Nursing Management.2022; 30(7): 2915.     CrossRef
  • 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
    Journal of Korean Academy of Nursing Administration.2021; 27(4): 227.     CrossRef
  • Linking workplace ostracism to turnover intention: A moderated mediation approach
    Lata Bajpai Singh, Shalini Srivastava
    Journal of Hospitality and Tourism Management.2021; 46: 244.     CrossRef
  • Influence of Job Embeddedness and Resilience on Turnover Intention in Dental Hygienists
    Ji-Min Hwang, Ji-Hyoung Han
    Journal of Dental Hygiene Science.2020; 20(3): 171.     CrossRef
  • Relationship of Workplace Violence to Turnover Intention in Hospital Nurses: Resilience as a Mediator
    Hyun-Jung Kang, Jaeyong Shin, Eun-Hyun Lee
    Journal of Korean Academy of Nursing.2020; 50(5): 728.     CrossRef
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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.

Citations

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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
    Journal of Korean Gerontological Nursing.2024; 26(4): 392.     CrossRef
  • Effect of Nursing Practice Environment on Intent to Leave in Hospital Nurses: Focused on the Mediating Effect of Reciprocity
    So Young Lee, Mi-Aie Lee
    Journal of Korean Academy of Nursing Administration.2024; 30(3): 201.     CrossRef
  • Factors affecting nurses retention during the COVID‐19 pandemic: a systematic review
    Mansoureh Ashghali Farahani, Shahin Nargesi, Nadia Saniee, Zeinab Dolatshahi, Farshad Heidari Beni, Shabnam Shariatpanahi
    Human Resources for Health.2024;[Epub]     CrossRef
  • Impacts of Ethical Dilemma, Job Stress, and Burnout on Turnover Intention of Long-term Care Hospital Nurses
    Geun-Myun Kim, Ok-Kyun Lee, So-Hyeong Sim
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(2): 210.     CrossRef
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    Eun-Hye Lee, Hea-Jin Yu
    BMC Nursing.2023;[Epub]     CrossRef
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    Joohee Kim, Young Ko
    Research in Community and Public Health Nursing.2023; 34: 294.     CrossRef
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    Mi-Aie Lee, So-Hee Lim
    International Journal of Environmental Research and Public Health.2023; 20(5): 4026.     CrossRef
  • Comparative Study on Work-Life Balance, Nursing Work Environment, Nursing Organizational Culture, and Job Satisfaction before Turnover among Nurses Leaving Hospital: Current Clinical Nurses versus Non-clinical Nurses
    Yejin Seo, Mi Yu
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 385.     CrossRef
  • The effect of nursing work environment on slow nursing among long-term care hospital nurses: A descriptive study
    Hyeon-mi Woo
    Journal of Korean Gerontological Nursing.2023; 25(2): 206.     CrossRef
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    Songyi Yuk, Soyoung Yu, Shawn Yong-Shian Goh
    Journal of Nursing Management.2023; 2023: 1.     CrossRef
  • Effects of job embeddedness and nursing working environment on turnover intention among trauma centre nurses: A cross‐sectional study
    Hye Ju Lee, Soo‐Kyoung Lee
    Journal of Nursing Management.2022; 30(7): 2915.     CrossRef
  • The effects of tertiary hospital nurses' ageism and nursing practice environment on geriatric nursing performance
    Hyemin Kang, Sujin Shin
    Journal of Korean Gerontological Nursing.2022; 24(4): 355.     CrossRef
  • Factors Influencing Retention Intention of Nurses at Long-Term Care Hospitals in Korea
    So Young Shin, Joo Hee Kim
    Journal of Gerontological Nursing.2021; 47(10): 44.     CrossRef
  • Effect of Job Embeddedness on Turnover Intention of Nurses in Long Term Care Hospitals: The Mediating Effect of Nursing Work Environment
    Sun Mi Ha, Yeong Ju Ko
    Journal of Korean Academy of Nursing Administration.2020; 26(5): 439.     CrossRef
  • Effects of recognition of flexible work systems, organizational commitment, and quality of life on turnover intentions of healthcare nurses
    Myoungjin Kwon, Jungsoo Han
    Technology and Health Care.2019; 27(5): 499.     CrossRef
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    Mi-Aie Lee, Sunjoo Kang, Hye Sun Hyun
    Journal of Korean Academy of Nursing Administration.2019; 25(4): 317.     CrossRef
  • Mediating Effect of Nursing Professionalism on the Relationship between Nurses' Character and Organizational Commitment of the Nurse
    Sun Young Jung, Hyun Deuk Lee
    Journal of Korean Academy of Nursing Administration.2019; 25(3): 239.     CrossRef
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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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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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  • An Exploratory Study of Psychological Distress, Professional Quality of Life, Effort-Reward Imbalance, and Turnover Intention of Hospital Nurses during the COVID-19 Pandemic
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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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    Hye Ju Lee, Soo‐Kyoung Lee
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    Young Suk Sim, Gui Sook Shim, Bong Hi Sim, Joo Hyun Sung
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    Kyung Mi Kim, Sook Young Kim, Hyenam Hwang, Hye Min Hwang, Hyoeun Kim, Eun Sun Lim
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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
J Korean Acad Nurs Adm 2015;21(5):519-529.   Published online December 31, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.5.519
PURPOSE
This study was performed to identify perceptions on fixed night shift system and turnover intention of general hospital nurses and to explore a desirable application plan for a fixed night shift system.
METHODS
This study was a cross-sectional survey. Participants were 300 nurses working at one general hospital in GyeongGi-Do, Korea. Data were collected from November 3 to 7, 2014, with a structured questionnaires and analyzed using SPSS/PC ver 20.0 programs.
RESULTS
Of the participants 73.5% had thought about turnover because of night shifts and the preconditions for desirable fixed night shift system were a payment plan differentiated according to work conditions and an adequate number of nursing staff. Economic and administrative supports like 'raising extra-pay for night shift' and 'increasing the number of paid holidays' were very important for a desirable fixed night shift system.
CONCLUSION
The results indicate that the most important factor for a desirable fixed night shift system to decrease nurses' turnover intention is economic and administrative support according to the needs of the nurses. So nursing managers need to find a desirable fixed night shift system considering nurses' demographic characteristics and organizational characteristics.

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PURPOSE
The purpose of this study was to identify moderating effects of work-family conflict in the relationship between job, organizational, career characteristics and turnover intention among nurses working in small and medium-sized hospitals.
METHODS
A self report questionnaire survey was completed by 286 nurses working in five small or medium-sized hospitals in P city. Data were gathered during October, 2014 and analyzed using the SPSS 21.0 program.
RESULTS
Work-family conflict had significant moderating effects between job, organizational, career characteristics and turnover intention of nurses working in small or medium-sized hospitals. Career commitment was the biggest factor in reducing turnover intention.
CONCLUSION
The results of the study indicate that work-family conflict and career commitment are important factors in turnover intention among nurses working in small and medium-sized hospitals. Therefore, to understand job and organizational career characteristics of nurses in small and medium hospitals, consideration must be given to the role of conflict in the nurses' workplace and homes. Support from the organization focusing on career development, and provision of an innovative system for the environment of small hospitals are needed.

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Job Satisfaction, Organizational Commitment and Turnover Intention among Male Nurses
Min Kweon Ahn, Myung Ha Lee, Hyun Kyung Kim, Seok Hee Jeong
J Korean Acad Nurs Adm 2015;21(2):203-211.   Published online March 31, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.2.203
PURPOSE
This study aimed to investigate job satisfaction, organizational commitment and turnover intention among male nurses in South Korea.
METHODS
Data were collected in May, 2013 and a total of 150 male hospital nurses participated in this study. Job satisfaction, organizational commitment and turnover intention were measured using a structured questionnaire. Collected data were analyzed using SPSS/WIN 20.0 for windows.
RESULTS
There were statistically significant correlations between job satisfaction and organizational commitment (r=.74, p<.001), job satisfaction and turnover intention (r=-.56, p<.001), and organizational commitment and turnover intention (r=-.69, p< .001). There was a statistically significant difference in job satisfaction of participants according to education, work unit, and salary. Organizational commitment showed significant difference according to age, education, work unit, and salary. Turnover intention was significantly different according to duration of employment in the hospital, and salary. The most influential factor for turnover intention was organizational commitment (beta=-.69, p<.001). This factor accounted for 47.8% of the variance in turnover intention.
CONCLUSION
The results of this study indicate that to reduce turnover intention for men in nursing, it is necessary to increase job satisfaction, and organizational commitment.

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Structural Relationships among Job Embeddedness, Emotional Intelligence, Social Support and Turnover Intention of Nurses
So Jung Lee, Hye Jong Woo
J Korean Acad Nurs Adm 2015;21(1):32-42.   Published online January 31, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.1.32
PURPOSE
This study was done to elicit basic data for effective human resource management by identifying the relationships among job embeddedness, emotional intelligence, social support, and the turnover intention of Nurses.
METHODS
Research design was to build a hypothetical causal model between variables and to verify its fitness. The sample for this study was 283 nurses with careers of more than 6 months in one hospital of more than 800 beds located in Seoul. They agreed in writing and this study was approved by the Institutional Review Board. Data were analyzed using SPSS 18.0 and AMOS 18.0 program.
RESULTS
Differences in general characteristics for the variables were significant for age, marital status, education, work experience, job title, income, and department. Job embeddedness, emotional intelligence and social support were significantly correlated to turnover intention. Job embeddedness to emotional intelligence and social support showed positive effects and a negative effect to turnover intention. Emotional intelligence to turnover intention showed a positive effect, but social support was not significant.
CONCLUSION
Organizations should provide ways to minimize voluntary turnover of a competent workforce and demonstrate their competency. Also it should develop training and management programs to effectively utilize emotional intelligence.

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Factors Influencing Nurse Turnover Intention in Small and Medium Sized Hospitals in the Metropolitan Area
Youn Sun Hwang, Kyeong Hwa Kang
J Korean Acad Nurs Adm 2014;20(5):576-586.   Published online December 31, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.5.576
PURPOSE
The purpose of this study was to investigate the factors influencing nurse turnover intention in small and medium sized hospitals in the metropolitan area.
METHODS
A cross-sectional survey design was used. A questionnaire was distributed to the nurses in small and medium sized hospitals. The data of 209 nurses was analyzed using t-test, ANOVA, Pearson correlation coefficient and multiple regression.
RESULTS
Organizational commitment and age were identified as factors influencing turnover intention. These factors explained 56.8% of variance of turnover intention.
CONCLUSION
Results suggest that establishment of organizational commitment needs to be discussed and continuously developed. Further study is also necessary to identify the key mechanism in nurse turnover intention.

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PURPOSE
The purpose of this study was to identify moderating and mediating effects of social support in the relationship between work-family conflict, job satisfaction and turnover intention among married women nurses.
METHODS
The sample for this study consisted of 225 married female nurses from two hospitals located in Seoul. Data were collected through structured questionnaires and analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and hierarchical multiple regression with the SPSS 21.0 program.
RESULTS
(a) Social support of married female nurses had significant moderating and mediating effects between work-family conflict and job satisfaction. (b) Social support of married female nurses had significant moderating and mediating effects between work-family conflict and turnover intention.
CONCLUSION
The results of the study indicate that social support is an important factor in work-family conflict, job satisfaction and turnover intention among married female nurses. Supervisor support is important to married nurses as social support as it is controlled by the organization. Therefore, supportive relationships based on mutual respect between supervisors and nurses are necessary for a creative organizational atmosphere and system.

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Influence of Workplace Bullying and Leader-Member Exchange on Turnover Intention among Nurses
Mi Ra Han, Jeung Ah Gu, Il Young Yoo
J Korean Acad Nurs Adm 2014;20(4):383-393.   Published online September 30, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.4.383
PURPOSE
The purpose of this descriptive study was to identify the impact of workplace bullying and LMX (Leader-Member Exchange) on turnover intention among nurses.
METHODS
The participants were 364 nurses from the Seoul metropolitan area who were attending a continuing education program. A structured questionnaire was used for data collection and data were analyzed using the SPSS/Window program. Hierarchical multiple regression analysis was performed to verify the effect of variables on turnover intention.
RESULTS
Higher workplace bullying was associated with higher turnover intention. Workplace bullying was negatively correlated with leader-member exchange. The most influential factors for turnover intention were LMX (beta=-7.22, p<.001), work load (beta=2.96, p=.003), and workplace bullying (beta=2.64, p=.009). These factors accounted for 28% of the variance in turnover intention.
CONCLUSION
The study results indicate that there is need to develop strategies to prevent workplace bullying and cultivate a good relationship between nursing managers and nurses to lower nurses' turnover intention.

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Effects of Emotional Labor and Communication Competence on Turnover Intention in Nurses
Se Hyang Kim, Mi Aie Lee
J Korean Acad Nurs Adm 2014;20(3):332-341.   Published online June 30, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.3.332
PURPOSE
The purpose of this study was to investigate the relationship among turnover intention, emotional labor, and communication competence in nurses.
METHODS
The participants for this study were 297 nurses from three general hospitals in two local cites in Korea. Data were collected by self-administered questionnaires from August 26 to September 10, 2013 and analyzed using descriptive statistics, One-way ANOVA, t-test, Pearson Correlation, Stepwise Multiple Regression with the SPSS/WIN 18.0 program.
RESULTS
The average scores for turnover intention, emotional labor, and communication competence respectively, were 3.45, 3.08, and 3.44 out of 5. The novices recognized that their emotional labor and turnover intention were significantly higher, and their communication competence was lower than other nurses. Nurses' turnover intention had a positive relationship with their emotional labor, but no relationship with communication competence. Job satisfaction, frequency of emotional expression, and emotional dissonance had an effect on nurses' turnover intention.
CONCLUSION
The results show that emotional labor and job satisfaction are very important factors affecting nurses' turnover intention. So, nurse managers should try to minimize nurses' emotional labor and maximize their job satisfaction by developing various human relationship educational and support programs and using them.

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Effects of Organizational Culture, Self-Leadership and Empowerment on Job Satisfaction and Turnover Intention in General Hospital Nurses
Seunghye Choi, Insun Jang, Seungmi Park, Haeyoung Lee
J Korean Acad Nurs Adm 2014;20(2):206-214.   Published online March 31, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.2.206
PURPOSE
In this study factors affecting job satisfaction and turnover intention of nurses were explored in the context of organizational culture, self-leadership, and empowerment.
METHODS
Participants were 286 nurses drawn from 3 general hospitals. Data were analyzed using t-test, one-way ANOVA, Pearson correlation, and hierarchial multiple regression with the SPSS/WIN 18.0 program.
RESULTS
Significant differences in job satisfaction and turnover intention were found according to organizational culture types. Significant positive correlations were found between self-leadership, empowerment, task oriented organizational culture, relationship oriented organizational culture, innovation oriented organizational culture and job satisfaction. On the other hand, significant negative relationships were found between empowerment, relationship oriented organizational culture, innovation oriented organizational culture and turnover intention. The factors that enhance job satisfaction were found to be higher innovation-oriented organizational culture. Lower turnover intention was shown to be positively associated with relationship- or innovation oriented organization culture.
CONCLUSION
Innovation oriented organizational culture is needed in order to raise job satisfaction and reduce turnover intention of nurses.

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Factors Associated with Customer Orientation and Nursing Productivity
A Ram Yeo, Haejung Lee, Hyekyung Jin
J Korean Acad Nurs Adm 2014;20(2):167-175.   Published online March 31, 2014
DOI: https://doi.org/10.11111/jkana.2014.20.2.167
PURPOSE
The purpose of this study was to identify the levels of customer orientation in nurses whose work experience was between 1 and 5 years and to examine factors associated with customer orientation and nursing productivity.
METHODS
For this descriptive correlational study, nurses (N=164) were recruited from a University Hospital in B city, from November 1 to 23, 2012. Questionnaires included measures of customer orientation, nursing productivity, organizational commitment, job stress, and turnover intention. Data were analysed with the SPSS/WIN 18.0 program using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression.
RESULTS
The mean age of participants was 25 years, 96% were single, and 54.9% had a bachelor degree. Organizational commitment (beta=.387) and job stress (beta=.280) significantly explained the variance in customer orientation (R2=15.8). Customer orientation (beta=.479), education level (beta=.196), and turnover intention (beta=-.184) significantly explained the variance in nursing productivity (R2=35.3). Customer orientation was the most important factor in explaining the variance in the nursing productivity.
CONCLUSION
This study highlighted the relationship between customer orientation and nursing productivity. Improving the customer orientation could result in increasing nursing productivity. Future managerial intervention to improve customer orientation is warranted.

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  • Hemşirelerin İş Gücü Verimliliğine İlişkin Tutumları ve Etkileyen Faktörlerin İncelenmesi
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  • HEMŞİRELERİN VERİMLİLİK TUTUMLARININ FARKLI VARDİYALAR İLE BİREYSEL VE MESLEKİ ÖZELLİKLERİNE GÖRE KARŞILAŞTIRILMASI
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    Verimlilik Dergisi.2022; (4): 771.     CrossRef
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Process of Overcoming Turnover Intention in Career Nurses
Ha Yoon Cheong, Sun Hee Yun
J Korean Acad Nurs Adm 2013;19(3):414-426.   Published online June 30, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.3.414
PURPOSE
The purpose of this study was to identify the process of overcoming the intention toward turnover experienced by career nurses.
METHODS
Data were collected from 10 career nurses though in-depth interviews about their experiences. The main question was "How do you describe your experience of the process of overcoming intention to turnover as a career nurse?" Qualitative data from field and transcribed notes were analyzed using Strauss & Corbin's grounded theory methodology.
RESULTS
From the participants' statement, 127 concepts, 34 subcategories and 13 categories were extracted through the open coding process. The core category was discovered to be 'back to the original place'. Phenomenon was identified as 'reached the threshold that cannot be withstood' and this series of process was categorized as having four stages: 'conflict', 'meditation', 'discovery' and 'conquest'. There were three types of overcoming turnover intention in career nurses, 'adjustment', 'compromise', 'self-led'.
CONCLUSION
The results of this study produced useful information about the needs of career nurses during the process of overcoming turnover intention based on their stage and overcoming types of turnover intension. Ultimately this study may help decrease the turnover intention of career nurses.

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PURPOSE
The purposes of this study were to analyze the mediating effects of empowerment, job stress, organizational commitment and relation-oriented nursing organization culture on turnover intention of clinical nurses.
METHODS
Participants selected for the final analysis were 382 nurses working in 4 general hospitals. Data were analyzed through descriptive statistics Pearson correlation analysis (SPSS/WIN 17.0), and Path analysis (AMOS 18.0).
RESULTS
The study results are as follows: relation-oriented nursing organizational culture had no direct effect but had an indirect effect on nurses' turnover intention through empowerment, job stress, and organizational commitment, while job stress and organizational commitment had direct effects on turnover intention. The results also showed that empowerment had strong effect on organizational commitment, but job stress had very weak effect. Empowerment had an effect on turnover intention.
CONCLUSION
These results indicate that establishment of relation-oriented nursing organization culture is imperative if clinical nurses' turnover intention is to be decreased.

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    Eun-Jin Lee
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PURPOSE
This study was done to investigate the factors affecting organizational commitment and turnover intention of hospital nurses. Empirical analysis on the mediating effect of the person-environment fit of organizational commitment and turnover intention and factors affecting this relationship were also examined.
METHODS
Participants were nurses working in 4 university hospitals in Seoul or Busan. Data were collected between July 27 and Aug. 10, 2012 and for the final analysis, 393 data sets were used. The fitness of models were tested using AMOS 19.0.
RESULTS
The fitness of the modified model showed high compatibility with the empirical data. In the modified model, organizational climate, professional self-concepts and person-organization fit were found to have significant effects on hospital nurses' organizational commitment. Professional self-concepts, personality, person-organization fit and person-job fit significantly affected hospital nurses' turnover intention. There was the mediating effect of person-organization fit between organizational commitment and turnover intention and factors affecting the relationship. But person-job fit was not found to have a mediating effect. Organizational commitment accounted for 49.8% and turnover intention for 39.9% of covariance in these factors.
CONCLUSION
Nursing strategy for enhancing professional self-concepts and person-organizational fit should be planned by nursing managers.

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Factors Influencing Happiness Index of Hospital Nurses
Moon Hee Nam, Young Chae Kwon
J Korean Acad Nurs Adm 2013;19(3):329-339.   Published online June 30, 2013
DOI: https://doi.org/10.11111/jkana.2013.19.3.329
Retraction in: J Korean Acad Nurs Adm 2015;21(5):587
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