Purpose
Hemodialysis units require a highly specialized nursing workforce, and frequent nurse turnover may compromise continuity of care and patient safety. This study aimed to identify factors associated with turnover intention among hemodialysis nurses using Price’s causal model of turnover. Methods: A model-testing design was used. Data were collected from 180 hemodialysis nurses in three metropolitan cities using structured questionnaires that measured job stress, social support, job satisfaction, and turnover intention. Descriptive statistics were analyzed using IBM SPSS version 27.0, and path analysis was conducted using IBM SPSS AMOS version 26.0. Results: Turnover intention was significantly lower among nurses aged 40 years or older, those with at least 20 years of clinical experience, those with at least 10 years of hemodialysis-unit experience, and those with an adaptation period longer than 90 days. Job stress showed a significant direct path to turnover intention (β=.38, p<.001). Social support showed significant direct paths to job satisfaction (β=.64, p<.001) and turnover intention (β=–.42, p<.001), as well as a significant indirect path to turnover intention through job satisfaction (β=–.19, p=.028). The model explained 39.7% of the variance in turnover intention. Conclusion: Strategies to reduce job stress and strengthen social support may help reduce turnover intention and support the retention of experienced hemodialysis nurses.

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.

Citations

• Effects of Job Satisfaction, Job Stress, and Social Support on the Turnover Intention of Employed Pharmacists Working in Community Pharmacies
  Kwang Mo Yang, Yun Jeong Lee
  Korean Journal of Clinical Pharmacy.2026; 36(1): 43.     CrossRef

PURPOSE
The present study was conducted to determine the influence of social support on the relationship between emotional labor and nursing performance of general hospital nurses.
METHODS
Data collection was conducted at three general hospitals in Jeollabuk-do from August 10 to 25, 2017. Collected questionnaires (188 nurses) were analyzed based on percentages, means, SD, t-test, ANOVA, Scheffé, Pearson correlation analysis, and moderated regression analysis using SPSS Statistics 24.0 software.
RESULTS
Social support was found to moderate the influence of nurses' emotional labor on nursing performance. That is, high level of social support can reduce the negative effect of emotional labor on nursing performance.
CONCLUSION
Based on findings in the present study, it can be said that establishing positive organizational culture through harmonious social support at the work site is necessary to improve nursing performance. In addition, measures to effectively improve social support need to be explored and practiced at the work site. Efforts should be made to come up with strategies to properly cope with and overcome emotional labor. The results of this study suggest the scope for further research to identify additional variables that moderate or mediate the relationship between emotional labor and nursing performance.

Citations

• The Influence of Socio-Cognitive Mindfulness, Job Stress and Social Support on Turnover Intention in General Hospital Nurses
  Chun Ha Kim, Mikyoung Lee
  Journal of Korean Academy of Nursing Administration.2025; 31(2): 155.     CrossRef
• Factors Influencing Organizational Socialization in New Nurses: A Focus on Job Stress, Resilience, and Nursing Performance
  Kyungok Park, Yeoungsuk Song
  Journal of Korean Academy of Fundamentals of Nursing.2025; 32(1): 118.     CrossRef
• A Structural Equation Model of Nurses' Happiness
  Soo Ji Lee, Mi-Jung Kang
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2025; 34(4): 515.     CrossRef
• Effects of Job Stress, Social Support, and Infection Control Fatigue on Professional Quality of Life among Nurses in Designated COVID-19 Hospitals
  Minyoung Shin, Woojoung Joung
  Journal of Korean Academy of Nursing Administration.2023; 29(5): 603.     CrossRef
• Factors Influencing Nurses’ Job Performance in Korea and Mongolia: A Cross-Sectional Study
  Zolzaya Bayarsaikhan, YunHee Shin
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 404.     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
• Emotional Labor Is Associated With the Mental Health of Respiratory Therapists in Hospitals
  Yu-Hua Yan, Chih-Ming Kung, Shu-Chen Hsing
  Respiratory Care.2021; 66(1): 50.     CrossRef
• The Experience of Emotional Labor and Its Related Factors among Nurses in General Hospital Settings in Republic of Korea: A Systematic Review and Meta-Analysis
  Da-Jung Ha, Jung-Hyun Park, Su-Eun Jung, Boram Lee, Myo-Sung Kim, Kyo-Lin Sim, Yung-Hyun Choi, Chan-Young Kwon
  Sustainability.2021; 13(21): 11634.     CrossRef
• The influence of social support and health promotion behaviors on nursing work performance among nurses
  Eunbi Choi, Kyung Hee Yoo
  The Journal of Korean Academic Society of Nursing Education.2021; 27(3): 333.     CrossRef