Relationships among Nursing Work Environment, Job Embeddedness, and Turnover Intention in Nurses

Hae Jin Ko; Jeong-Hee Kim

doi:10.11111/jkana.2016.22.3.279

Articles

Page Path

Original Article

Relationships among Nursing Work Environment, Job Embeddedness, and Turnover Intention in Nurses

Hae Jin Ko¹, Jeong-Hee Kim²

Journal of Korean Academy of Nursing Administration 2016;22(3):279-291.
Published online: June 30, 2016

DOI: https://doi.org/10.11111/jkana.2016.22.3.279

¹Jeju Hanmaum Hospital, Korea.

²College of Nursing, Jeju National University, Korea.

Corresponding author: Kim, Jeong-Hee. College of Nursing, Jeju National University, 102 Jejudaehak-no, Jeju 63243, Korea. Tel: +82-64-754-3884, Fax: +82-64-702-2686, snukjh@jejunu.ac.kr

• Received: April 19, 2016 • Revised: May 30, 2016 • Accepted: May 30, 2016

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

25 Views
2 Download
17 Crossref

prev next

Full Article

Download PDF

Abstract
Article Information
REFERENCES

Abstract

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.
Key Words: Nurses; Work environment; Job; Embeddedness; Turnover intention

Article Information

This article is based on a part of the first author's master's thesis from Jeju National University.

REFERENCES

1. Korean Hospital Nurses Association. Hospital nurses staffing state survey 2013 [Internet]. Seoul, Korean Hospital Nurses Association. 2014;cited 2015 October 30. Available from: http://khna.or.kr/bbs/bbs/board.php?bo_table=board1&wr_id=7954&page=2
2. Kang KN. Factors influencing turnover intention of nurses in small-medium sized hospitals. J Korean Acad Nurs Adm. 2012;18(2):155-165.
Article
3. Jeong BJ, Kim HS, Hwang SK, Park JH, Song SK, Jeong MY, et al. A study on the according to the nursing shortage of job satisfaction and turnover intention of nurses. Korean J Health Serv Manag. 2011;15(1):15-29.
Article
4. Christmas K. How work environment impacts retention. Nurs Econ. 2008;26(5):316-318.
5. Kim JK, Kim MJ, Kim SY, Yu M, Lee KA. Effects of general hospital nurses' work environment on job embeddedness and burnout. J Korean Acad Nurs Adm. 2014;20(1):69-81.
Article
6. Aiken LH, Clarke SP, Sloane DM, Lake ET, Cheney T. Effect of hospital care environment patient mortality and nurse outcomes. J Nurs Adm. 2008;38(5):223-229.
7. Lake ET. Development of the practice environment scale of the nursing work index. Res Nurs Health. 2002;25:176-188.
Article
8. Kelly LA, McHugh MD, Aiken LH. Nurse Outcomes in Magnet? and Non-Magnet Hospitals. J Nurs Adm. 2011;41(10):428-433.
Article
9. Lake ET, Friese CR. Variations in nursing practice environments relation to staffing and hospital characteristics. Nurs Res. 2006;55(1):1-9.
10. Kim EH, Lee EJ, Choi HJ. Mediation effect of organizational citizenship behavior between job embeddedness and turnover intention in hospital nurses. J Korean Acad Nurs Adm. 2012;18(4):394-401.
Article
11. Lee JH, Shin KH, Baeck SG, Heo CG. The effectiveness of job embeddedness in turnover studies. Korean J Ind Organ Psychol. 2014;27(4):743-782.
Article
PDF
12. Griffeth RW, Hom PW, Gaertner S. A Meta-analysis of antecedents and correlates of employee turnover, update, moderator tests, and research implications for the next millennium. J Manag. 2000;26(3):463-488.
Article
13. Mitchell TR, Holtom BC, Lee TW, Sablynski CJ, Erez M. Why people stay: using job embeddeness to predict voluntary turnover. Acad Manag J. 2001;4(6):1102-1121.
14. Kwon JO, Kim EY. Impact of unit-level nurse practice environment on nurse turnover intention in the small and medium sized hospitals. J Korean Acad Nurs Adm. 2012;18(4):414-423.
Article
15. Korean Small & Medium Hospital Association & Korean Health Industry Development Institute. A survey on the demand and supply on nurse staffing and nurse staffing grades. J Korean Hosp Assoc. 2008;37(2):65-73.
16. Moon SJ, Han SS. A predictive model on turnover intention of nurses in Korea. J Korean Acad Nurs. 2011;41(5):633-641.
Article
17. Cho E, Choi M, Kim E, Yoo IY, Lee N. Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. J Korean Acad Nurs. 2011;41(3):325-332.
18. Tang WY. A study on the effects of job embeddedness on turnover intention and organizational citizenship behavior [master thesis]. Daejeon: Chungnam National University; 2008.
19. Ko SH. Employment, work environment, & the policy implication of Jeju: focusing on report on the social survey in 2011 (JDI Focus 145). Jeju: Jeju Development Institute; 2012.
20. Hwang K. Effect of social capital on Goendang culture (a traditional community culture on Jeju) and local development. J Korea Acad Ind Coop Soc. 2015;16(3):1764-1772.
Article
21. Kim YS. Influence of job embeddedness on turnover intention of nurses in small and medium sized general hospitals [master thesis]. Muan: Mokpo National University; 2014.
22. Becker TE. Foci and bases of commitment: Are they distinctions worth making? Acad Manag J. 1992;35:232-244.
Article
23. Kim JK. Relationships of emotional labor to job satisfaction and intent to turnover among staff nurses at small & mediumsized hospitals [master thesis]. Busan: Catholic University of Pusan; 2012.
24. Kim JH, Park EO. The effect of job-stress and self-efficacy on depression of clinical nurses. Korean J Occup Health Nurs. 2012;21(2):134-144.
Article
25. Ham EO. A study on the current status of nursing personnel in Cheju Island. J Korean Acad Rural Health Nurs. 2009;5(1):25-32.
26. Lee MH, Kim JK. A comparative study on nursing practice environment, professionalism, and job satisfaction according to hospital size. J Korean Acad Nurs Adm. 2013;19(4):470-479.
Article
27. Holtom BC, O'Neill BS. Job embeddedness: A theoretical foundation for developing a comprehensive nurse retention plan. J Nurs Adm. 2004;34(5):216-227.
28. Son SY, Choi JS. Effect of job embeddedness and job satisfaction on turnover intention in nurses. Korean J Adult Nurs. 2015;27(2):180-187.
Article
PDF
29. Kim KY, Lee DM. The effect of reward system on embeddedness and turnover intention. Ordo Econ J. 2013;16(4):177-195.
30. Gardner JK, Fogg L, Thomas-Hawkins C, Carolyn EL. The relationships between nurses' perception of the hemodialysis unit work environment and nurse turnover, patient satisfaction, and hospitalizations. Nephrol Nurs J. 2007;34(3):271-281. quiz 282.

Table 1

General and Job-related Characteristics of the Participants (N=177)

^*Excluding no responses; OBGY/Ped.=Obstetric gynecology & pediatrics; ^†Special unit=Intensive care unit, Emergency room, & Operation room; ^‡Others=Artificial kidney unit & Outpatient department; ^§Only the nurses who experienced turnover (n=67). Range=1~5 times.

Table 2

Levels of Nursing Work Environment, Job Embeddedness, and Turnover Intention (N=177)

^*Multiple responses; n=number of responses.

Table 3

Differences in Turnover Intention according to General and Job-related Characteristics of the Participants (N=177)

^*Intensive care unit, Emergency room, & Operation room; ^†Artificial kidney unit & outpatient department; OBGY/Ped.=Obstetric gynecology & pediatrics.

Table 4

Correlations among Nursing Work Environment, Job Embeddedness, and Turnover Intention (N=177)

r (p) between NWE total and JE total=.62 (<.001); r (p) between Turnover intention and NWE total=-.27 (<.001); r (p) between Turnover intention and JE total=-.43 (<.001); NWE-P=Nurse participation in hospital affairs; NWE-F=Nursing foundation for quality of care; NWE-M=Nurse manager ability, leadership & support of nurses; NWE-S=Staffing & resource adequacy; NWE-R=Collegial nurse-physician relation; O-F=Organization fit; O-S=Organization sacrifice; O-L=Organization link; C-F=Community fit; C-S=Community sacrifice; C-L=Community link.

Table 5

Factors Influencing the Participants' Turnover Intention (N=177)

Dummy variable=Marital status (not married=0); Age (≥40 yr=0); Clinical experience (≥10 yr=0); Clinical experience in current hospital (≥10 yr=0).

Figure & Data

References

Citations

Citations to this article as recorded by

The relationship between implicit absenteeism and grit and compassion fatigue in female neonatal nurses
Xushu Chen, Xiaowen Li, Shulin Hou, Ru Yang, Zeyao Shi
Frontiers in Public Health.2025;[Epub] CrossRef
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
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
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
Journal of Korean Academy of Nursing Administration.2024; 30(5): 451. 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 Impacting on Nurse Unit Managers’ Knowledge and Ability Importance of Managerial Competencies
Jihae Lee, Miyoung Kim
Journal of Korean Academy of Nursing Administration.2024; 30(4): 428. CrossRef
Effects of Fatigue, Nursing Professionalism, and Nursing Work Environment on Nursing Intention for COVID-19 Patients among Nurses in a Designated COVID-19 Hospital
Hyeon Jeong Park, Mi Yu
Journal of Korean Academy of Nursing Administration.2023; 29(3): 223. CrossRef
Impact of Role Conflict, Nursing Organizational Culture, and Nurse-Physician Collaboration on Job Embeddedness of Intensive Care Unit Nurses
Young Eun Jin, Yun Mi Lee, Hyo Jin Park
Journal of Korean Critical Care Nursing.2023; 16(1): 15. 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
Influence of Ethical Leadership of Nursing Unit Managers on Job Embeddedness of Staff Nurses: Focusing on Mediating Effect of Trust in Supervisor
Sunmi Kim, Seohee Jeong, Seok Hee Jeong, Myung Ha Lee
Journal of Korean Academy of Nursing Administration.2021; 27(1): 21. CrossRef
The moderating effect of resilience in the relationship between traumatic event experience and turnover intention of nurses in intensive care units
Da Woon Jeong, Soukyoung Kim
The Journal of Korean Academic Society of Nursing Education.2021; 27(4): 447. CrossRef
Predicting manufacturing employee turnover intentions
Angie R. Skelton, Deborah Nattress, Rocky J. Dwyer
Journal of Economics, Finance and Administrative Science.2020; 25(49): 101. 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 Job Embeddedness, Nursing Work Environment, and Nursing Professionalism on Turnover Intention in Nurses Working at Rehabilitation Hospitals
Kyung Mi Kim, Sook Young Kim, Hyenam Hwang, Hye Min Hwang, Hyoeun Kim, Eun Sun Lim
The Korean Journal of Rehabilitation Nursing.2019; 22(2): 134. CrossRef
Influence of Nurse Manager and Peer Group Caring Behaviors as Perceived by Nurses on Intention to Retention
Moon Yeon Kong, Jeong-Hee Kim
Journal of Korean Academy of Nursing Administration.2017; 23(2): 191. CrossRef
Influences of Fatigue, Emotional Labor and Job Embeddedness on Nurses Turnover Intention
Yo-Na Kim
The Korean Journal of Health Service Management.2017; 11(1): 67. CrossRef

Cite

CITE

export

Copy Download

Format
XML Download

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

Relationships among Nursing Work Environment, Job Embeddedness, and Turnover Intention in Nurses

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

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

Relationships among Nursing Work Environment, Job Embeddedness, and Turnover Intention in Nurses

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

Relationships among Nursing Work Environment, Job Embeddedness, and Turnover Intention in Nurses

Table 1

General and Job-related Characteristics of the Participants (N=177)

Table 2

Levels of Nursing Work Environment, Job Embeddedness, and Turnover Intention (N=177)

^*Multiple responses; n=number of responses.

Table 3

Differences in Turnover Intention according to General and Job-related Characteristics of the Participants (N=177)

^*Intensive care unit, Emergency room, & Operation room; ^†Artificial kidney unit & outpatient department; OBGY/Ped.=Obstetric gynecology & pediatrics.

Table 4

Correlations among Nursing Work Environment, Job Embeddedness, and Turnover Intention (N=177)

Table 5

Factors Influencing the Participants' Turnover Intention (N=177)

Dummy variable=Marital status (not married=0); Age (≥40 yr=0); Clinical experience (≥10 yr=0); Clinical experience in current hospital (≥10 yr=0).

Table 1 General and Job-related Characteristics of the Participants (N=177)

Table 2 Levels of Nursing Work Environment, Job Embeddedness, and Turnover Intention (N=177)

^*Multiple responses; n=number of responses.

Table 3 Differences in Turnover Intention according to General and Job-related Characteristics of the Participants (N=177)

^*Intensive care unit, Emergency room, & Operation room; ^†Artificial kidney unit & outpatient department; OBGY/Ped.=Obstetric gynecology & pediatrics.

Table 4 Correlations among Nursing Work Environment, Job Embeddedness, and Turnover Intention (N=177)

Table 5 Factors Influencing the Participants' Turnover Intention (N=177)

Dummy variable=Marital status (not married=0); Age (≥40 yr=0); Clinical experience (≥10 yr=0); Clinical experience in current hospital (≥10 yr=0).

Articles

Page Path

Relationships among Nursing Work Environment, Job Embeddedness, and Turnover Intention in Nurses

Full Article

Abstract

Article Information

REFERENCES

General and Job-related Characteristics of the Participants (N=177)

Levels of Nursing Work Environment, Job Embeddedness, and Turnover Intention (N=177)

Differences in Turnover Intention according to General and Job-related Characteristics of the Participants (N=177)

Correlations among Nursing Work Environment, Job Embeddedness, and Turnover Intention (N=177)

Factors Influencing the Participants' Turnover Intention (N=177)

Figure & Data

References

Citations

CITE

Download Citation

Format:

Include:

Related articles

General and Job-related Characteristics of the Participants (N=177)

Levels of Nursing Work Environment, Job Embeddedness, and Turnover Intention (N=177)

Differences in Turnover Intention according to General and Job-related Characteristics of the Participants (N=177)

Correlations among Nursing Work Environment, Job Embeddedness, and Turnover Intention (N=177)

Factors Influencing the Participants' Turnover Intention (N=177)

Table 1

Table 2

Table 3

Table 4

Table 5

ABOUT

BROWSE ARTICLES

EDITORIAL POLICY

FOR CONTRIBUTORS