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Original Article

Perceptions on Fixed Night Shift System and Turnover Intention of General Hospital Nurses

Journal of Korean Academy of Nursing Administration 2015;21(5):519-529.
Published online: December 31, 2015

1Department of Nursing, Dongguk University, Korea.

2Department of Nursing, Dongguk University Ilsan Hospital, Korea.

Corresponding author: Lee, Mi-Aie. Department of Nursing, Dongguk University, 123 Dongdae-ro, Gyeongju 780-714, Korea. Tel: +82-54-770-2620, Fax: +82-54-770-2616, juliet@dongguk.ac.kr
• Received: August 26, 2015   • Revised: September 20, 2015   • Accepted: October 13, 2015

Copyright © 2015 Korean Academy of Nursing Administration

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.

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  • 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.
  • 1. Lee KJ, Kim MR, Lee AS, Lee JH, Jang YH, Jung MS. Study on development work form for improving nurse working conditions. Seoul: Hosp Nurses Assoc; 2006.
  • 2. Saksvil IB, Bjorvatn B, Hetland H, Sandal GM, Pallesen S. Individual differences in tolerance to shift work - a systematic review. Sleep Med Rev. 2011;15:221-235.
  • 3. Yoon JS, Kook SH, Lee HY, Sin IS, Kim AJ. Sleep pattern, job satisfaction and quality of life in nurses on rotating shift and daytime fixed work schedules. J Korean Neuropsychiatr Assoc. 1999;38(4):713-722.
  • 4. Alward RR, Monk TH. A comparison of rotating-shift and permanent night nurses. Int J Nurs Studies. 1990;27(3):297-302.
  • 5. Kim HJ, Han YM, Sung MH. A study of health status and job satisfaction of nurses on day shift and nurses on night shift. J Korean Acad Nurs Adm. 2007;13(1):32-39.
  • 6. Park HJ. A study on the working condition improvements and main factor analysis attain to nurse's recognition for night shift of nurse's shift work [dissertation]. Seoul: Hanyang University; 2004.
  • 7. Barton J. Choosing to work at night: A moderating influence on individual tolerance to shift work. J Appl Psychol. 1994;79(3):449-454.
  • 8. Jang SY. Comparison of life quality, burn-out and job satisfaction between fixed night nurses and three rotating shift nurses [master's thesis]. Seoul: Kyung Hee University; 2010.
  • 9. Eun SA. Analysis of influencing factors related with job change of the nurses changed their job [master's thesis]. Seoul: Kyung Hee University; 2011.
  • 10. Kim YH, Cho GY, Yang YO. An action research study on flexible shift of nurses. J Korean Acad Nurs Adm. 2005;11(3):275-288.
  • 11. Jeong EJ, Chae GS, Noh WJ, Park MM, Cho UY, Kim HJ. A survey on hospital nursing staffing (2013). Business report for Hospital Nurses Association. Seoul: Hospital Nurses Association; 2013.
  • 12. Choi SO. Development of new organizational socialization nurse using a system dynamics model [master's thesis]. Seoul: Ewha Womans University; 2004.
  • 13. Hayes LJ, O'Brien-Pallas L, Duffield C, Shamian J, Buchan J, Hughes F, et al. Nurse turnover: A literature review. Int J Nurs Studies. 2006;43(2):237-263.
  • 14. Moon SJ, Han SS. A predictive model on turnover intention of nurses in Korea. J Korean Acad Nurs. 2011;41(5):633-641.
  • 15. Kim SY, Lee MA. Effects of emotional labor and communication competence on turnover intention in nurses. J Korean Acad Nurs Adm. 2014;20(3):332-341.
  • 16. Lee HJ, Lim YJ, Jung HY, Shin YW. Turnover intention of graduate nurses in South Korea. Jpn J Nurs Sci. 2012;9(1):63-75.
  • 17. Geiger-Brown J, Trinkoff AM. Is it time to pull the plug on 12-hours shift?: Part 1. The evidence. J Nurs Adm. 2010;40(3):100-102.
  • 18. O'Brien-Pallas L, Murphy GT, Shamian J, Li X, Hayes LJ. Impact and determinants of nurse turnover: A pan-Canadian study. J Nurs Manag. 2010;18(8):1073-1086.
  • 19. Park YW, Oh KH, Moon KH, Park JS, Jung MA, Sin HK, et al. A study for developing the efficient working pattern for nurses in shift work. Seoul: Korean Hospital Nurses Association; 2012.
  • 20. Korean Hospital Nurses Association.Status of hospital nurse staffing on 2013. Seoul: Korean Hospital Nurses Association; 2014.
  • 21. Lee ES, Kim KO, Song HJ, Lee JS, Kim SY, Lee HS, et al. Comparison of job satisfaction and nursing performance between nurses on fixed nights and nurses on three shifts, and nurses understanding of fixed night shift system. J Korean Clin Nurs Res. 2012;18(1):63-73.
  • 22. Coffey LC, Skipper JK, Jung FD. Nurses and shift work:Effects on job performance and job-related stress. J Adv Nurs. 1988;13(2):245-254.
  • 23. Lee SJ. Comparison of fatigue, job satisfaction and nursing performance between fixed night nurses and rotating shift nurses [master's thesis]. Seoul: Yonsei University; 2001.
  • 24. Kim IS. Work, home job sharing practices incompatible type: Various works in the form of a small hospital nursing staff [Internet]. Seoul, Korea Labor Institute. 2009;cited 2009 May. http://www.kli.re.kr/_FILE/NEW_PUBLICATIONS/cdcea2437090462dea71194c65e7ff23.pdf
  • 25. Yoon KS. Factors affecting the turnover intention of nurses [master's thesis]. Daejeon: Eulji University; 2010.
  • 26. Park YW, Skin HK, Lee HS, Lee HY, Kim EH, Park JS, et al. A study for developing the effective working pattern for nurses in shift work. J Korean Clin Nurs Res. 2013;19(3):333-344.
  • 27. Blunch NJ. Introduction to structural equation modelling using SPSS and AMOS. Los Angeles, CA: Sage; 2008.
  • 28. Kim YH, Young OY. A study for perception and preference on flexible working pattern of nurses in hospital. J Korean Acad Nurs Adm. 2007;13(2):167-175.
  • 29. Rose M. Shift work How does it affect you? Am J Nurs. 1984;84(4):442-447.
Table 1

Differences of Intent to Leave according to General Characteristics of Participants (N=230)

jkana-21-519-i001.jpg
Table 2

Awareness about Fixed Night Shift System (N=230)

jkana-21-519-i002.jpg

*Multiple answered item.

Table 3

Preconditions for Fixed Night Shift System (N=230)

jkana-21-519-i003.jpg

*Multiple answered item.

Table 4

Intent to Leave due to Night Shift (N=230)

jkana-21-519-i004.jpg

Figure & Data

References

    Citations

    Citations to this article as recorded by  
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    Perceptions on Fixed Night Shift System and Turnover Intention of General Hospital Nurses
    J Korean Acad Nurs Adm. 2015;21(5):519-529.   Published online December 31, 2015
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    J Korean Acad Nurs Adm. 2015;21(5):519-529.   Published online December 31, 2015
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    Perceptions on Fixed Night Shift System and Turnover Intention of General Hospital Nurses
    Perceptions on Fixed Night Shift System and Turnover Intention of General Hospital Nurses

    Differences of Intent to Leave according to General Characteristics of Participants (N=230)

    Awareness about Fixed Night Shift System (N=230)

    *Multiple answered item.

    Preconditions for Fixed Night Shift System (N=230)

    *Multiple answered item.

    Intent to Leave due to Night Shift (N=230)

    Table 1 Differences of Intent to Leave according to General Characteristics of Participants (N=230)

    Table 2 Awareness about Fixed Night Shift System (N=230)

    *Multiple answered item.

    Table 3 Preconditions for Fixed Night Shift System (N=230)

    *Multiple answered item.

    Table 4 Intent to Leave due to Night Shift (N=230)

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