• KANAD
  • Contact us
  • E-Submission
ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS

Articles

Original Article

Factors Influencing Nurse Turnover Intention in Small and Medium Sized Hospitals in the Metropolitan Area

Journal of Korean Academy of Nursing Administration 2014;20(5):576-586.
Published online: December 31, 2014

1Seodaemun-Gu Health Center, Local Health Division, Korea.

2Division of Nursing, Hallym University, Korea.

Corresponding author: Kang, Kyeong Hwa. Division of Nursing, Hallym University, 39 Hallymdaehak-gil, Chuncheon 200-702, Korea. Tel: +82-33-248-2716, Fax: +82-33-248-2734, kkh05@hallym.ac.kr
• Received: October 15, 2014   • Revised: December 13, 2014   • Accepted: December 16, 2014

Copyright © 2014 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.

  • 27 Views
  • 0 Download
  • 6 Crossref
prev next
  • 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.
  • 1. Jeong EJ, Chae GS, Noh WJ, Park MM, Cho UY, Kim HJ. A Survey on hospital nursing staffing. Business report for Hospital Nurses Association. Seoul: Hospital Nurses Association; 2013.
  • 2. Kim YM, Jeon KJ, Kim JY. Analysis of trends in hospital nursing staffing and working conditions. Business Report for Hospital Nurses Association. Seoul: Hospital Nurses Association; 2011.
  • 3. Center for Health and Social Change. The changing structure for quality improvement of health services in hospital-focused on nursing workforce. Seoul: The Korean Public Service Workers Union; 2008.
  • 4. Lee YT, Kim JD, Lee TH, Kang DW, Park JA. A Survey on the demand and supply of nursing workforce and the grade system of nursing management fee. Seoul: Korea Health Industry Development Institute; 2008.
  • 5. Han YH, Sohn IS, Park KO, Kang KH. The relationships between Professionalism, Job involvement, organizational commitment and turnover intention among clinical nurses. J Korean Clin Nurs Res. 2010;16(2):17-31.
  • 6. Nam MH, Kwon YC. The relationship between better life index, nursing performance and intents to leave among hospital nurses. J Digit Converg. 2012;10(9):417-427.
  • 7. Jeong JH, Kim JS, Kim KH. The risk factors influencing turnover intention of nurses. J Korean Acad Nurs Adm. 2008;14(1):35-44.
  • 8. Yoo SJ, Choi YH. Predictive factors influencing turnover intention of nurses in small and medium-sized hospitals in Daegu city. J Korean Acad Nurs Adm. 2009;15(1):16-25.
  • 9. Kang KN. Factors influencing turnover intention of nurses in small-medium sized hospitals. J Korean Acad Nurs Adm. 2012;18(2):155-165.
  • 10. 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. http://dx.doi.org/10.11111/jkana.2012.18.4.414
  • 11. Kim SM, No YJ, Kim JL, Park JS. A study on expand jobs and improve working condition in health care in health and medical industry. Seoul: Economic and Social Development Commission; 2010.
  • 12. Lee TW, Kang KH, Ko YK, Cho SH, Kim EY. Issues and Challenges of Nurse Workforce Policy: A Critical Review and Implication. J Korean Acad Nurs Adm. 2014;20(1):106-116. http://dx.doi.org/10.11111/jkana.2014.20.1.106
  • 13. Baek HC, Kim-Godwin YS, Yeoun S. Translation and validation of Korean version of Hall's professionalism inventory. J Korean Acad Nurs Adm. 2007;13(4):509-515.
  • 14. Lee MH. Role Stress, Organizational commitment and job involvement in clinical nurses. J Nurs Acad Soc. 1996;26(2):467-482.
  • 15. Kanungo RN. Measurement of job and work involvement. J Appl Psychol. 1982;67(3):341-349.
  • 16. Mowday RT, Steers RM, Poter LW. The measurement of organizational commitment. J Vocat Behav. 1979;14:224-247.
  • 17. Cho EH, Choi MN, Kim EY, Yoo IY, Lee NJ. 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. Lawler EE. Satisfaction and behavior. In: Hackman JR, Lawler EE, Porter LW, editors. Perspectives on behavior in organizations. 2nd ed. New York: McGraw Hill; 1983. p. 78-87.
  • 19. Park HS. Relationship between perceived nursing care role orientation, job characteristics, and turnover among nurses [master's thesis]. Seoul: Department of Public Health, The Graduate School of Yonsei University; 2002.
  • 20. Oh EH, Chung BY. The effect of empowerment on nursing performance, job satisfaction, organizational commitment, and turnover intention in hospital nurses. J Korean Acad Nurs Adm. 2011;17(4):391-401.
  • 21. Lake ET, Friese CR. Variations in nursing practice environments relation to staffing and hospital characteristics. Nurs Res. 2006;55:1-9.
  • 22. Kim MA, Park KO, You SJ, Kim MJ, Kim ES. A survey of nursing activities in small and medium-size hospitals: reasons for turnover. J Korean Clin Nurs Res. 2009;15(1):149-165.
  • 23. Han SS, Sohn IS, Kim NE. New nurse turnover intention and influencing factors. J Korean Acad Nurs. 2009;39(6):878-887. http://dx.doi.org/10.4040/jkan.2009.39.6.878
  • 24. Lee YS, Jung MS. Relationship of followership to organizational commitment, job satisfaction, turnover intention, and customer orientation in nurses. J Korean Acad Nurs Adm. 2013;19(2):187-195. http://dx.doi.org/10.11111/jkana.2013.19.2.187
  • 25. Kim MR, Seomun GA. Relationships among burnout, job satisfaction, organizational commitment and turnover intention to resign in hospital nurses. Korean J Occup Health Nurs. 2013;22(2):93-101. http://dx.doi.org/10.5807/kjohn.2013.22.2.93
Table 1
Demographic and General Characteristics of Participants (N=209)
jkana-20-576-i001.jpg

Note. Missing responses excluded.

ICU/ER=Intensive care unit/emergency room; Unit: Ten thousand won/month.

Table 2
Degree of Professionalism, Job Involvement, Organizational Commitment, Practice Environment, and Turnover Intention (N=209)
jkana-20-576-i002.jpg
Table 3
Professionalism, Job Involvement, Organizational Commitment, Practice Environment, and Turnover Intention according to General Characteristics of Participants (N=209)
jkana-20-576-i003.jpg

Note. Missing responses excluded.

ICU/ER=Intensive care unit/emergency room; Unit: Ten thousand won/month.

Table 4
Correlation among Professionalism, Job Involvement, Organizational Commitment, Practice Environment, Turnover Intention (N=209)
jkana-20-576-i004.jpg
Table 5
Predictors of Nurses' Turnover Intention (N=209)
jkana-20-576-i005.jpg

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • Effect of an Age-Stratified Working Environment and Hospital Characteristics on Nurse Turnover
      Yoseb Lee, Jeong Lim Kim, So Hee Kim, Jungmi Chae
      Health Insurance Review & Assessment Service Research.2022; 2(1): 106.     CrossRef
    • Nurses’ Night Shift Experience in Small-Medium Sized Psychiatric Hospitals
      Young-Ah Kim, Hee-Jung Kim
      Stress.2020; 28(3): 133.     CrossRef
    • Mediating Effects of Person-environment Fit between Calling and Job Satisfaction of Nurses in Small and Medium Size General Hospitals
      Jaewoo Oh, Sujeong Han
      Journal of Korean Academy of Nursing Administration.2018; 24(5): 365.     CrossRef
    • Predictors of Turnover among New Nurses using Multilevel Survival Analysis
      Suhee Kim, Kyongeun Lee
      Journal of Korean Academy of Nursing.2016; 46(5): 733.     CrossRef
    • Factors Influencing Nurse Turnover Intention of Senior Convalescence Hospitals in the Metropolitan Area
      Youn Sun Hwang, Eunyoung Cho
      Korean Journal of Occupational Health Nursing.2016; 25(3): 156.     CrossRef
    • Effects of Job Participation on Intention to Leave among Physicians Working in Public Health Center
      Hyunjong Song, Hyong Won Cho, Sok-Goo Lee, Hyunkyung Park
      Health Policy and Management.2016; 26(3): 219.     CrossRef

    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:

    Include:

    Factors Influencing Nurse Turnover Intention in Small and Medium Sized Hospitals in the Metropolitan Area
    J Korean Acad Nurs Adm. 2014;20(5):576-586.   Published online December 31, 2014
    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
    Factors Influencing Nurse Turnover Intention in Small and Medium Sized Hospitals in the Metropolitan Area
    J Korean Acad Nurs Adm. 2014;20(5):576-586.   Published online December 31, 2014
    Close
    Factors Influencing Nurse Turnover Intention in Small and Medium Sized Hospitals in the Metropolitan Area
    Factors Influencing Nurse Turnover Intention in Small and Medium Sized Hospitals in the Metropolitan Area

    Demographic and General Characteristics of Participants (N=209)

    Note. Missing responses excluded.

    ICU/ER=Intensive care unit/emergency room; Unit: Ten thousand won/month.

    Degree of Professionalism, Job Involvement, Organizational Commitment, Practice Environment, and Turnover Intention (N=209)

    Professionalism, Job Involvement, Organizational Commitment, Practice Environment, and Turnover Intention according to General Characteristics of Participants (N=209)

    Note. Missing responses excluded.

    ICU/ER=Intensive care unit/emergency room; Unit: Ten thousand won/month.

    Correlation among Professionalism, Job Involvement, Organizational Commitment, Practice Environment, Turnover Intention (N=209)

    Predictors of Nurses' Turnover Intention (N=209)

    Table 1 Demographic and General Characteristics of Participants (N=209)

    Note. Missing responses excluded.

    ICU/ER=Intensive care unit/emergency room; Unit: Ten thousand won/month.

    Table 2 Degree of Professionalism, Job Involvement, Organizational Commitment, Practice Environment, and Turnover Intention (N=209)

    Table 3 Professionalism, Job Involvement, Organizational Commitment, Practice Environment, and Turnover Intention according to General Characteristics of Participants (N=209)

    Note. Missing responses excluded.

    ICU/ER=Intensive care unit/emergency room; Unit: Ten thousand won/month.

    Table 4 Correlation among Professionalism, Job Involvement, Organizational Commitment, Practice Environment, Turnover Intention (N=209)

    Table 5 Predictors of Nurses' Turnover Intention (N=209)

    TOP