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Original Article

The Relationship of Post-traumatic Stress, Job Stress and Turnover Intention in Emergency Department Nurses

Jeong Won Han1, Byoungsook Lee2
Journal of Korean Academy of Nursing Administration 2013;19(3):340-350.
Published online: June 30, 2013

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Corresponding author: Lee, Byoung Sook. College of Nursing, Keimyung University, 1095 Dalgubeol-daero, Daegu 704-701, Korea. Tel: +82-53-580-3908, Fax: +82-53-580-3916, lbs@kmu.ac.kr
• Received: January 29, 2013   • Revised: March 29, 2013   • Accepted: April 27, 2013

Copyright © 2013 Korean Academy of Nursing Administration

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  • Purpose
    This study was done to identify relationships among post-traumatic stress (PTS), job stress and turnover intention in emergency department (ED) nurses.
  • Methods
    Participants were 250 ED nurses who had worked for one month or longer in the ED one of three university hospitals or seven general hospitals in Daegu City or Gyeong Buk Province in Korea. Structured questionnaires were used to measure PTS, job stress, and turnover intention of participants. Data were analyzed using descriptive statistics, one-way ANOVA, path analysis, and stepwise multiple regression with the SPSS program.
  • Results
    There were significant relationships between PTS, job stress and turnover intention. PTS influenced turnover intention directly and was indirectly mediated by job stress. The experience of traumatic events influenced PTS, job stress, and turnover intention. Indirect experience of traumatic events in the ED was an important predictor, explaining 20.1% of PTS in high-risk post-traumatic participants.
  • Conclusion
    PTS can be an important factor for job stress and turnover intention. The direct and indirect experience of traumatic events can influence PTS, job stress, and turnover intention in ED nurses. Based on these results, strategies for managing PTS and relating job stress are recommended to reduce turnover intention in ED nurses.
  • Key Words: Emergencies; Nurses; Post-traumatic stress disorders

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

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Table 1
General Characteristics and Job-related Characteristics (N=250)
jkana-19-340-i001.jpg

ED=emergency department.

Table 2
Characteristics of Participants according to the Post-traumatic Stress, Job Stress and Turnover Intention (N=250)
jkana-19-340-i002.jpg

ED=Emergency department.

Table 3
Post-traumatic Stress, Job Stress, and Turnover Intention (N=250)
jkana-19-340-i003.jpg

PTS=post-traumatic stress.

Table 4
Predictors of Post-traumatic Stress, Job Stress, Turnover Intention (N=250)
jkana-19-340-i004.jpg

ED=emergency department.

*p<.05; **p<.001.

Table 5
Predictors of Turnover Intention in Participants with High-risk of Post-traumatic Stress (N=51)
jkana-19-340-i005.jpg

ED=emergency department.

*p<.05; **p<.001.

Figure & Data

References

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    J Korean Acad Nurs Adm. 2013;19(3):340-350.   Published online June 30, 2013
    DOI: https://doi.org/10.11111/jkana.2013.19.3.340
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    The Relationship of Post-traumatic Stress, Job Stress and Turnover Intention in Emergency Department Nurses
    J Korean Acad Nurs Adm. 2013;19(3):340-350.   Published online June 30, 2013
    DOI: https://doi.org/10.11111/jkana.2013.19.3.340
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    The Relationship of Post-traumatic Stress, Job Stress and Turnover Intention in Emergency Department Nurses
    The Relationship of Post-traumatic Stress, Job Stress and Turnover Intention in Emergency Department Nurses

    General Characteristics and Job-related Characteristics (N=250)

    ED=emergency department.

    Characteristics of Participants according to the Post-traumatic Stress, Job Stress and Turnover Intention (N=250)

    ED=Emergency department.

    Post-traumatic Stress, Job Stress, and Turnover Intention (N=250)

    PTS=post-traumatic stress.

    Predictors of Post-traumatic Stress, Job Stress, Turnover Intention (N=250)

    ED=emergency department.

    *p<.05; **p<.001.

    Predictors of Turnover Intention in Participants with High-risk of Post-traumatic Stress (N=51)

    ED=emergency department.

    *p<.05; **p<.001.
    Table 1 General Characteristics and Job-related Characteristics (N=250)

    ED=emergency department.

    Table 2 Characteristics of Participants according to the Post-traumatic Stress, Job Stress and Turnover Intention (N=250)

    ED=Emergency department.

    Table 3 Post-traumatic Stress, Job Stress, and Turnover Intention (N=250)

    PTS=post-traumatic stress.

    Table 4 Predictors of Post-traumatic Stress, Job Stress, Turnover Intention (N=250)

    ED=emergency department.

    *p<.05; **p<.001.

    Table 5 Predictors of Turnover Intention in Participants with High-risk of Post-traumatic Stress (N=51)

    ED=emergency department.

    *p<.05; **p<.001.

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

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