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Original Article

Factors Influencing Turnover Intention of Nurses in Small-medium sized Hospitals

Journal of Korean Academy of Nursing Administration 2012;18(2):155-165.
Published online: June 30, 2012

1Full-time lecturer, Department of Nursing, Masan University, Korea.

Correspondence: Kang, Ki No. Department of Nursing, Masan University 630-729, Masan University, Naeseo-eup, MasanHoiwon-gu, Changwon-si, Korea. Tel: 82-55-230-1194, Fax: 82-55-230-1441, kinokang@masan.ac.kr
• Received: April 13, 2011   • Revised: March 3, 2012   • Accepted: April 5, 2012

Copyright © 2012 Korean Academy of Nursing Administration

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  • Purpose
    This study was done to examine the relationships among practice environment, nursing professionalism, career commitment, and turnover intention in nurses working in small-medium sized hospitals.
  • Method
    This study utilized a descriptive correlational design. Data were collected using structured questionnaires from 362 nurses in 7 small-medium sized hospitals and analyzed with SPSS 18.0.
  • Result
    The mean scores for practice environment, nursing professionalism, career commitment, and turnover intention were 2.29 on a 4-point scale and 3.13, 2.78, 3.51 on a 5-point scale, respectively. The practice environment showed significantly positive correlations with nursing professionalism and career commitment. Nursing professionalism showed a significantly positive correlation with career commitment. The highest significant negative correlation was between practice environment and turnover intention. Nursing professionalism and career commitment had negative correlations with turnover intention. Factors having significant influence on turnover intention included age, assigned ward, average wage, practice environment, and career commitment. These factors explained 43.0% of variance in turnover intention. Practice environment was identified as the most important variable in explaining turnover intention.
  • Conclusions
    The results of this study demonstrate the necessity of improving the practice environment and increasing nurses' career commitment if turnover intention in small-medium sized hospitals is to be lowered.

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

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Table 1
Demographic and General Characteristics of Participants (N=362)
jkana-18-155-i001.jpg
Table 2
Degree of Practice Environment, Nursing Professionalism, Career Commitment and Turnover Intention (N=362)
jkana-18-155-i002.jpg
Table 3
Practice Environment, Professionalism, Career Commitment, and Turnover Intention according to General Characteristics of Participants (N=362)
jkana-18-155-i003.jpg
Table 4
Relationships among Practice Environment, Nursing Professionalism, Career Commitment and Turnover Intention (N=362)
jkana-18-155-i004.jpg

*p<.05, **p<.01

Table 5
Factors Affecting Turnover Intention of Participants
jkana-18-155-i005.jpg

* = dummy variables

Dummy variables: Marital Status (Single=0, Married=1), Duty to Support Family (Yes=0, No=1), Position (Acting Nurse=0, Charge or Head Nurse=1), Assigned Ward (Artificial Kidney, etc.=0, Internal Medicine, Surgery, ICU, O.R., Anesthesiology, E.R., Obstetrics and Gynecology, Child, Outpatient=1, or Artificial Kidney=0, Other Units=1).

Figure & Data

References

    Citations

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    Factors Influencing Turnover Intention of Nurses in Small-medium sized Hospitals
    Factors Influencing Turnover Intention of Nurses in Small-medium sized Hospitals

    Demographic and General Characteristics of Participants (N=362)

    Degree of Practice Environment, Nursing Professionalism, Career Commitment and Turnover Intention (N=362)

    Practice Environment, Professionalism, Career Commitment, and Turnover Intention according to General Characteristics of Participants (N=362)

    Relationships among Practice Environment, Nursing Professionalism, Career Commitment and Turnover Intention (N=362)

    *p<.05, **p<.01

    Factors Affecting Turnover Intention of Participants

    * = dummy variables

    Dummy variables: Marital Status (Single=0, Married=1), Duty to Support Family (Yes=0, No=1), Position (Acting Nurse=0, Charge or Head Nurse=1), Assigned Ward (Artificial Kidney, etc.=0, Internal Medicine, Surgery, ICU, O.R., Anesthesiology, E.R., Obstetrics and Gynecology, Child, Outpatient=1, or Artificial Kidney=0, Other Units=1).

    Table 1 Demographic and General Characteristics of Participants (N=362)

    Table 2 Degree of Practice Environment, Nursing Professionalism, Career Commitment and Turnover Intention (N=362)

    Table 3 Practice Environment, Professionalism, Career Commitment, and Turnover Intention according to General Characteristics of Participants (N=362)

    Table 4 Relationships among Practice Environment, Nursing Professionalism, Career Commitment and Turnover Intention (N=362)

    *p<.05, **p<.01

    Table 5 Factors Affecting Turnover Intention of Participants

    * = dummy variables

    Dummy variables: Marital Status (Single=0, Married=1), Duty to Support Family (Yes=0, No=1), Position (Acting Nurse=0, Charge or Head Nurse=1), Assigned Ward (Artificial Kidney, etc.=0, Internal Medicine, Surgery, ICU, O.R., Anesthesiology, E.R., Obstetrics and Gynecology, Child, Outpatient=1, or Artificial Kidney=0, Other Units=1).

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