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Original Article

Work Stress, Turnover Intention and Burnout among Nurses in Neonatal Intensive Care Units

Mi Yu1
Journal of Korean Academy of Nursing Administration 2011;17(1):115-126.
Published online: March 31, 2011

1Full Time Instructor, Department of Nursing, Namseoul University, Korea.

Correspondence: Yu, Mi. Department of Nursing, Namseoul University 21 Maeju-ri, Seonghwan-eup, Seobuk-gu, Cheonan-city, Choongnam 330-707, Korea. Tel: 82-41-580-2717, Fax: 82-41-580-2931, yumichonsa@yahoo.co.kr
• Received: February 5, 2011   • Revised: March 14, 2011   • Accepted: March 14, 2011

Copyright © 2011 Korean Academy of Nursing Administration

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  • Purpose
    This study was done to identify differences in work environment, work stress, turnover intention and burnout and investigate the relationship among these variables in nurses in Korean Neonatal Intensive Care Units.
  • Methods
    Participants were 242 nurses working in 13 general hospitals. Burnout was measured by the Maslach Burnout Inventory (MBI), work stress with the instrument by Gu & Kim (1994), and turnover intention with the scale by Kim & Lee (2001). Size of the NICU, nurse to patient ratio, and communication satisfaction were included in work environment. Data were analyzed using Pearson correlation coefficients and multiple regression analysis with SPSS WIN program.
  • Results
    The mean score for work stress in NICU nurses was 3.43 points, for burnout, 2.72 points, and for turnover intention, 4.64 points. Burnout and turnover intention level of participants were moderate-high. Work stress, communication dissatisfaction with physician, and clinical career accounted for 33% of variance in burnout. Significant differences were found between size of NICU and staffing related to environmental characteristics in turnover intention and burnout.
  • Conclusions
    Results indicate that effective communication with coworkers and institutional support for appropriate staffing according to number of beds will help to prevent work stress, burnout, and ultimately, nurses' resignations.
  • Key Words: Stress; Turnover; Burnout; Intensive care unit; Neonatal
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Table 1
Work stress, turnover intention & burnout scores according to demographic variables (N=242)
jkana-17-115-i001.jpg
Table 2
Work stress, turnover intention & burnout scores of work environment variables (Hospital N=13, Nurses N=242)
jkana-17-115-i002.jpg

N/P=nurse to patient ratio.

Table 3
Degree of work stress, turnover intention & burnout (N=242)
jkana-17-115-i003.jpg
Table 4
Correlation of demographic variables, work stress, turnover intention and burnout
jkana-17-115-i004.jpg

*p<.05; †p<.01.

X1=Marital state; X2=Age; X3=Education level; X4=Career; X5=Position; X6=Number of Night duties/month; X7=Number of NICU Beds; X8=Grade; X9=Nurse to patient ratio (week days); X10= Nurse to patient ratio (weekend); X11=Communication; X12=Work stress; X13=Turnover intention; X14=Burnout.

Table 5
Factors influencing burnout in participants
jkana-17-115-i005.jpg

Adj R2 = Adjusted R2.

Figure & Data

References

    Citations

    Citations to this article as recorded by  
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    • Factors to Affect Turnover Intention of Nurse: Focusing on Personal, Situational and Interpersonal Relation Variables
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    • Relations of Burnout, Interpersonal Relations, Professional Self-concept and Depression in Clinical Nurses
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      Journal of the Korea Academia-Industrial cooperation Society.2013; 14(6): 2869.     CrossRef
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    Work Stress, Turnover Intention and Burnout among Nurses in Neonatal Intensive Care Units
    J Korean Acad Nurs Adm. 2011;17(1):115-126.   Published online March 31, 2011
    DOI: https://doi.org/10.11111/jkana.2011.17.1.115
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    Work Stress, Turnover Intention and Burnout among Nurses in Neonatal Intensive Care Units
    J Korean Acad Nurs Adm. 2011;17(1):115-126.   Published online March 31, 2011
    DOI: https://doi.org/10.11111/jkana.2011.17.1.115
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    Work Stress, Turnover Intention and Burnout among Nurses in Neonatal Intensive Care Units
    Work Stress, Turnover Intention and Burnout among Nurses in Neonatal Intensive Care Units

    Work stress, turnover intention & burnout scores according to demographic variables (N=242)

    Work stress, turnover intention & burnout scores of work environment variables (Hospital N=13, Nurses N=242)

    N/P=nurse to patient ratio.

    Degree of work stress, turnover intention & burnout (N=242)

    Correlation of demographic variables, work stress, turnover intention and burnout

    *p<.05; †p<.01.

    X1=Marital state; X2=Age; X3=Education level; X4=Career; X5=Position; X6=Number of Night duties/month; X7=Number of NICU Beds; X8=Grade; X9=Nurse to patient ratio (week days); X10= Nurse to patient ratio (weekend); X11=Communication; X12=Work stress; X13=Turnover intention; X14=Burnout.

    Factors influencing burnout in participants

    Adj R2 = Adjusted R2.
    Table 1 Work stress, turnover intention & burnout scores according to demographic variables (N=242)

    Table 2 Work stress, turnover intention & burnout scores of work environment variables (Hospital N=13, Nurses N=242)

    N/P=nurse to patient ratio.

    Table 3 Degree of work stress, turnover intention & burnout (N=242)

    Table 4 Correlation of demographic variables, work stress, turnover intention and burnout

    *p<.05; †p<.01.

    X1=Marital state; X2=Age; X3=Education level; X4=Career; X5=Position; X6=Number of Night duties/month; X7=Number of NICU Beds; X8=Grade; X9=Nurse to patient ratio (week days); X10= Nurse to patient ratio (weekend); X11=Communication; X12=Work stress; X13=Turnover intention; X14=Burnout.

    Table 5 Factors influencing burnout in participants

    Adj R2 = Adjusted R2.

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

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