Relationships of Fatigue to Job Satisfaction and Turnover Intention among Clinical Nurses at Small & Medium-Sized Hospitals

중소병원 간호사의 피로와 직무만족 및 이직의도와의 관계

  • Choi, So-Eun (Nursing Department, Mokpo National University) ;
  • Kim, Sang-Dol (Nursing Department, Kangwon National University)
  • Received : 2013.06.13
  • Accepted : 2013.09.06
  • Published : 2013.09.30


This is a descriptive study to identify relationships of fatigue to job satisfaction and turnover intention among clinical nurses. The subjects were 162 clinical nurses at 2 small and medium-sized hospitals in K and B cities. The data were collected from February 1st throughout 28th, 2013. The collected data were analyzed using the SAS program through $x^2$-test, t-test, ANOVA, Scheff$\acute{e}$ test, and Pearson's correlation coefficients. There was a negative correlation between high fatigue level and job satisfaction and colleagues of its subgroups (r=-0.29, p=.0214; r=-0.29, p=.0239), positive correlation it and turnover intention(r=0.33, p=.0089). Also there was a negative correlation between promotion and overall job satisfaction subgroup of job satisfaction and turnover intention(r=-0.17, p=.0268; r=-0.19, p=.0144). Therefore nurse managers are in need of applying the organizational management system which is considered the relationship with my colleagues at work, promotion and overall job satisfaction etc. to prevent and decrease fatigue induced factors and turnover intentions.


Fatigue;Job Satisfaction;Turnover Intention


  1. S. J. Chang, S. B. Koh, M. G. Kang, et al., "Correlates of self-related fatigue in korean employees", Journal of Preventive Medicine Public Health, Vol. 38, No. 1, pp. 71-81, 2005.
  2. S. Tabone, "Nurse fatigue: the human factor. Texas Nursing", Vol. 78, No. 5, pp. 8-10, 2004.
  3. Canadian Nurse Association, "Evaluating the impact of nurse fatigue on patient safety", Canadian Nurses, Vol. 104, No. 8, p. 18, 2008.
  4. S. Tabone, "Data suggest nurse fatigue threatens patient safety: is prescribing the nurse's work hours the only answer?", Texas Nursing, Vol. 78, No. 2, pp. 4-7, 2004.
  5. L. M. Barker & M. A. Nussbaum, "Fatigue, performance and the work environment: a survey of registered nurses", Journal of Advanced Nursing, Vol. 67, No. 6, pp. 1370-1382, DOI:
  6. L. M. Barker & M. A. Nussbaum, "The effects of fatigue on performance in simulated nursing work", Ergonomics, Vol. 54, No. 9, pp. 815- 29, 2011. DOI:
  7. K. Reed, "Nursing fatigue and staffing costs: What's the connection?", Nursing Management, Vol. 44, No. 4, pp. 47-50, DOI:
  8. Ministry of Health & Welfare, OECD Health Data 2012[cited 2012 September 4], Available From: May 11, 2013)
  9. M. Sandy, "Effects of rotating night shifts: literature review", Journal of Advanced Nursing, Vol. 50, No. 4, pp. 433-439, 2005. DOI:
  10. M. J. Schaffner, "Source, antecedents and consequences of work-related nurse fatigue: a preliminary evidence-based model", Unpublished :doctoral dissertation, Medical University of South Carolina, 2006.
  11. E. S. Choi & M. S. Song, "Concept analysis : Fatigue", Journal of Korean Woman's Healthcare Nursing, Vol. 9, No. 1, pp. 61-69, 2003.
  12. K. M. Lee, "Study on relationship of work stress, fatigue, and job satisfaction of emergency room nurses. Unpublished master thesis. Chonnam National University, Gwang-Ju 2003.
  13. M. O. Oh, M. H. Sung, & Y. W. Kim, "Job stress, job satisfaction and commitment to organization in emergency department nurses", Journal of Korean Clinical Nursing Research, Vol. 17. No. 2, pp. 215-229, 2011.
  14. H. Y. So, H. S. Yoon, & Y. C. Cho, "Effects of quality of sleep and related factors for fatigue symptoms of nurses in an university hospital", Journal of Korean Adult Nursing, Vol. 20, No. 4, pp. 513-525, 2008.
  15. Y. S. Byeon, "The effects of 2 or 3 shift rotation on the fatigue and sleep", The Journal of Korean Biological Nursing Science", Vol. 7, No. 2, pp. 5-15, 2005.
  16. H. Y. Jun, J. H. Park, & H. B. Yim, "Study of the relationship between job satisfaction and the fatigue of clinical nurses", Bulletin of Dongnam Health College, Vol. 18, no. 2, pp. 95-107, 2000.
  17. K. H. Lee, & J. Y. Kim, "Effects of shiftwork nurses' fatigue on job stress and turnover intention", Korean Journal of Occupational Health Nursing, Vol. 20, No. 1, pp. 74-82, 2011. DOI:
  18. S. Y. Kim, I. S. Kwon, & Y. C. Cho, "Relationship between job stress and fatigue symptoms among nurses in a university hospital", Journal of the Korea Academi-Industrial cooperation Society, Vol. 13, No. 4, pp. 1759-1768, 2012.
  19. S. N. Park, "The effect of aroma inhalation on sleep and fatigue recovery in night shift nurses", Unpublished master's thesis, Chashon University of Medicine and Science, Incheon, 2011.
  20. Y. J. Song, "Study on the effect of emotional hardship on job satisfaction and turnover of nurses", Unpublished master thesis, Catholic University, Seoul, 2011.
  21. S. M. Wi, & Y. J. Yi, "Influence of emotional labor on job satisfaction, intent to leave, and nursing performance of clinical nurses", Journal of Korean Academy of Nursing Administration, Vol. 18, No. 3, pp. 310-39, 2012. DOI:
  22. B. J. Jeong, H. S. Kim, & S. K. Hwang, et al., "A study on according to the nursing shortage of job satisfaction and turnover intention of nurses", The Korean Journal of Health Service Management, Vol. 5, No. 1. pp. 15-29, 2011.