The Influence of Awareness of Healthcare Accreditation, Job Stress and Organizational Commitment on Turnover Intention of Small and Medium sized Hospital Nurses.

중소병원 간호사의 의료기관인증제 인식 및 직무스트레스, 조직몰입이 이직의도에 미치는 영향

  • Choi, In (Department of Nursing, Sahmyook University) ;
  • Hwang, Hye Min (Department of Nursing, Bu-Cheon University) ;
  • Kim, Juok (Department of Nursing, Bu-Cheon University)
  • 최인 (삼육대학교 간호학과) ;
  • 황혜민 (부천대학교 간호학과) ;
  • 김주옥 (부천대학교 간호학과)
  • Received : 2017.01.19
  • Accepted : 2017.05.12
  • Published : 2017.05.31


This study examined the awareness of the healthcare accreditation system, job stress, organizational commitment, and the turnover intention to determine the effects of these factors on the turnover intention of small and medium sized hospitals. A total of 202 nurses who worked in hospitals with less than 500 beds located in Gyeonggi-do, participated in this study. Questionnaires were given to the nurses who experienced healthcare accreditation, and data were collected between 1 December 2015 and 30 March 2016. As a result, the factors and general characteristics, influencing the turnover intention were found to be age (F=4.68, p<.001), marital condition (F=3.92, p<.001), and department of work (F=3.23, p<.008). The turnover intention was negatively correlated with the awareness of the healthcare accreditation system (r=-.46, p<.001) and nursing organizational commitment(r=-.35, p<.001), but positively correlated with the job stress (r=.21, p=.002). Regression analysis showed that the turnover intention of nurses from small and medium sized hospitals had 22.0% on the organizational commitment, department type, and job stress. Therefore, to decrease the nurses' the turnover intention, managers of small and medium sized hospitals need to draw up measures to support job involvement and policy improvement. The results also showed the difference in turnover intention according to the department type. Accordingly, there is a need for a differentiated approach according to the department of work, such as a special unit, ward, and outpatient department.


Healthcare accreditation system;Job stress;Organizational commitment;Turnover intention


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