DOI QR코드

DOI QR Code

Effects of Nursing Practice Environment and Positive Psychological Capital in Clinical Nurses on Turnover Intention

임상간호사의 간호근무환경과 긍정심리자본이 이직의도에 미치는 효과

  • Jung, Mi-Ra (Department of Nursing, Hanyeong College University) ;
  • Jeong, Eun (Department of Nursing, Gwangyang Health Sciences University)
  • 정미라 (한영대학교 간호학과) ;
  • 정은 (광양보건대학교 간호학과)
  • Received : 2017.12.28
  • Accepted : 2018.02.20
  • Published : 2018.02.28

Abstract

The purpose of this study was to examine influences on turnover intention in the clinical nurses. The data were collected from 193 nurses working in the three general hospital located Y city. The data were analyzed by descriptive statistics, T-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. The result of the stepwise multiple regression indicates the nursing practice environment, positive psychological capital and clinical career predict 41.8% (F=7.35, p<.001) of turnover intention. Therefore, it is necessary to develop changing the nursing practice environment and positive psychological capital strategy program for decrease turnover intention in clinical nurses.

Keywords

Nursing Practice Environment;Positive Psychological Capital;Turnover Intention;Clinical Career;Clinical Nurses

References

  1. K. S. Kim & Y. H. Han. (2013). A study on intention to quit and job overload, role ambiguity, burn out among nurses in general hospital. Korean Journal of Occupational Health Nursing, 22(2), 121-129. DOI : 10.5807/kjohn.2013.22.2.121 https://doi.org/10.5807/kjohn.2013.22.2.121
  2. Y. H. Sung, M. S. Hwang, K. S. Kim & N. M. Chun. (2010). Influence of clinical nurse specialists emotional intelligence on their organizational commitment and turnover intention. Journal of Korean Academy of Nursing Administration, 16(3), 259-266. https://doi.org/10.11111/jkana.2010.16.3.259
  3. Korean Health and Medical Worker's Union. (2014). 2014 Korean health and medical workers survey. KHMU(Online). http://bogun.nodong.org/xe/
  4. Korean Hospital Nurses Association. (2016). Hospital nurses staffing state survey 2016. Seoul : Korean Hospital Nurses Association.
  5. Y. J. Lee & K. B. Kim. (2008). Experiences of nurse turnover. Journal of Korean Academy of Nursing, 38(2), 248-257. https://doi.org/10.4040/jkan.2008.38.2.248
  6. E. H. Cho, M. N. Choi, E. Y. Kim, I. Y. Yoo, N & J. Lee. (2011). Construct validity and reliability of the korean version of the practice environment scale of nursing work index for korean nurses. Journal of Korean Academy of Nursing, 41(3), 325-332. DOI : 10.4040/jkan.2011.41.3.325 https://doi.org/10.4040/jkan.2011.41.3.325
  7. H. C. Klopper, S. K. Coetzee, R. Pretorius & P. Bester. (2012). Practice environment, job satisfaction and burnout of critical care nurses in South Africa. Journal of Nursing Management, 20(5), 685-695. DOI : 10.1111/j.1365-2834.2011.01350.x https://doi.org/10.1111/j.1365-2834.2011.01350.x
  8. J. O. Kwon & E. Y. Kim. (2012). Impact of unit-level nurse practice environment on nurse turnover intention in the small and medium sized hospitals. Journal of Korean Academy of Nursing Administration, 18(4), 414-423. DOI : 10.11111/jkana.2012.18.4.414 https://doi.org/10.11111/jkana.2012.18.4.414
  9. E. T. Lake & C. R. Friese. (2006). Variations in nursing practice environments: relation to staffing and hospital characteristics. Nursing Research, 55(1), 1-9. https://doi.org/10.1097/00006199-200601000-00001
  10. C. R. Friese, R. Xia, A. Ghaferi, J. D. Birkmeyer & M. Banerjee. (2015). Hospitals in 'Magnet' program show better patient outcomes on mortality measures compared to non-'Magnet' hospital. Health Affairs, 34(6), 986-992. DOI : 10.1377/hlthaff.2014.0793 https://doi.org/10.1377/hlthaff.2014.0793
  11. H. J. Ko. (2010). Nurse work environments, job satisfaction and intention to leave among nurses. Doctoral dissertation. Hanyang National University, Seoul.
  12. S. N. Lee & J. A. Kim. (2017). Concept analysis of positive psychological capital. Journal of Korean Academy of Nursing Administration, 23(2), 181-190. DOI : 10.11111/jkana.2017.23.2.181 https://doi.org/10.11111/jkana.2017.23.2.181
  13. F. Luthans, B. J. Avolio, J. B. Avey & S. M. Norman. (2007). Positive psychological capital: measurement and relationship with performance and satisfaction. Personnel Psychology, 60(3), 541-572. https://doi.org/10.1111/j.1744-6570.2007.00083.x
  14. J. Kim. (2017). Impact of psychological capital and engagement on turnover intention among newly graduated registered nurses in general hospitals. Doctoral dissertation. Chosun National University, Gwangju.
  15. H. J. Kim & D. H. Park. (2016). The effects of workplace bullying on turnover intention in hospital nurses. Journal of Digital Convergence, 14(1), 241-252. DOI : 10.14400/JDC.2016.14.1.241 https://doi.org/10.14400/JDC.2016.14.1.241
  16. H. I. Park & K. H. Lee. (2016). The effects of social intelligence and burnout on turnover intention in nurses : an exploratory study. Journal of Digital Convergence, 14(4), 325-336. DOI : 10.14400/JDC.2016.14.4.325 https://doi.org/10.14400/JDC.2016.14.4.325
  17. E. T. Lake. (2002). Development of the practice environment scale of the nursing work index. Research in Nursing & Health, 25(3), 176-188. https://doi.org/10.1002/nur.10032
  18. E. H. Cho, M. N. Choi, E. Y. Kim, I. Y. Yoo & N. J. Lee. (2011). Construct validity and reliability of the korean version of the practice environment scale of nursing work index for korean nurses. Korean Journal of Adult Nursing, 41(3), 325-332. DOI : 10.4040/jkan.2011.41.3.325 https://doi.org/10.4040/jkan.2011.41.3.325
  19. Y. D. Choi. (2009). A study on the antecedents and outcomes of the employee's positive psychological capital in organization. Doctoral dissertation. Sogang National University, Seoul.
  20. E. E. Lawler. (1983). Satisfaction and behavior. New York : McGraw-Hill.
  21. H. S. Park. (2005). Relationship between perceived nursing care role orientation, job characteristics and turnover among nurses. Doctoral dissertation. Yonsei National University, Seoul.
  22. E. J. Choi, J. H. Hwang & I. S. Jang. (2017). Effects of nursing practice environment and self-esteem on critical thinking disposition among clinical nurses. Journal of Korean Academy of Nursing Administration, 23(2), 161-169. DOI : 10.11111/jkana.2017.23.2.161 https://doi.org/10.11111/jkana.2017.23.2.161
  23. S. K. Yang & E. Jeong. (2017). Convergence effects of positive psychological capital and self-leadership in clinical nurses on job satisfaction. Journal of Digital Convergence, 15(6), 329-337. DOI : 10.14400/JDC.2017.15.6.329 https://doi.org/10.14400/JDC.2017.15.1.329
  24. I. S. Kim, R. B. Seo, B. N. Kim & A. R. Min. (2015). The effects of positive psychological capital, organizational commitment, customer orientation in clinical nurses. Journal of Korean Academy of Nursing Administration, 21(1), 10-19. DOI : 10.11111/jkana.2015.21.1.10 https://doi.org/10.11111/jkana.2015.21.1.10
  25. F. Luthans, C. M. Yousse-Morganf & B. J. Avolio. (2015). Psychological capital and beyond. New York : Oxford University Press.
  26. C. S. Carver & M. F. Scheier. (2002). The hopeful optimism. Psychology Inquiry, 13(4), 288-290.
  27. M. F. Scheier, C. S. Carver & M. W. Bridges. (1994). Distinguishing optimism from neuroticism and trait anxiety, self-mastery, and self-esteem: a reevaluation of the life orientation test. Journal of Personality and Social Psychology, 67(6), 1063-1078. https://doi.org/10.1037/0022-3514.67.6.1063
  28. Y. S. Hwang & K. H. Kang. (2014). Factors influencing nurse turnover intention in small and medium sized hospitals in the metropolitan area. Journal of Korean Academy of Nursing Administration, 20(5), 576-586. DOI : 10.11111/jkana.2014.20.5.576 https://doi.org/10.11111/jkana.2014.20.5.576
  29. Korea Health Industry Development Institute. (2015). Small and medium-sized hospitals management service and policy development annual reports. Cheongju : Korea Health Industry Development Institute.
  30. K. N. Kang. (2012). Factors influencing turnover intention of nurses in small-medium sized hospitals. Journal of Korean Academy of Nursing Administration, 18(2), 155-165. https://doi.org/10.11111/jkana.2012.18.2.155
  31. S. B. Im, M. K. Cho & M. L. Heo. (2013). Factors to affect turnover intention of nurse: focusing on personal, situational and interpersonal relation variables. Korean Journal of Occupational Health Nursing, 22(4), 314-323. DOI : 10.5807/kjohn.2013.22.4.314 https://doi.org/10.5807/kjohn.2013.22.4.314
  32. F. Luthans & C. M. Youssef-Morgan. (2007). Positive organizational behavior in the workplace: the impact of hope, optimism, and resiliency. Journal of Management, 33(5), 774-800. https://doi.org/10.1177/0149206307305562
  33. Y. J. Lee & G. A. Seomun. (2016). Impact of unit-level nurse practice environment on nurse turnover intention. Journal of Digital Convergence, 14(6), 355-362. DOI : 10.14400/JDC.2016.14.6.355 https://doi.org/10.14400/JDC.2016.14.6.355
  34. M. Baernholdt & B. Mark. (2009). The nurse work environment, job satisfaction and turnover rates in rural and urban nursing units. Journal of Nursing Management, 17(8), 994-1001. https://doi.org/10.1111/j.1365-2834.2009.01027.x