DOI QR코드

DOI QR Code

The Effect of Hospital Organizational Culture, Organizational Silence and Job Embeddedness on Turnover Intention of General Hospital Nurses

병원조직문화, 조직침묵과 직무 배태성이 종합병원 간호사의 이직의도에 미치는 영향에 대한 융복합 연구

  • Received : 2018.01.22
  • Accepted : 2018.03.20
  • Published : 2018.03.28

Abstract

The purpose of this study was to examine the effects of hospital organizational culture, organizational silence and job complexity on turnover intention in nurses working in general hospitals. The subjects were 152 nurses working at general hospitals. Data were collected from April 19, 2017 to April 30, 2017, and statistical analysis was analyzed by hierarchical multiple regression analysis using the SPSS/WIN 22.0 program. As a result of the research, turnover intention showed a positive correlation with resignation and defensive silence, whereas there was negative correlation between consensual organizational culture, sacrifice, suitability and connection of job inclination. The factors affecting the turnover intention were the present work experience, defensive silence, sacrifice, and the explanatory power of turnover intention was 47%. Therefore, in order to lower the turnover intention, it will be necessary to provide various programs to change the communication pattern in the nursing organization, and to provide differentiated welfare system.

Keywords

Nurse;Organizational Culture;Organizational Silence;Job Embeddedness;Turnover Intention

References

  1. National Health Insurance Service. (2016). Health Insurance Review & Assessment Service. National Health Insurance Statistical Yearbook 2015. Health insurance key statistics by picture. Wonju : National Health Insurance Service
  2. 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 : https://doi.org/10.14400/jdc.2016.14.1.241 https://doi.org/10.14400/JDC.2016.14.1.241
  3. 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 Academic Society Of Occupational Health Nursing. 22(2), 121-129. DOI : https://doi.org/10.5807/kjohn.2013.22.2.121 https://doi.org/10.5807/kjohn.2013.22.2.121
  4. Ministry of Health and Welfare. (2016). Health and Welfare Statistical Yearbook 2016. Healthcare workers and facilities. Sejong : Ministry of Health and Welfare.
  5. Hospital Nurses Association. (2015). Hospital Nursing Social Report. Survey on the status of hospital nursing staff placement. Seoul : Hospital Nurses Association.
  6. J. H. Lee. (2016). The Need for the Establishment of Special Act on the Support of Healthcare Personnel. Healthcare personnel support special law public hearing. Seoul : National Assembly.
  7. Hospital Nurses Association. (2017). Nursing staffing Status Survey 2016. Seoul : Hospital Nurses Association.
  8. Statistics Korea. (2017). Labor Force Survey, Annual Employment Statistics for Health and Social Services 2017. Daejun : Statistics Korea.
  9. Korea Health Industry Labor Union. (2016). Survey on health workers in 2016. Labor shortage and actual working conditions. Seoul : Korea Health Industry Labor Union.
  10. M. Estryn-Behar, B. I. Heijden & H. M. Hasselhom. (2010). Longitudinal analysis of personal and work-related factors associated with turnover among nurses. Nursing Research. 59(3), 166-177. DOI : https://doi.org/10.1097/nnr.0b013e3181dbb29f https://doi.org/10.1097/NNR.0b013e3181dbb29f
  11. L. O'Brien-Pallas, G. T. Murphy, J. Shamian, W. Li & L. J. Hayes. (2010). Impact and Determinants of Nurse Turnover: a Pan-Canadian study. Journal of Nursing Management. 18(8), 1073-1086. DOI : https://doi.org/10.1111/j.1365-2834.2010.01167.x https://doi.org/10.1111/j.1365-2834.2010.01167.x
  12. Y. O. Lee. (2017). Related Factors of Turnover Intention among Korean Hospital Nurse: A Systematic Review and Meta-Analysis. Doctoral dissertation. Dong-A University, Busan.
  13. T. R. Mitchell, B. C. Holtom, T. W. Lee, C. J. Sablynski & M. Erez. (2001). Why people stay: Using job embeddedness to predict voluntary turnover. Academy of Management Journal. 44(6), 1102-1121. DOI : https://doi.org/10.2307/3069391 https://doi.org/10.2307/3069391
  14. S. H. Lee. (2017). Effect of Nurse Practice Environment and Organizational Justice on Job Embeddedness in the Small and Medium Sized Hospital Nurses. Journal of Digital Convergence. 15(12), 369-380. DOI : https://doi.org/10.14400/jdc2017.15.12.369 https://doi.org/10.14400/JDC.2017.15.2.369
  15. J. H. Kim. (2010). The effects of job embeddedness on turnover intention and organizational citizenship behavior in hospital employee : focusing on moderating effect of personality traits. Doctoral dissertation. Gyeongsang National University, Jinju.
  16. Y. H. Kim, Y. J. Lee & H. J. Choi. (2012). Mediation Effect of Organizational Citizenship Behavior between Job Embeddedness and Turnover Intention in Hospital Nurses. The Journal of Korean Nursing Administration Academic Society. 18(4), 394-401. DOI : https://doi.org/10.11111/jkana.2012.18.4.394 https://doi.org/10.11111/jkana.2012.18.4.394
  17. Y. M. Kim & Y. S. Kang. (2013). The Relationship among Career Plateau, Self-efficacy, Job Embeddedness and Turnover Intention of Nurses in Small and Medium Sized Hospitals. Korea Academia-Industrial cooperation Society. 14(10), 5078-5090. DOI : https://doi.org/10.5762/kais.2013.14.10.5078 https://doi.org/10.5762/KAIS.2013.14.10.5078
  18. J. H. Jeon & Y. H. Yom. (2014). Roles of Empowerment and Emotional Intelligence in the Relationship between Job Embeddedness and Turnover Intension among General Hospital Nurses. The Journal of Korean Nursing Administration Academic Society. 20(3), 302-312. DOI : https://doi.org/10.11111/jkana.2014.20.3.302 https://doi.org/10.11111/jkana.2014.20.3.302
  19. S. J. Lee & H. J. Woo. (2015). Structural Relationships among Job Embeddedness, Emotional Intelligence, Social Support and Turnover Intention of Nurses. The Journal of Korean Nursing Administration Academic Society. 21(1), 32-42. DOI : https://doi.org/10.11111/jkana.2015.21.1.32 https://doi.org/10.11111/jkana.2015.21.1.32
  20. J. K. Kim & M. J. Kim. (2011). A review of research on hospital nurses' turnover intention. Journal of Korean Academy of Nursing Administration. 17(4), 538-550. DOI : https://doi.org/10.11111/jkana.2011.17.4.538 https://doi.org/10.11111/jkana.2011.17.4.538
  21. M. G. Jung. (2015). The organization and tis impact on the validity of the organization silence. Doctoral dissertation. Kyung Hee University, Seoul.
  22. S. H. Choi, I. S. Jang, S. M. Park & H. Y. Lee. (2014). Effects of Organizational Culture, Self-Leadership and Empowerment on Job Satisfaction and Turnover Intention in General Hospital Nurses. The Journal of Korean Nursing Administration Academic Society. 20(2), 206-214. DOI : https://doi.org/10.11111/jkana.2014.20.2.206 https://doi.org/10.11111/jkana.2014.20.2.206
  23. L. Van Dyne, S. Ang & I. C. Botero. (2003). Conceptualizing Employee Silence and Employee Voice as Multidimensional Constructs. Journal ofManagement Studies. 40(6), 1359-1392. DOI : https://doi.org/10.1111/1467-6486.00384
  24. M. J. Kim & M. H. Kim. (2016). An analysis of research trends related with organization silence. Journal of the Korea Convergence Society. 7(5), 189-200. DOI : https://doi.org/10.15207/jkcs.2016.7.5.189 https://doi.org/10.15207/JKCS.2016.7.5.189
  25. E. W. Morrison & F. J. Milliken. (2000). Organizational silence : a barrier to change and development in a pluralistic world. Academy ofManagement Review. 25, 706-725. DOI : https://doi.org/10.2307/259200
  26. D. Y. Ko. (2014). The effects of public organizational culture on Organizational silence : Focusing on the korean coast guard. Doctoral dissertation. Kyung Hee University. Seoul.
  27. H. W. Choi. (2016). The Effects of Nursing Practice Environment and Psychological Capital on Job Embeddedness among Clinical Nurses. Doctoral dissertation. Chung-ang university, Seoul.
  28. W. H. Mobley. (1982). Intermediate linkages in the relationship between job satisfaction and employee turnover. Journal of applied psychology. 77, 237-240. DOI : https://doi.org/10.1037//0021-9010.62.2.237
  29. S. D. Chun. (2005). A Study about Influence on Job Stress Factors with Leader-Member Exchange, Job Satisfaction, Organizational Commitment and Turnover Inclination. Doctoral dissertation. KyungHee University, Seoul.
  30. M. O. Jang. (2015). The effect of nursing organizational culture type and turnover intention on the job satisfaction of nurses in a hospital. Doctoral dissertation. Han tang university, Seoul.
  31. Y. K. Kwak. (2014). Emotional Labor, Emotional Intelligence, Health Promotion Behavior and Turnover Intention in Hospital Nurses. Doctoral dissertation. Chodang university, Jeollanam-do.
  32. Y. J. Son, S. K. Park &S. S. Kong. (2012). Impact of Internal Marketing Activity, Emotional Labor and Work-Family Confilict on Turn-Over of Hospital Nurses. Journal of Korean Clinical Nursing Research. 18(3), 329-340. https://doi.org/10.22650/JKCNR.2012.18.3.329
  33. J. M. Park. (2015). Job Stress, JCI-Related Job Stress and Turnover Intention among General Hospital Nurses. Doctoral dissertation. Chung-ang university, Seoul.
  34. S. Y. Son & J. S. Choi. (2015). Effect of Job Embeddedness and Job Satisfaction on Turnover Intention in Nurses. The Journal of Korean Academic Society of Adult Nursing. 27(2), 180-187. DOI : https://doi.org/10.7475/kjan.2015.27.2.180 https://doi.org/10.7475/kjan.2015.27.2.180
  35. 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 : https://doi.org/10.14400/jdc.2016.14.6.355 https://doi.org/10.14400/JDC.2016.14.6.355