DOI QR코드

DOI QR Code

Influence of the Nursing Practice Environment on Job Satisfaction and Turnover Intention

  • Lee, Sang-Yi (Department of Health Policy and Management, Jeju National University School of Medicine) ;
  • Kim, Chul-Woung (Department of Preventive Medicine, Chungnam National University School of Medicine) ;
  • Kang, Jeong-Hee (Department of Nursing Science, Gyeongju University) ;
  • Yoon, Tae-Ho (Department of Preventive Medicine & Occupational Medicine, Yangsan Campus of Pusan National University School of Medicine) ;
  • Kim, Cheoul Sin (Research Institute for Dental Care, Korean Dental Association)
  • Received : 2014.01.25
  • Accepted : 2014.05.13
  • Published : 2014.09.30

Abstract

Objectives: To examine whether the nursing practice environment at the hospital-level affects the job satisfaction and turnover intention of hospital nurses. Methods: Among the 11 731 nurses who participated in the Korea Health and Medical Workers' Union's educational program, 5654 responded to our survey. Data from 3096 nurses working in 185 general inpatient wards at 60 hospitals were analyzed using multilevel logistic regression modeling. Results: Having a standardized nursing process (odds ratio [OR], 4.21; p<0.001), adequate nurse staffing (OR, 4.21; p<0.01), and good doctor-nurse relationship (OR, 4.15; p<0.01), which are hospital-level variables based on the Korean General Inpatients Unit Nursing Work Index (KGU-NWI), were significantly related to nurses' job satisfaction. However, no hospital-level variable from the KGU-NWI was significantly related to nurses' turnover intention. Conclusions: Favorable nursing practice environments are associated with job satisfaction among nurses. In particular, having a standardized nursing process, adequate nurse staffing, and good doctor-nurse relationship were found to positively influence nurses' job satisfaction. However, the nursing practice environment was not related to nurses' turnover intention.

Keywords

References

  1. Estryn-Behar M, Van der Heijden BI, Oginska H, Camerino D, Le Nezet O, Conway PM, et al. The impact of social work environment, teamwork characteristics, burnout, and personal factors upon intent to leave among European nurses. Med Care 2007;45(10):939-950. https://doi.org/10.1097/MLR.0b013e31806728d8
  2. Ministry of Health and Welfare. OECD health data 2013. Seoul: Ministry of Health and Welfare; 2013, p. 45-57 (Korean).
  3. Lee YT, Kim JD, Kang DW, Park JE. The nursing workforce and nursing management fee survey. Seoul: Korea Health Industry Development Institute; 2008, p. 8-10 (Korean).
  4. Ministry of Health and Welfare. 2009 Year book of health, welfare and family statistics. Seoul: Ministry of Health and Welfare; 2009, p. 123 (Korean).
  5. Seago JA, Ash M, Spetz J, Coffman J, Grumbach K. Hospital registered nurse shortages: environmental, patient, and institutional predictors. Health Serv Res 2001;36(5):831-852.
  6. Aiken LH, Patrician PA. Measuring organizational traits of hospitals: the Revised Nursing Work Index. Nurs Res 2000;49(3)146-153. https://doi.org/10.1097/00006199-200005000-00006
  7. Aiken LH, Clarke SP, Sloane DM, Lake ET, Cheney T. Effects of hospital care environment on patient mortality and nurse outcomes. J Nurs Adm 2008;38(5):223-229. https://doi.org/10.1097/01.NNA.0000312773.42352.d7
  8. Zangaro GA, Soeken KL. A meta-analysis of studies of nurses' job satisfaction. Res Nurs Health 2007;30(4):445-458. https://doi.org/10.1002/nur.20202
  9. Porter CA, Kolcaba K, McNulty SR, Fitzpatrick JJ. The effect of a nursing labor management partnership on nurse turnover and satisfaction. J Nurs Adm 2010;40(5):205-210. https://doi.org/10.1097/NNA.0b013e3181da40a5
  10. Friese CR, Lake ET, Aiken LH, Silber JH, Sochalski J. Hospital nurse practice environments and outcomes for surgical oncology patients. Health Serv Res 2008;43(4):1145-1163. https://doi.org/10.1111/j.1475-6773.2007.00825.x
  11. Van Bogaert P, Clarke S, Roelant E, Meulemans H, Van de Heyning P. Impacts of unit-level nurse practice environment and burnout on nurse-reported outcomes: a multilevel modelling approach. J Clin Nurs 2010;19(11-12):1664-1674. https://doi.org/10.1111/j.1365-2702.2009.03128.x
  12. Kwak C, Chung BY, Xu Y, Eun-Jung C. Relationship of job satisfaction with perceived organizational support and quality of care among South Korean nurses: a questionnaire survey. Int J Nurs Stud 2010;47(10):1292-1298. https://doi.org/10.1016/j.ijnurstu.2010.02.014
  13. Seo Y, Ko J, Price JL. The determinants of job satisfaction among hospital nurses: a model estimation in Korea. Int J Nurs Stud 2004;41(4):437-446. https://doi.org/10.1016/j.ijnurstu.2003.11.003
  14. Kang SY, Um YR, Han SS. A professional nursing practice environment and its impact on nurses' task motivation. Taehan Kanho Hakhoe Chi 2005;35(2):353-361 (Korean).
  15. Health Insurance Review & Assessment Service. Hospital details information [cited 2014 Sep 25]. Available from: http://www.hira.or.kr/rd/hosp/getHospList.do?pgmid=HIRAA030002000000 (Korean).
  16. Kim CW, Lee SY, Kang JH, Park BH, Park SC, Park HK, et al. Application of revised nursing work index to hospital nurses of South Korea. Asian Nurs Res (Korean Soc Nurs Sci) 2013;7(3)128-135.
  17. Snijders TA, Bosker RJ. Multilevel analysis: an introduction to basic and advanced multilevel modeling. London: Sage Publications; 1999, p. 97-98.
  18. Tervo-Heikkinen T, Partanen P, Aalto P, Vehvilainen-Julkunen K. Nurses' work environment and nursing outcomes: a survey study among Finnish university hospital registered nurses. Int J Nurs Pract 2008;14(5):357-365. https://doi.org/10.1111/j.1440-172X.2008.00707.x
  19. Chen YM, Johantgen ME. Magnet Hospital attributes in European hospitals: a multilevel model of job satisfaction. Int J Nurs Stud 2010;47(8):1001-1012. https://doi.org/10.1016/j.ijnurstu.2009.12.016
  20. Kramer M, Schmalenberg C. Securing "good" nurse/physician relationships. Nurs Manage 2003;34(7):34-38.
  21. Rafferty AM, Clarke SP, Coles J, Ball J, James P, McKee M, et al. Outcomes of variation in hospital nurse staffing in English hospitals: cross-sectional analysis of survey data and discharge records. Int J Nurs Stud 2007;44(2):175-182. https://doi.org/10.1016/j.ijnurstu.2006.08.003
  22. Cho SH, June KJ, Kim YM, Cho YA, Yoo CS, Yun SC, et al. Nurse staffing, quality of nursing care and nurse job outcomes in intensive care units. J Clin Nurs 2009;18(12):1729-1737. https://doi.org/10.1111/j.1365-2702.2008.02721.x
  23. Larrabee JH, Janney MA, Ostrow CL, Withrow ML, Hobbs GR Jr, Burant C. Predicting registered nurse job satisfaction and intent to leave. J Nurs Adm 2003;33(5):271-283. https://doi.org/10.1097/00005110-200305000-00003
  24. Aiken LH, Clarke SP, Sloane DM; International Hospital Outcomes Research Consortium. Hospital staffing, organization, and quality of care: cross-national findings. Int J Qual Health Care 2002;14(1):5-13.

Cited by

  1. Nurses' sleep quality, work environment and quality of care in the Spanish National Health System: observational study among different shifts vol.6, pp.8, 2014, https://doi.org/10.1136/bmjopen-2016-012073
  2. 남자간호사의 간호업무환경 및 직무공정성과 직무만족과의 관련성 vol.25, pp.3, 2016, https://doi.org/10.5807/kjohn.2016.25.3.177
  3. Establishing a Measurement Tool for a Nursing Work Environment in Taiwan vol.31, pp.1, 2017, https://doi.org/10.1891/1541-6577.31.1.75
  4. Effectiveness of Cognitive-Behavioral Anger Management Training on Aggression and Job Satisfaction on Nurses Working in Psychiatric Hospital vol.20, pp.2, 2014, https://doi.org/10.5812/zjrms.55348
  5. The relationship between work environment and career success among nurses with a master's or doctoral degree: A national cross‐sectional study vol.25, pp.4, 2014, https://doi.org/10.1111/ijn.12743
  6. Psychometric Evaluation of the Korean Version of Patient-Centered Care Scale for Hospital Nurses vol.42, pp.3, 2019, https://doi.org/10.1177/0163278718805244
  7. The nursing practice environment and nurse job outcomes: A path analysis of survey data vol.29, pp.13, 2014, https://doi.org/10.1111/jocn.15283
  8. Effects of nursing work environment on work‐related outcomes among psychiatric nurses: A mediating model vol.28, pp.2, 2014, https://doi.org/10.1111/jpm.12665