Journal of the Korea Safety Management & Science (대한안전경영과학회지)

Korea Safety Management & Science (대한안전경영과학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Workplace Bullying, Nursing Work Environment, and Reality Shock on Turnover Intention of Clinical Nurses

임상 간호사의 괴롭힘, 간호근무환경, 현실 충격이 이직 의도에 미치는 영향

  • Kim, Sookyoung (Department of Nursing, Seoul Women's College of Nursing) ;
  • Park, Youngwoo (Nowon Eulji Medical Center, Eulji University) ;
  • Kim, Kyunghee (Nowon Eulji Medical Center, Eulji University) ;
  • Hong, Eunhee (Department of Nursing, Seoul Women's College of Nursing)
  • 김숙영 (서울여자간호대학교 간호학과) ;
  • 박영우 (노원을지대학교병원 간호부) ;
  • 김경희 (노원을지대학교병원 간호부) ;
  • 홍은희 (서울여자간호대학교 간호학과)
  • Received : 2020.08.22
  • Accepted : 2020.09.14
  • Published : 2020.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to identify the relationship between bullying, nursing work environment, reality shock and factors of influence on turnover intension. Data were collected from 381 nurses who were under the charge nurse at a hospital with more than 600 beds in Seoul. The collected data were analyzed using the SPSS24.0 program. The mean score for turnover intension was 3.61 ± 0.89. The intension of turnover was correlated with bullying in the workplace (r=0.197, ⍴=.001), the nursing work environment (r=-.409, p=.001), and reality shock (r=.572, p=.001). Variables affecting turnover intension were the work department(β=-0.018, ⍴=.049), working environment(β=-0.424, ⍴<.000), and reality shock(β=0.654, ⍴<.000). The total amount of explanation for turnover intension was 37.3%. The degree of turnover intension of nurses was affected by work in general wards, the experience of workplace bullying and the nursing work environment. To reduce turnover intension, nursing work needs to be analyzed and efforts are needed to establish an effective communication system.

Keywords

References

  1. T. L. Cowden, G. G. Cummings(2012). "Nursing theory and concept development: A theoretical model of clinical nurses' intentions to stay in their current positions." Journal of Advanced Nursing, 68(7):1646-1657. https://doi.org/10.1111/j.1365-2648.2011.05927.x
  2. H. Kim, S. Park(2016). "Effects of work intensity and physical discomfort on job satisfaction in clinical nurses." Journal of Korean Academy of Nursing Administration, 22(4):362-372. https://doi.org/10.11111/jkana.2016.22.4.362
  3. Y. H. Yom, I. S. Yang, J. H. Han(2017). "Effects of workplace bullying, job stress, self-esteem, and burnout on the intention of university hospital nurses to keep nursing job." Journal of Korean Academy of Nursing Administration, 23(3):259-269. https://doi.org/10.11111/jkana.2017.23.3.259
  4. Y. O. Lee, J. Y. Kang(2018). "Related factors of turnover intention among Korean hospital nurses: A systematic review and meta-analysis." Korean Journal of Adult Nursing, 30(1):1-17. https://doi.org/10.7475/kjan.2018.30.1.1
  5. S. H. Cheong(2018). "A ground theory on occurrence and persistence of taeum among nurses on the nursing unit environment." Doctor's degree thesis, Seoul National University, 1-124.
  6. S. Einarsen, H. Hoel, G. Notelaers(2009). "Measuring exposure to bullying and harassment at work: Validity, factor structure and psychometric properties of the negative acts questionnairerevised." Work & Stress, 23(1):24-44. https://doi.org/10.1080/02678370902815673
  7. F. Abdollahzadeh, E. Asghari, H. Ebrahimi, A. Rahmani, M. Vahidi(2017). "How to prevent workplace incivility?: Nurses' perspective." Iranian Journal of Nursing and Midwifery Research, 22(2):157-163. https://doi.org/10.4103/1735-9066.205966
  8. M. S. Joo, S. N. Jang(2015). "Nurse experience of Hospital without guardians." The Korean Journal of Health Economics and Policy, 21(4):133-157.
  9. 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. https://doi.org/10.4040/jkan.2011.41.3.325
  10. Y. K. Ko, B. H. Park(2014). "The relationship of the nursing work environment and nursing outcome among it's nurses and content analysis of nurses' workload." Korean Journal of Hospital Management, 19(1):54-67.
  11. 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. https://doi.org/10.4040/jkan.2012.42.3.414
  12. H. J. Yun, E. M. Kwak, H. S. Kim(2018). "Focus group study on reality shock experiences of new graduate nurses." Journal of Qualitative Research, 19(2):102-111. https://doi.org/10.22284/QR.2018.19.2.102
  13. Y. Suzuki, Y. Kawatsu(2018). "Reality shock in nurses in their second year after graduation." Journal of Japan Society of Nursing Research, 41(1):1-47.
  14. E. J. Lee, E. K. Yoo(2017). "The experience of unwanted department relocation of the nurse." Korea Society for Wellness, 12(2):37-48. https://doi.org/10.21097/ksw.2017.05.12.2.37
  15. K. M. Sin, J. O. Kwon, E. Y. Kim(2014). "Factors associated with new graduate nurses' reality shock." Journal of Korean Academy of Nursing Administration, 20(3):292-301. https://doi.org/10.11111/jkana.2014.20.3.292
  16. A. Caliskan, Y. A. Ergun(2012). "Examining job satisfaction burnout and reality shock amongst newly graduated nurses." Procedia-Social and Behavioral Sciences, 47:1392-1397. https://doi.org/10.1016/j.sbspro.2012.06.831
  17. H. J. Yun(2018). "Development of the reality shock scale for new graduate nurses." Doctor's degree thesis, Inha University, 1-128.
  18. Y. J. Lee, M. H. Lee, K. Bernstein(2013). "Effect of workplace bullying and job stress on turnover intention in hospital nurses." Journal of Korean Academy of Psychiatric and Mental Health Nursing, 22(2):77-87. https://doi.org/10.12934/jkpmhn.2013.22.2.77
  19. H. S. Park(2002). "Relationship between perceived nursing care role orientation, job characteristics, and turnover among nurses." Master's degree thesis, Yonsei University, 1-53.
  20. E. E. Lawler(1983). Satisfaction and behavior. motivation and work behavior. New York: McGraw-Hill, pp. 332-345.
  21. W. Nam, J. W. Kim, Y. K. Kim, J. W. Koo, C. Y. Park(2010). "The reliability and validity of the negative acts questionnaire-revised (NAQ-R) for nurses for the assessment of workplace bullying." The Korean Journal of Occupational and Environmental Medicine, 22(2):129-139. https://doi.org/10.35371/kjoem.2010.22.2.129
  22. The Kyunghyang Shinmun(2019). The death of a nurse who was found to be bullying and a desperate attempt to improve the structure. (Cited 2019 December 11) Available from: http://news.khan.c o.kr/kh_news/khan_art_view.html?artid=201909 062202025&code=990101
  23. KHIDI(Korea Health Industry Development Institute)(2014). "Survey of nurses's activities." [Cited 2019 December 10]. Available from: http://www.khiss.go.kr/
  24. H. Y. Kang, S. Kim, K. Han(2018). "The relationship among workplace bullying, organizational commitment and turnover intention of the nurses working in public medical institutions." Journal of Korean Clinical Nursing Research, 24(2):178-187. https://doi.org/10.22650/JKCNR.2018.24.2.178
  25. M. Ozdemir, H. Buyukgoze(2016). "The role of occupational concerns on the reality shock expectation." Studia Psychologica, 58:199-215. https://doi.org/10.21909/sp.2016.03.717
  26. J. Y. Oh, Y. J. Seo, H. S. Park(2012). "Determinants of intent to leave among workers at long-term care institutions." The Korean Journal of Health Service Management, 6(1):87-103. https://doi.org/10.12811/kshsm.2012.6.1.087
  27. S. K. Kim, J. Y. Lim(2018). "Effects of work environment, job satisfaction, and organizational commitment on turnover intention of clinical research coordinator nurses." Journal of the Korea Contents Association, 18(5):17-190.
  28. Y. E. Kwon, S. Y. Kim(2019). "Factors affecting turnover intention of general hospital nurses." Journal of the Korea Academia-Industrial Cooperation Society, 20(7):414-422. https://doi.org/10.5762/KAIS.2019.20.7.414
  29. M. H. Nam(2017). "Factors influencing turnover intention of clinical nurse." Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 7(11):613-628. https://doi.org/10.14257/AJMAHS.2017.11.71