Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Work Environment and Nursing Organizational Culture on Tertiary Hospital Nurses' Turnover Intention

상급종합병원의 업무환경과 간호조직문화가 간호사의 이직의도에 미치는 영향

  • Jang, Haena (College of Nursing.Institute for Health Science Research, Inje University) ;
  • Chang, Hyoung Eun (College of Nursing, Konyang University)
  • 장해나 (인제대학교 간호대학.건강과학연구소) ;
  • 장형은 (건양대학교 간호대학)
  • Received : 2020.11.10
  • Accepted : 2021.01.23
  • Published : 2021.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose : This study examined the effects of work environment and organizational culture on tertiary hospital nurses' turnover intention. Methods : A cross-sectional design was used, with a convenience sample of 371 hospital nurses from 16 units of three tertiary hospitals in South Korea. Data were collected through a self-report survey conducted during September and October 2016. Data were analyzed using the chi-square test, Fisher's exact test, independent t-test, and binary logistic regression analysis. Results : A total of 43.7% of the participants were identified as having turnover intention within 1 year. Factors related to turnover intention among hospital nurses were age, marital status, and total clinical career. Furthermore, a relationship-oriented organizational culture showed a negative association with turnover intention. Conclusion : These findings suggest it is important to provide appropriate motivational programs and incentives for nurses according to their clinical career to decrease turnover intention. Moreover, establishing a relationship-oriented organizational culture will also help to reduce the turnover intention of tertiary hospital nurses.

Keywords

References

  1. Hospital Nurses Association. Survey on the status of hospital nursing staff placement [Internet]. Seoul: Hospital Nurses Association; 2018 [cited 2020 June 25]. Available from: https://khna.or.kr/home/pds/utilities.php?bo_table=board1&wr_id=8052
  2. Hospital Nurses Association. Survey on the status of hospital nursing staff placement [Internet]. Seoul: Hospital Nurses Association; 2019 [cited 2020 June 25]. Available from: https://khna.or.kr/home/pds/utilities.php?bo_table=board1&wr_id=8078
  3. Yurumezoglu HA, Kocaman G. Predictors of nurses' intentions to leave the organisation and the profession in Turkey. Journal of Nursing Management. 2015;24(2):235-43. https://doi.org/10.1111/jonm.12305
  4. Cho HH, Kim EY. Effect of nursing organizational culture, organizational health, and job crafting on intent to stay among registered nurses. Journal of Korean Academy of Nursing Administration. 2020;26(2):172-80. https://doi.org/10.11111/jkana.2020.26.2.172
  5. Kim EH. Nursing turnover cost estimation: a tertiary hospital case [dissertation]. Seoul: Seoul National University; 2015.
  6. Jeong JY, Seo YS, Choi JH, Kim SH, Lee MS, Hong SH, et al. The influence of grit on turnover intention of university hospital nurses: the mediating effect of job involvement. Journal of Korean Academy of Nursing. 2019;49(2):181-90. https://doi.org/10.4040/jkan.2019.49.2.181
  7. Ministry of Health and Welfare, and Korea Institute for Health and Social Affairs. National health care workforce survey 2018 [Internet]. Sejong: Ministry of Health and Welfare; 2018 [cited 2020 June 25]. Available from: http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=352714&page=1
  8. Mobley WH. Employee turnover: causes, consequences, and control. NY: Addision Wesley Publishing Company; 1982. p. 10-11.
  9. Murrells T, Robinson S, Griffiths P. Is satisfaction a direct predictor of nursing turnover? Modelling the relationship between satisfaction, expressed intention and behaviour in a longitudinal cohort study. Human Resource for Health. 2008;6(22):1-12. https://doi.org/10.1186/1478-4491-6-22
  10. Moon SJ, Han SS. A predictive model on turnover intention of nurses in Korea. Journal of Korean Academy of Nursing. 2011;41(5):633-41. https://doi.org/10.4040/jkan.2011.41.5.633
  11. Lee YO, Kang JY. Related factors of turnover intention among Korean hospital nurses: a systematic review and meta-analysis. Korean Journal of Adult Nursing. 2018;30(1):1-17. https://doi.org/10.7475/kjan.2018.30.1.1
  12. Lee ES, Jang IS. Nurses' fatigue, job stress, organizational culture, and turnover intention: a culture-work-health model. Western Journal of Nursing Research. 2020;42(2):108-16. https://doi.org/10.1177/0193945919839189
  13. Lee JS, Co HM, Chung HJ, Kim HJ. Working conditions of the national health care workers-wages, work conditions and environment. Journal of Labor Studies. 2016;33:169-97.
  14. Lee YJ, Seomun GA. Impact of unit-level nurse practice environment on nurse turnover intention. Journal of Digital Convergence. 2016;14(6):355-62. https://doi.org/10.14400/JDC.2016.14.6.355
  15. Ko HJ, Kim JH. Relationships among nursing work environment, job embeddedness, and turnover intention in nurses. Journal of Korean Academy of Nursing Administration. 2016;22(3):279-97. https://doi.org/10.11111/jkana.2016.22.3.279
  16. Cooke RA, Rousseau DM. Behavioral norms and expectations: a quantitative approach to the assessment of organizational culture. Group & Organizational Management. 1988;13(3):245-73. https://doi.org/10.1177/105960118801300302
  17. Kang SJ. Mediating effects of empowerment, job stress, and organizational commitment in relation-oriented nursing organization culture and turnover intention of clinical nurses. Journal of Korean Academy of Nursing Administration. 2013;19(3):372-81. https://doi.org/10.11111/jkana.2013.19.3.372
  18. Park KO, Park SH. Review of research on nursing organizational culture in Korea. The Journal of the Korea Contents Association. 2014;4(2):387-95. https://dx.doi.org/10.5392/JKCA.2014.14.02.387
  19. Kim MS, Han SJ, Kim JH. The development of the nursing organization culture measurement tool. Journal of Korean Academy of Nursing Administration. 2004;10(2):175-84.
  20. Son DM, Jung YI. The effect of work-life balance on job satisfaction and turnover intention of hospital nurses: compared to female wage workers. The Korean Journal of Stress Research. 2019;27:268-76. https://doi.org/10.17547/kjsr.2019.27.3.268
  21. Heinen MM, Achterberg TV, Schwendimann R, Zander B, Matthews A, Kozka M, et al. Nurses' intention to leave their profession: a cross sectional observational study in 10 European countries. International Journal of Nursing Studies. 2013;50(2): 174-84. https://doi.org/10.1016/j.ijnurstu.2012.09.019
  22. Ko KJ, Lee SK. Influence of resilience and job embeddedness on turnover intention in general hospital nurses. Journal of Korean Academy of Nursing Administration. 2019;25(4):362-72. https://doi.org/10.11111/jkana.2019.25.4.362
  23. Joo HS, Jun WH. Influence of nurses' work environment, organizational commitment, and nursing professionalism on turnover intention of nurses in long term care hospitals. Journal of Korean Academy of Nursing Administration. 2018;24(4):265-75. https://doi.org/10.11111/jkana.2018.24.4.265
  24. Cho SH, Lee JY, Mark BA, Yun SC. Turnover of new graduate nurses in their first job using survival analysis. Journal of Nursing Scholarship. 2012;44 (1):63-70. https://doi.org/10.1111/j.1547-5069.2011.01428.x
  25. Lee SY, Oh EJ, Sung KM. The experiences of turnover intention in early stage nurses. Journal of East-West Nursing Research. 2013;19(2):168-76. https://doi.org/10.14370/jewnr.2013.19.2.168
  26. Benner P. From novice to expert: excellence and power in clinical nursing practice. Menlo Park, California: AddisonWesley Pub; 1984. p. 13-36.
  27. Cho MS, Cho YA, Kim KH, Kwon IG, Kim MS, Lee JL. Development of clinical ladder system model for nurses: for tertiary care hospitals. Journal of Korean Clinical Nursing Research. 2015;.21(3): 277-92. https://doi.org/10.22650/JKCNR.2015.21.3.277
  28. Baek HC, Yoon MR, Kim IA, Im J, Choi KO, Hong EY. A research on the nurses' occupational stress evaluation system. Research Report. Ulsan: Occupational Safety & Health Research Institute, 2018 November. Report No.: 2018-연구원-921.
  29. Galletta M, Portoghese I, Carta MG, D'Aloja E, Campagna M. The effect of nurse-physician collaboration on job satisfaction, team commitment, and turnover intention in nurses. Research in Nursing & Health. 2016;39(5):375-85. https://doi.org/10.1002/nur.21733
  30. Chung HJ, Ahn SH. Relationship between organizational culture and job satisfaction among korean nurses: a meta-analysis. Journal of Korean Academy of Nursing Administration. 2019;25(3):157-66. https://doi.org/10.11111/jkana.2019.25.3.157