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Association between Emotional Labor, Emotional Dissonance, Burnout and Turnover Intention in Clinical Nurses: A Multiple-Group Path Analysis across Job Satisfaction

직무만족도에 따른 임상간호사의 감정노동, 감정부조화, 소진이 이직의도에 미치는 영향: 다중집단경로분석

  • Back, Chi-Yun (Department of Medicine, Yonsei University Graduate School) ;
  • Hyun, Dae-Sung (Department of Biostatistics and Computing, Yonsei University Graduate School(Seoul)) ;
  • Chang, Sei-Jin (Department of Preventive Medicine.Institute of Occupational and Environmental Medicine, Yonsei University Wonju College of Medicine)
  • 백지윤 (연세대학교 대학원 의학과) ;
  • 현대성 (연세대학교 대학원 의학전산통계학과) ;
  • 장세진 (연세대학교 원주의과대학 예방의학교실.직업환경의학연구소)
  • Received : 2017.05.18
  • Accepted : 2017.11.18
  • Published : 2017.12.31

Abstract

Purpose: This study was conducted to investigate the influence of emotional labor, emotional dissonance, and burnout on nurse's turnover intention and examine the effect of job satisfaction on the relationships among emotional labor, emotional dissonance, burnout, and turnover intention. Methods: The sample consisted of 350 nurses recruited from 6 general hospitals in 2 cities in Korea. A multiple-group analysis was utilized. Data were analyzed using SPSS statistics 23 and AMOS 20. Results: In the path analysis, turnover intention was directly related to burnout in clinical nurses who had a high job satisfaction (${\beta}=.24$, p=.003), while it was indirectly related to emotional dissonance (${\beta}=.13$, p=.002). In the multiple-group path analysis, turnover intention was directly related to emotional dissonance (${\beta}=.18$, p=.033) and burnout (${\beta}=.26$, p=.002) for nurses with low job satisfaction. Conclusion: These results indicate that manuals and guidelines to alleviate the negative effects of emotional labor, emotional dissonance, and burnout, and to increase job satisfaction are strongly required to reduce turnover intention in nurses at the organizational level as well as at the individual level.

Keywords

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