Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
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Predictive Factors of Nurses' Turnover Intention during the COVID-19 Pandemic

COVID-19 유행 동안 간호사의 이직의도 예측요인

  • Received : 2021.10.02
  • Accepted : 2021.12.14
  • Published : 2021.12.31
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Abstract

Purpose: Nurses are exposed to stressful circumstances during the COVID-19 outbreak, which increases their turnover intention. This study aimed to identify predictive factors of turnover intention among nurses during the COVID-19 outbreak. Methods: This study was a cross-sectional design using self-report questionnaires. A total of 164 nurses working at three hospitals participated voluntarily in the study. Questionnaires included nursing professionalism, job satisfaction, control belief and COVID-19 stress. Data were collected from February 1, 2021, to March 15, 2021. Data were analyzed with SPSS WIN 23.0 program using descriptive statistics, x2-test, independent t-test and logistic regression. Results: The turnover intention rate of nurses was 33.5%. Two significant predictors of nurses' turnover intention were identified, including risk acceptance in caring for patients with COVID-19 (odds ratio [OR] 4.24, 95% confidence interval [CI]=1.76~10.49) and nursing professionalism (OR=1.06, 95% CI=1.02~1.10). Conclusion: Hospital administrations should provide an improved work environment, such as individual protective equipment, compensation and protective system to nurses to avoid turnover intention in COVID-19 outbreak.

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References

  1. Adams, D., & Miller, B. K. (2001). Professionalism in nursing behaviors of nurse practitioners. Journal of Professional Nursing, 17(4), 203-210. https://doi.org/10.1053/jpnu.2001.25913
  2. Ajzen, I. (2020). The theory of planned behavior: Frequently asked questions. Human Behavior and Emerging Technologies, 2(4), 314-324. https://doi.org/10.1002/hbe2.195
  3. Alharbi, J., Jackson, D., & Usher, K. (2020). The potential for COVID-19 to contribute to compassion fatigue in critical care nurses. Journal of Clinical Nursing, 29(15-16), 2762-2764. https://doi.org/10.1111/jocn.15314
  4. Arnetz, J. E., Goetz, C. M., Arnets, B. B., & Arble, E. (2020). Nurse reports of stressful situations during the COVID-19 pandemic: Qualitative analysis of survey responses. International Journal of Environmental Research and Public Health, 17(21), 8126. https://doi.org/10.3390/ijerph17218126
  5. Bae, J. H., So, A. Y., Chang, S. J., & Park, S. A. (2021). Factors influencing the turnover intention of COVID-19 ward and general ward nurses in public hospitals. Korean Academic Society Of Occupational Health Nursing, 30(2), 46-56. https://doi.org/10.5807/kjohn.2021.30.2.46
  6. Bal, P. M., & Vink, R. (2011). Ideological currency in psychological contracts: The role of team relationships in a reciprocity perspective. The International Journal of Human Resource Management, 22(13), 2794-2817. https://doi.org/10.1080/09585192.2011.560869
  7. Gebbie, K. M., & Qureshi, K. (2002). Emergency and disaster preparedness: Core competencies for nurses: What every nurse should but may not know. The American Journal of Nursing, 102(1), 46-51. https://doi.org/10.1097/00000446-200201000-00023
  8. Hwang, S. Y., & Kim, S. H. (2019). Health care professional's duty of care in a public health emergency. Korean Bioethics Association, 20(2), 29-43. https://doi.org/10.37305/JKBA.2019.12.20.2.29
  9. Irshad, M., Khattak, S. A., Hassan, M. M., Majeed, M., & Bashir, S. (2020). How perceived threat of Covid-19 causes turnover intention among Pakistani nurses: A moderation and mediation analysis. International Journal of Mental Health Nursing, 30(1), 350. https://doi.org/10.1111/inm.12775
  10. Jeong, H. J., Choi, A. R., Lee, G. J., Kim, J. Y., & Jeong, S. Y. (2017). Turnover intention of nurses that were cohort quarantined during the Middle East Respiratory Syndrome (MERS) outbreak. Korean Society of Industrial Technology, 18(3), 175-184. https://doi.org/10.5762/KAIS.2017.18.3.175
  11. Jeong, H. Y., & Kim, S. Y. (2016). Effects of nursing professionalism and job involvement on turnover intention among new graduate nurses. Journal of Korean Academy of Nursing Administration, 22(5), 531-539. https://doi.org/10.11111/jkana.2016.22.5.531
  12. Kim, Y. N., & Jang, I. S. (2014). Moderating and mediating effects of social support in the relationship between work-family conflict, job satisfaction and turnover intention among married women nurses. Journal of Korean Academy of Nursing Administration, 20(5), 525-534. http://dx.doi.org/10.11111/jkana.2014.20.5.525
  13. Kim, J. Y. (2017). Nurses' experience of middle east respiratory syndrome patients care. Korean Society of Industrial Technology, 18(10), 185-196. https://doi.org/10.5762/KAIS.2017.18.10.185
  14. Korea Centers for Disease Control and Prevention. (2021). Updates on COVID-19 in Republic of Korea. Retrieved July 12, 2021, from: http://ncov.mohw.go.kr/bdBoardList_Real.do?brdId=1&brdGubun=14
  15. Labrague, L. J., & de Los Santos, J. A. A. (2021). Fear of COVID-19, psychological distress, work satisfaction and turnover intention among frontline nurses. Journal of Nursing Management, 29(3), 395-403. https://doi.org/10.1111/jonm.13168
  16. Lee, Y. J., Kim, S. H., & Lee, T. H. (2015). Effects of job characteristics, organizational culture on job satisfaction and turnover intention in public institution nurses. Journal of Korean Academy of Nursing Administration, 21(4), 354-365. http://dx.doi.org/10.11111/jkana.2015.21.4.354
  17. Lee, J. Y. (2018). Factors influencing the infection of nurses to care for emerging infectious diseases patients. Master's thesis, Ewha Women University, Seoul.
  18. Locke, E. A. (1969). What is the job satisfaction?. Organizational Behavior And Human Performance, 4(April), 309-336. http://dx.doi.org/10.1016/0030-5073(69)90013-0
  19. Moon, Y. J. (2021). The meditation effect of resilience on the relationship between burnout and the retention intention of clinical nurses working at a public medical institution during COVID-19 era. Unpublished master's thesis, Hanyang University, Seoul.
  20. Oh, M. O., Sung, M. H., & Kim, Y. W. (2011). Job stress, fatigue, job satisfaction and commitment to organization in emergency department nurse. Journal of Korean Clinical Nursing Research, 17(2), 215-227. https://www.koreascience.or.kr/article/JAKO201108164209152.pdf
  21. Park, E. H., & Park, H. J. (2021). An influence of emotional labor, emotional intelligence, and social support of emergency room nurse on turnover intention. Korean Journal of Health Communication, 15(1), 53-60. https://doi.org/10.15715/kjhcom.2020.15.1.53
  22. Ranney, M. L., Griffeth, V., & Jha, A. K. (2020). Critical supply shortages-the need for ventilators and personal protective equipment during the Covid-19 pandemic. The New England Journal of Medicine, 382(18), e41. https://doi.org/10.1056/NEJMp2006141
  23. Song, M. S. (2005). Analysis of the factors of nurse job satisfaction and the effect of job satisfaction on patient satisfaction. Unpublished master's thesis, Keimyung University, Daegu.
  24. World Health Organization. (2016). Guidance for managing ethical issues in infectious disease outbreaks(9789241549837). Retrieved November 20, 2021, from: https://apps.who.int/iris/handle/10665/250580
  25. World Health Organization. (2020). WHO Director-General's remarks at the media briefing on 2019-nCoV on 11 February 2020. Retrieved November 12, 2021, from: https://www.who.int/dg/speeches/detail/who-director-general-s-remarks-at-the-media-briefing-on-2019-ncov-on-11-february-2020
  26. Wu, W., Zhang, Y., Wang, P., Zhang, L., Wang, G., Lei, G., Xiao, Q., Cao, X., Bian, Y., Xie, S., Huang, F., Luo, N., Zhang, J., & Luo, M. (2020). Psychological stress of medical staffs during outbreak of COVID-19 and adjustment strategy. Journal of Medical Virology, 92(10), 1962-1970. https://doi.org/10.1002/jmv.25914
  27. Yoo, H. R., Kwon, B. E., Jang, Y. S., & Yoon, H. K. (2005). Validity and reliability of an instrument for predictive nursing interaction for SARS patient care. Journal of Korean Academy of Nursing, 35(6), 1063-1071. https://doi.org/10.4040/jkan.2005.35.6.1063
  28. Yoon, E. J., Kwon, Y. M., & Ahn, O. H. (2005). Development of a nursing professional value scale. Journal of Korean Academy of Nursing, 35(6), 1091-1100. https://doi.org/10.4040/jkan.2005.35.6.1091
  29. Yoon, H. K., Choi, J. H., Lee, E. Y., Lee, H. Y., & Park, M. J. (2013). Effects of decision making competency, nursing professionalism, and job satisfaction on turnover impulse among nurses. Journal of Korean Academy Nursing Administration, 19(5), 658-667. https://doi.org/10.11111/jkana.2013.19.5.658
  30. Zhang, B., & Small, D. S. (2020). Number of healthcare workers who have died of COVID-19. Epidemiology, 31(6), e46. https://doi.org/10.1097/EDE.0000000000001229