DOI QR코드

DOI QR Code

Effects of Changes in Reality Shock among New Nurses on Turnover Intention in South Korea

  • Park, Hyun Hee (Department of Operation Nursing / National Health Insurance Service Ilsan Hospital) ;
  • Lee, Kwang Ok (Department of Nursing, Sangmyung University)
  • 투고 : 2021.11.28
  • 심사 : 2022.04.15
  • 발행 : 2022.04.30

초록

Purpose: This study aimed to investigate the changes in reality shock among new nurses and their influencing factors to identify turnover reduction methods. Methods: A total of 146 new nurses from 6 general hospitals participated in the survey. The survey data were collected from August 5 to November 10, 2015. Results: The mean scores for factors related to turn over were 2.75 for nurse practice environment, 2.84 (4point scale) for reality shock, and 3.08 (5point scale) for turnover intention. A significant difference in the impact of reality shock was observed depending on whether the nurses selected their work unit (F=6.24, p=.003) and whether they could take the possibility of holiday on the desired day at will (t=-2.57, p=.013). Changes in reality shock correlated with turnover intention, with the 'increased reality shock' group demonstrating an odds ratio of 2.37 (CI: 1.41~3.98) for turnover intention. Conclusion: The current findings indicate the need for lowering reality shock and turnover intention by considering nurses' work-related characteristics and improving their practice environments. To further study the changes in reality shock new nurses experienced, additional research is warranted while homogenizing the participants in terms of preceptorship duration and timing of independence.

키워드

참고문헌

  1. Anzai, E., Douglas, C., & Bonner, A. (2014). Nursing practice environment, quality of care, and morale of hospital nurses in Japan. Nursing and Health Sciences, 16, 171-178. https://doi.org/10.1111/nhs.12081
  2. Cho, E. H., Choi, M. N., Kim, E. Y., Yoo, I. Y., Lee, N. J. (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
  3. Cho, Y. K. (2013). A structural equation model on new graduate nurses' turnover intentions and turnover. Unpublished doctoral dissertation, Ewha Woman's University, Seoul.
  4. Halfer, D., & Graf, E. (2006). Graduate nurse perceptions of the work experience. Nursing Economics, 24(3), 5, 123.
  5. Hospital Nurses Association. (2015). Hospital nurses association work report: Hospital nurses staffing state survey. Seoul: Hospital Nurses Association.
  6. Ji, E. A., & Kim, J. S. (2018). Factor Influencing New Graduate Nurses' Turnover Intention according to Length of Service. Journal of Korean Academy of Nursing Administration, 24(1), 51-60. https://doi.org/10.11111/jkana.2018.24.1.51
  7. Kang, Y. B., & Che, J. H . (2013). The effect analysis of the religious hospital organizational characteristics on organizational commitment and achievement. Korean Public Administration Quarterly, 25(4), 1095-1118.
  8. Kim, H. R., & Kwon, I. S. (2014). A phenomenological study on oncology adaptation experiences of new nurses. Asian Oncology Nursing, 14(2), 127-138. https://doi.org/10.5388/aon.2014.14.2.127
  9. Kim, S. H., & Lee, M. A. (2014). Effects of emotional labor and communication competence on turnover intention in nurses. Journal of Korean Academy of Nursing Administration, 20(3), 332-341. https://doi.org/10.11111/jkana.2014.20.3.332
  10. Kramer, M., Brewer, B.B., & Maguire, P. (2013). Impact of healthy work environments on new graduate nurses' environmental reality shock. Western Journal of Nursing Research, 35(3), 348-383. https://doi.org/10.1177/0193945911403939
  11. Lake, E. T. (2002). Development of the practice environment scale of the nursing work index. Research in Nursing & Health, 25 (3), 176-188. https://doi.org/10.1002/nur.10032
  12. Lavoie-Tremblay, M., O'Brien-Pallas, L., Gelinas, C., Desforges, N., & Marchionni, C. (2008). Addressing the turnover issue among new nurses from a generational viewpoint. Journal of Nursing Management, 16(6), 724-733. https://doi.org/10.1111/j.1365-2934.2007.00828.x
  13. Lawler, E. E. (1983). Satisfaction and behavior. Perspectives on behavior in organizations. New York: McGraw Hill.
  14. Park, H. S. (2002). Relationship between perceived nursing care role orientation, job characteristics, and turnover among nurses. Seoul: Unpublished master's thesis, Yonsei University.
  15. Sin, K. M., Kwon, J. O., & Kim, E. Y. (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. Yang, Y. S., & Kang, Y. (2013). ICU new nurses' job stress, job satisfaction, organizational commitment and turnover intention. Nursing Science, 25(2), 47-58.
  17. Yoon, G. S., & Kim, S. Y. (2010). Influences of job stress and burnout on turnover intention of nurses. Journal of Korean Academy of Nursing Administration, 16(4), 507-516. https://doi.org/10.1111/inr.12342