Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Effects of Leadership Styles of Nursing Managers on Turnover Intention of Hospital Nurses: A Systematic Review and Meta-Analysis

병원 간호사의 이직의도에 대한 간호관리자의 리더십 효과: 체계적 문헌고찰 및 메타분석

  • Cho, Yunjeong (Department of Nursing, Graduate School, Jeonbuk National University) ;
  • Jeong, Seok Hee (College of Nursing.Research Institute of Nursing Science, Jeonbuk National University) ;
  • Kim, Hee Sun (College of Nursing.Research Institute of Nursing Science, Jeonbuk National University) ;
  • Kim, Young Man (College of Nursing.Research Institute of Nursing Science, Jeonbuk National University)
  • 조윤정 (전북대학교 대학원 간호학과) ;
  • 정석희 (전북대학교 간호대학.간호과학연구소) ;
  • 김희선 (전북대학교 간호대학.간호과학연구소) ;
  • 김영만 (전북대학교 간호대학.간호과학연구소)
  • Received : 2022.04.13
  • Accepted : 2022.09.19
  • Published : 2022.10.31
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Abstract

Purpose: This study aimed to examine effect sizes of leadership styles of nursing managers on turnover intention of hospital nurses. Methods: A systematic review and meta-analysis were conducted in accordance with the PRISMA and MOOSE guidelines. Participants were nurses working in hospitals. The intervention involved nursing managers' leadership styles; the outcome assessed was nurses' turnover intention. This was an observational study design. Eleven databases were searched to obtain articles published in Korean or English. Of the 14,428 articles reviewed, 21 were included in systematic review and meta-analysis. Comprehensive Meta-Analysis and R software programs were used. Results: The total effect size r (ESr) was - 0.25 (95% confidence interval: - 0.29 to - 0.20). Effect sizes of each leadership style on turnover intention were as follows: ethical leadership (ESr = - 0.34), transformational leadership (ESr = - 0.28), authentic leadership (ESr = - 0.23), transactional leadership (ESr = - 0.21), and passive avoidant leadership (ESr = 0.13). Ethical leadership was the most effective style in decreasing turnover intention of hospital nurses. Conclusion: Positive leadership styles of nurse managers effectively decrease turnover intention of hospital nurses, and negative leadership styles of nurse managers effectively increase turnover intention of hospital nurses. The ethical leadership style is the most effective in decreasing turnover intention of hospital nurses; however, it requires careful interpretation as its effects are reported by only two studies. This study contributes to addressing the high turnover rate of hospital nurses and developing positive leadership styles of nurse managers in hospital settings.

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References

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