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http://dx.doi.org/10.5392/JKCA.2012.12.03.276

Relationship between Moral Distress and Turnover Intention among Hospital Nurses  

Han, Su-Jeong (건양대학교 간호학과)
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Abstract
This study aimed to identify the relationship between moral distress and turnover intention among hospital nurses. The participants were 281 hospitals nurses. The moral distress scale and the turnover intention scale for nurses were used. Data were analyzed using SPSS/WIN 15.0 program. The mean score of moral distress was 3.08 and that of turnover intention was 5.09. Statistically significant differences were found in moral distress according to age (F = 5.87, p = .003), education level (F = 11.50, p < .001), nursing experience (F = 7.00, p <. 001) and department of duty (F = 3.81, p =. 005). Statistically significant differences were found in turnover intention according to age (F = 11.54, p <. 001) and nursing experience (F = 5.87, p = .001). Moral distress was positively correlated with turnover intention (r = .29, p < .001). The findings suggest that programs aimed at decreasing moral distress and turnover intention should be developed. Furthermore, future studies should explore variables that influence moral distress.
Keywords
Nurses; Moral Distress; Turnover Intention;
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1 한성숙, "간호사들이 임상에서 경험하는 도덕적 고뇌", 생명윤리, 제6권, 제2호, pp.31-47, 2005.
2 김해리, 안성희, "병원 간호사의 도덕적 민감성과 도덕적 고뇌", 한국의료윤리학회지, 제13권, 제 4호, pp.321-336, 2010.
3 A. Jameton, Nursing Practice: The ethical issues, Englewood Cliffs, NJ: Prentice-Hall.,1984.
4 M. M. Eizenberg, H. S. Desivilya, and M J. Hirschfeld, "Moral distress questionnaire for clinical nurses: instrument development", Journal of Advanced Nursing, Vol.4, No.65, pp.885-892, 2009.
5 유대근, 권영식, SPSS 8.0., 기한재, 1999.
6 J. L. Price and C. W. Muller, Handbook of organizational measurement, Marshfield. MA: Pitman Publishing Inc., 1986.
7 박상언, "감정부조화의 영향과 그 조절요인에 관한 실증연구: 직무자율성과 사회적 지원의 조절효과를 중심으로", 경영학연구, 제38권, 제2호, pp.379-405, 2009.
8 L. C. Radzvin, "Moral distress in certified registered nurse anesthetists: implications for nursing practice," American Association of Nurse Anesthetists Journal, Vol.1, No.79, pp.39-45, 2011.
9 M. C. Corley, P. Minick, R. K. Elswick, and M. Jacobs, "Nurse moral distress and ethical work environment," Nursing Ethics, Vol.4, No.12, pp.381-390, 2005.
10 B. Pauly, C. Varcoe, J. Storch, and L. Newton, "Registered nurses' perceptions of moral distress and ethical climate," Nursing Ethics, Vol.5, No.16, pp.561-573, 2009.
11 김미란, "간호사의 조직몰입과 경력몰입이 이직 의도에 미치는 영향", 간호행정학회지, 제13권, 제 3호, pp.335-344, 2007.
12 한상숙, 손인순, 김남은, "신규간호사의 이직의도와 영향요인", 대한간호학회지, 제39권, 제6호, pp.878-887, 2009.
13 P. S. Pendry, "Moral distress: recognizing it to retain nurses," Nursing Economics, Vol.4, No.25, pp.217-221, 2007.
14 C. Bowles and L. Candela, "First job experiences of recent RN graduates: improving the work environment," Journal of Nursing Administration, Vol.3, No.35, pp.130-137, 2005.
15 유명숙, "일 지역 간호사의 도덕적 고뇌 정도", 간호행정학회지, 제12권, 제1호, pp.131-139, 2006.
16 M. C. Corley, R. K, Elswick, and T. Clor, "Development and evaluation of a moral distress scale," Journal of Advanced Nursing, Vol.2, No.33, pp.250-256, 2001.
17 E. G. Epstein and S. Delgado, "Understanding and addressing moral distress," The Online Journal of Issues in Nursing, Vol.3, No.15, Manuscript 1, 2010.
18 L. H. Aiken, S. P, Clarke, D. M. Sloane, J. A. Sochalski, R. Busse, H. Clarke, P. Giovannetti, J. Hunt, A. M. Rafferty, and J. Shamian, "Nurses' reports on hospital care in five countries," Health Affairs, Vol.3, No.20, pp.43-53, 2001.
19 C. Ulrich, P. O'Donnell, C. Taylor, A. Farrar, M. Danis, and C. Grady, "Ethical climate, ethical stress, and the job satisfaction of nurses and social workers in the United States," Social Science & Medicine, Vol.8, No.65, pp.1708-1919, 2007.
20 K. Ohnishi, Y. Ohgushi, M. Nakano, H. Fujii, K. Kitaoka, J., Nakahara, and Y. Narita, "Moral distress experienced by psychiatric nurses in Japan," Nursing Ethics, Vol.6, No.17, pp.726-740, 2010.
21 S. E. Hart, "Hospital ethical climates and registered nurses' turnover intentions," Journal of Nursing Scholarship, Vol.2, No.37, pp.173-177, 2005.
22 A. Goldman and N. Tabak, "Perception of ethical climate and its relationship to nurses' demographic characteristics and job satisfaction," Nursing Ethics, Vol.2, No.17, pp.233-246, 2010.
23 유명숙, 간호사의 도덕적 고뇌 측정도구 개발, 연세대학교 대학원 박사학위논문, 2003.