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http://dx.doi.org/10.14400/JDC.2021.19.3.263

Relationships among Nursing Practice Environment and Turnover Intention of Hospital Nurses: The Mediating Effect of The Work-Life Balance  

Kwak, Yun Bok (College of Nursing, Jeonbuk National University)
Kim, Shin-Hee (Department of Nursing, Wonkwang Health Science University)
Publication Information
Journal of Digital Convergence / v.19, no.3, 2021 , pp. 263-272 More about this Journal
Abstract
The purpose of this study was to test the mediating effect of WLB on the relationship between the nursing practice environment and turnover intention of nurses. Data were collected from October 5 to October 30, 2020 for 144 nurses for more than 6 months at three general hospitals located in A-do. Data analyzed using the SPSS/WIN 23.0 program by t-test, ANOVA, Pearson's correlation coefficient, and regression analysis. As a result of the study, WLB was partial mediating role in the relationship between the nursing practice environment and turnover intention. Therefore, in order to reduce the turnover rate of nurses, it is necessary to develop and apply programs along with organizational human resource management strategies to positively improve the nursing practice environment of nurses and to promoting WLB. Based on the results of this study, we intend to provide basic data to reduce the turnover rate of nurses by positively recognizing the nursing practice environment of nurses and improving WLB.
Keywords
Nurses; Workpalce; Work-Life Balance; Turnover;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Organization for Economic Cooperation and Development. (2014). OECD Better Life Index. Retrieved December 21, 2020, from: http://www.oecdbetterlifeindex.org/countries/korea/
2 B. J. Na & E. J. Kim. (2015). A Study on the Mediating and Moderating Effect of Work-family Conflict in the Relationship among Emotional Labor, Occupational Stress, and Turnover Intention. Journal of Korean Academy of Nursing Administration, 22(3), 260-269. DOI : 10.11111/jkana.2016.22.3.260   DOI
3 M. R. Kim & G. A. Seomun. (2013). Relationships among Burnout, Job Satisfaction, Organizational Commitment and Turnover Intention to Resign in Hospital Nurses. Korean Journal of Occupational Health Nursing, 22(2), 93-101. DOI : 10.5807/ kjohn.2013.22.2.93   DOI
4 H. J. Choi. (2015). Moderating Effects of Work-family Conflict between Job, Organizational, Career Characteristics and Turnover Intention among Nurses in Small and Medium-Sized Hospitals. Journal of Korean Academy of Nursing Administration, 21(3), 297-307. DOI : 10.11111/jkana.2015.21.3.297   DOI
5 D. Camerino, M. Sandri, S. Sartori, P. M. Conway, P. Campanini & G. Costa. (2010). Shiftwork, Work-family Conflict among Italian Nurses, and Prevention Efficacy. Chronobiology International, 27(5), 1105-1123. DOI : 10.3109/ 07420528. 2010.490072   DOI
6 D. M. Son & Y. I. Jung. (2019). The Effect of Work-Life Balance on Job Satisfaction and Turnover Intention of Hospital Nurses: Compared to Female Wage Workers. Stress, 27(3), 268-276. DOI : 10.17547/kjsr.2019.27.3.268   DOI
7 S. A. Boamah & H. Laschinger. (2015). The Influence of Areas of Worklife fit and Work-life Interference on Burnout and Turnover Intentions among New Graduate Nurses. Journal of Nursing Management, 24(2), E164-E174. DOI : 10.1111/jonm.12318   DOI
8 E. E. Lawler, S. E. Seashore, P. H. Mirvis & C. E. Cammann. (1983). Assessing Organizational Change: A Guide to Methods, Measures, and Practices. John Wiley & Sons Inc.
9 E. T. Lake & C. R. Friese. (2006). Variations in nursing practice environments: Relation to staffing and hospital characteristics. Nursing research, 55(1), 1-9.   DOI
10 C. W. Kim & C. Y. Park. (2008). A Study on the Development of a 'Work-Life Balance' Scale. Journal of Leisure Studies, 5(3), 53-69.   DOI
11 H. S. Park. (2002). Relationship between perceived nursing care role orientation, job characteristics, and turnover among nurses. Master's thesis. Yonsei University, Seoul.
12 R. M. Baron & D. A. Kenny. (1986). The Moderator-Mediator Variable Distinction in Social Psychological Research: Conceptual, Strategic, and Statistical Considerations. Journal of personality and social psychology, 51(6), 1173-1182.   DOI
13 S. H. Kim & M. A. Lee. (2014). Effects of Emotional Labor and Communication Competence on Turnover Intention in Nurses. Journal of Korean Academy of Nursing Administration, 20(3), 332-341. DOI : 10.11111/ jkana. 2014. 20.3.332   DOI
14 R. Iverson. (1992). Employee intent to stay: An Empirical Test of a Revision of the Price and Mueller Model. Doctoral dissertation. University of Iowa, Iowa City.
15 Y. J. Lee & G. A. SM. (2016). Impact of Unit-level Nurse Practice Environment on Nurse Turnover Intention. Journal of Digital Convergence, 14(6), 355-362. DOI : 10.14400/JDC .2016.14.6.355   DOI
16 T. H. Shin, E. Y. Choi, E. J. Kim, U. K. Kim, Y. S. Im, S. S. Seo., et al. (2018). Comparison of Work-Life Balance, Fatigue and Work Errors between 8-Hour Shift Nurses and 12-Hour Shift Nurses in Hospital General Wards. Journal of Korean Clinical Nursing Research, 24(2), 170-177. DOI : 10.22650/JKCN R.2018.24.2.170   DOI
17 F. Faul, E. Erdfelder, A. Buchner & A. G. Lang. (2009). Statistical Power Analyses Using G*Power 3.1: Tests for Correlation and Regression Analyses. Behavior Research Methods, 41(4), 1149-1160. DOI : 10.3758/BRM. 41.4.1149   DOI
18 E. H. Choi. (2014). Structure Model which Influence the Turnover Intention and Job Burnout by Job Stress, Work-family Conflict and Coping Strategies for the Nurse. Master's thesis. Kyung Hee University, Seoul.
19 J. H. Park. (2017). Turnover Reduction Strategy of New Graduate Nurses. Asia-pacific Journal of Multimedia Services Convergent with Art. Humanities, and Sociology, 7(8), 833-842. DOI : 10.14257/ajmahs.2017.08.44
20 Hospital Nurses Association. (2020). Survey on the Status of Hospital Nursing Staff Placement(2019). Seoul: Hospital Nurses Association.
21 E. A. Ji & J. S. Kim. (2018). Factor Influencing New Graduate Nurses' Turnover Intention according to Length of Service. Journal of Korean Academy of Nursing Administration, 24(1), 51-60. DOI : 10.11111/jkana.2018.24.1.51   DOI
22 K. N. Kang. (2012). Factors Influencing Turnover Intention of Nurses in Small-medium Sized Hospitals. Journal of Korean Academy of Nursing Administration, 18(2), 155-165. DOI : 10.11111/jkana.2012.18.2.155   DOI
23 C. Friese, E. Lake, J. Silber & J. Sochalski. (2007). Hospital Nurse Practice Environment and Outcomes for Surgical Oncolgy Patients. Health Service Research. 43(4), 1145-1163. DOI : 10.1111/j.1475-6773.2007.00825.x   DOI
24 E. H. Cho, M. N. Choi, E. Y. Kim, I. Y. Yo & N. J. Lee. (2011). Construct validity and reliabilty 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. DOI : 10.4040/jkan.20 11.41.3.352   DOI
25 L. H. Aiken, D. M. Sloane, S. Clarke, L. Poghosyan, E. Cho, L. You., et al. (2011). Importance of Work Environments on Hospital Outcomes in Nine Countries. International Journal of the International Society for Quality in Health Care, 23(4), 357-364. DOI : 10.1093/intqhc/mzr022   DOI
26 Y. R. Jeong & T. W. Lee. (2020). Effect of Parenting Stress and Co-worker Support on Work-Life Balance in Nurses Reinstated after Parental Leave. Journal of Korean Academy of Nursing Administration, 26(4), 331-339. DOI : 10.11111/jkana.2015.21.3.297   DOI
27 J. Y. Jeong, Y. S. Seo, J. H. Choi, S. J. Kim, M. S. Lee, S. H. Hong, et al. (2019). The Influence of Grit on Turnover Intention of University Hospital Nurses: The Mediating Effect of Job Involvement. Journal of Korean Academy of Nursing, 49(2), 181-190. DOI : 10.4040/jkan.2019.49.2.181   DOI
28 M. A. Lee & E. J. Kim. (2016). Influences of Hospital Nurses' Perceived Reciprocity and Emotional Labor on Quality of Nursing Service and Intent to Leave. Journal of Korean Academy of Nursing, 46(3), 364-374. DOI :10.4040/jkan.2016.46.3.364   DOI
29 A. R. Kang. (2015). Nurses' Turnover Ratio is 16.9%... 31% of New Nurses Leave from Hospital. Seoul: Dailymedi. http://dailymedi.com/detail.ph?number=777265.
30 J. H. Jeong, J. S. Kim & K. H. Kim. (2008). The Risk Factors Influencing Turnover Intention of Nurses. Journal of Korean Academy of Nursing Administration, 14(1), 35- 44.
31 M. J. Kim. (2020). The Effects of Work-Life Balance and Organizational Commitment on Turnover Intentions among Shift-Working. Master's thesis. Ajou University, Suwon.
32 J. M. Choi. (2020). Study on the Effect of Innovative Culture, Organizational communication, and Work Autonomy on the Work-life Balance: Focusing on K Public Power Generation Company. Master's thesis. Seoul University, Seoul.
33 Y. S. Lee & S. J. Jang. (2013). The Effect of Work-Family Conflicts, Organizational Culture, and Supervisor Support, on the Mental and Physical health of Married Nurses. Health and Social Welfare Review, 33(4), 394-418.   DOI
34 J. O. Kwon & E. Y. Kim. (2012). Impact of Unit-level Nurse Practice Environment on Nurse Turnover Intention in the Small and Medium Sized Hospitals. Journal of Korean Academy of Nursing Administration, 18(4), 414-423. DOI : 10.11111/jkana.2012.18.4.414   DOI
35 S. H. Kim, S. K. Park & M. H. Lee. (2019). Effect of a Nursing Practice Environment on Nursing Job Performance and Organizational Commitment: Focused on the Mediating Effects of Job Embeddedness. Journal of Korean Academy of Nursing Administration, 25(3), 208-219. DOI : 10.11111/jkana.2019.25.3.208   DOI
36 L. M. Barker & M. A. Nussbaum. (2011) Fatigue, Performance and the Work Environment: A Survey of Registered Nurses. Journal of Advanced Nursing, 67(6), 1370-1382. DOI : 10.1111/j.1365-2648.2010.05597.x   DOI
37 D. S. Kim. (2010). Comparison of Job Satisfaction, Commitment to Organization and Turnover Intention between Fixed Day & Evening Nurses and 3 Shift Rotation Nurses. Master's thesis. Kyung Hee University, Seoul.
38 M. S. Jeong, H. L. Kim & Y. J. Lee. (2017). Factors Influencing Work-life Balance in Korean Registered Nurses. Korean Journal of Occupational Health Nursing, 26(2), 114-123. DOI : 10.5807/kjohn.2017.26.2.114   DOI
39 J. H. Lee. (2019). The Effect of the Work-Life Balance Perceived by Casino Employees on Organizational Effectiveness: Moderating Effect of Organizational Support Recognition. Tourism Research, 44(1), 191-215. DOI : 10.32780/ktidoi. 2019.44.1.191   DOI
40 Y. S. Yang & Y. H. Kanhg. (2013). ICU New Nurses' Job Stress, Job Satisfaction, Organizational Commitment and Turnover Intention. Health & Nursing, 25(2), 47-58.