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http://dx.doi.org/10.7586/jkbns.2021.23.2.91

Comparison of Occupational Stress and Health Problems between Leavers and Stayers: Focused on Novice Nurses  

Ki, Jison (College of Nursing, Seoul National University)
Choi-Kwon, Smi (College of Nursing.Research Institute of Nursing Science, Seoul National University)
Publication Information
Journal of Korean Biological Nursing Science / v.23, no.2, 2021 , pp. 91-99 More about this Journal
Abstract
Purpose: This study aimed to identify occupational stress and health problems as well as turnover reasons among leavers in novice nurses and to estimate factors which might affect turnover by comparing them to stayers. Methods: In this study, secondary analysis of data gathered from the Shift Work Nurse's Health and Turnover studies, was carried out. The data were collected from 204 stayers who have been working for 18 months since 2018 and 48 leavers who left within the same period at two tertiary hospitals in Seoul. The reasons for turnover, occupational stress, and 8 types of health problems were recorded. The data were analyzed using SAS 9.4 to obtain descriptive statistics. In parallel, Pearson's chi-squared test, Fisher's exact test, and independent t-test were also conducted. Results: The main reasons for turnover were job stress and difficult interpersonal relationships in the workplace. Occupational stress of leavers was higher than stayers, especially in the subscales of interpersonal conflict, organizational system, lack of reward, and occupational climate. Among the 8 types of health problems, the depression prevalence of leavers was higher compared to stayers and showed marginal significance. Unexpectedly, the sleep disturbance prevalence of stayers was significantly higher compared to leavers. Conclusion: To reduce the turnover rate of novice nurses, education on how to cope with occupational stress is needed. A customized program for novice nurses to overcome the difficulties of interpersonal relations would be helpful.
Keywords
Nurse; Personnel turnover; Occupational stress; Depression;
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1 Brandford AA, Reed DB. Depression in registered nurses: a state of the science. Workplace Health &Safety. 2016;64(10):488-511. https://doi.org/10.1177/2165079916653415.   DOI
2 Han K, Kim YH, Lee HY, Cho H, Jung YS. Changes in health behaviours and health status of novice nurses during the first 2 years of work. Journal of Advanced Nursing. 2019. https://doi.org/10.1111/jan.13947.   DOI
3 Stolt M, Suhonen R, Virolainen P, Leino-Kilpi H. Lower extremity musculoskeletal disorders in nurses: a narrative literature review. Scandinavian Journal of Public Health. 2016;44(1):106-115. https://doi.org/10.1177/1403494815602989.   DOI
4 Kim J, Hyun M, kim S. Job stress, depression, social support, and coping strategies of clinical nurses. Korean Journal of Occupational Health Nursing. 2009; 18(2):219-231.
5 Han K, Choi-Kwon S, Kim KS. Poor dietary behaviors among hospital nurses in seoul, south korea. Applied Nursing Research. 2016;30:38-44. https://doi.org/10.1016/j.apnr.2015.10.009.   DOI
6 Yang EO, Choi IR, Kim S-M. The impact of sleep disorder and job stress on turnover intention of shift-working nurses. stress. 2017;25(4):255-264. https://doi.org/10.17547/kjsr.2017.25.4.255   DOI
7 Turpin RS, Ozminkowski RJ, Sharda CE, Collins JJ, Berger ML, Billotti GM, et al. Reliability and validity of the stanford presenteeism scale. Journal of Occupational and Environmental Medicine. 2004;46(11):1123-1133. https://doi.org/10.1097/01.jom.0000144999.35675.a0.   DOI
8 Cho HK, Lee TY, Kim CW. Hospital nurse turnover rate and structural characteristics of hospital. Journal of the Korea Academia-Industrial cooperation Society. 2015;16(1):453-461. http://doi.org/10.5762/KAIS.2015.16.1.453.   DOI
9 Yoon GS, Kim SY. Influences of job stress and burnout on turnover intention of nurses. Journal of Korean Academy of Nursing Administration. 2010;16(4):507-516. http://doi.org/10.11111/jkana.2010.16.4.507   DOI
10 Clegg A. Occupational stress in nursing: a review of the literature. Journal of Nursing Management. 2001;9(2):101-106. https://org/10.1046/j.1365-2834.2001.00216.x   DOI
11 Kim CS. Communication experience of new nurses in some general hospitals. Health Service Management Review. 2020;14(1):1-12. http://doi.org/10.18014/hsmr.2020.14.1.01.   DOI
12 Oyane NMF, Pallesen S, Moen BE, Akerstedt T, Bjorvatn B. Associations between night work and anxiety, depression, insomnia, sleepiness and fatigue in a sample of norwegian nurses. Plos One. 2013;8(8):e70228. https://doi.org/10.1371/journal.pone.0070228.   DOI
13 Yu M, Choi-Kwon S. Secondary data analysis on the quality of sleep and related factors of novice and experienced shift work nurses. Journal of Korean Academy of Nursing. 2020;50(5):646-657. https://doi.org/10.4040/jkan.19238.   DOI
14 Lai HL, Lin YP, Chang HK, Wang SC, Liu YL, Lee HC, et al. Intensive care unit staff nurses: predicting factors for career decisions. Journal of Clinical Nursing. 2008;17(14):1886-1896. https://doi.org/10.1111/j.1365-2702.2007.02180.x.   DOI
15 Jung KY, Lee HJ, Lee YI, Kim YI, JI KG. The effects of Job stress for depression in clinical nurses. Korean Journal of Occupational Health Nursing. 2007;16(2):158-167.
16 Korea Hospital Nurse Association. Survey on the status of hospital nursing staffing. Seoul: Korea Hospital Nurse Association, 2018. p.93.
17 Kim JH, Park EO. The effect of job-stress and self-efficacy on depression of clinical nurses. Korean Journal of Occupational Health Nursing. 2012;21(2): 134-144. http://doi.org/10.5807/kjohn.2012.21.2.134.   DOI
18 Colditz GA, Hankinson SE. The nurses' health study: lifestyle and health among women. Nature Reviews Cancer. 2005;5(5):388-396. https://doi.org/10.1038/nrc1608   DOI
19 Kim YI. Effect factors on health promotion lifestyle of shift work nurses. Korean Journal of Occupational Health Nursing. 2011;20(3):356-364. https://doi.org/10.5807/kjohn.2011.20.3.356.   DOI
20 Na I-G. A panel data analysis on the relationships among job satisfaction, intent to leave, and turnover. Korean Jouranl of Business Administration. 2005;18(2):509-530.
21 Baek J, Choi-Kwon S. Secondary data analysis on the factors influencing premenstrual symptoms of shift work nurses: focused on the sleep and occupational stress. Journal of Korean Academy of Nursing. 2020;50(4):631-640. https://doi.org/10.4040/jkan.19230.   DOI
22 Ryu JG, Choi-Kwon S. Association of sleep disturbance, fatigue, job stress and exposure to blood and body fluid in shift-work nurses. Journal of Korean Biological Nursing Science. 2018;20(3):187-195. https://doi.org/10.7586/jkbns.2018.20.3.187.   DOI
23 Korea Hospital Nurse Association. Survey on the status of hospital nursing staffing. Seoul: Korea Hospital Nurse Association, 2017. p.91.
24 Chang S. Reevaluation of the KOSS based on the items and structure. Journal of Korean Society of Occupational Stress. 2007;1(1):83-96.
25 McDowall K, Murphy E, Anderson K. The impact of shift work on sleep quality among nurses. Occupational Medicine . 2017;67(8):621-625. https://doi.org/10.1093/occmed/kqx152.   DOI
26 Chang S-J, Koh S-B, Kang D, Kim S-A, Kang M-G, Lee C-G, et al. Developing an occupational stress scale for Korean employees. Korean Journal of Occupational and Environmental Medicine. 2005;17(4):297-317.   DOI
27 Kang WY, Jang KH, Lim HM, Ahn JS, Park WJ. The menstrual cycle associated with insomnia in newly employed nurses performing shift work: a 12-month follow-up study. International Archives of Occupational and Environmental Health. 2019;92(2):227-235. https://doi.org/10.1007/s00420-018-1371-y.   DOI
28 Ki J, Ryu J, Baek J, Huh I, Choi-Kwon S. Association between health problems and turnover intention in shift work nurses: health problem clustering. International Journal of Environmental Research and Public Health. 2020;17(12):4532. https://doi.org/10.3390/ijerph17124532.   DOI
29 Tuckett A, Henwood T, Oliffe JL, Kolbe-Alexander TL, Kim JR. A Comparative study of australian and new zealand male and female nurses' health. American Journal of Men's Health. 2016;10(6):450-458. https://doi.org/10.1177/1557988314567222.   DOI
30 Cai S, Lin H, Hu X, Cai Y, Chen K, Cai WZ. High fatigue and its associations with health and work related factors among female medical personnel at 54 hospitals in zhuhai, china. Psychology, Health & Medicine. 2018;23(3):304-316. https://doi.org/10.1080/13548506.2017.1361038.   DOI
31 Abdul Rahman H, Abdul-Mumin K, Naing L. Psychosocial work stressors, work fatigue, and musculoskeletal disorders: comparison between emergency and critical care nurses in brunei public hospitals. Asian Nursing Research. 2017;11(1):13-18. https://doi.org/10.1016/j.anr.2017.01.003.   DOI
32 Jeong JR, Shin SY. Influence of job stress, compassion satisfaction and resilience on depression of nurses. Korean Journal of Occupational Health Nursing. 2019; 28(4):253-261. https://doi.org/10.5807/kjohn.2019.28.4.253.   DOI
33 Korea Hospital Nurse Association. Survey on the status of hospital nursing staffing. Seoul: Korea Hospital Nurse Association; 2019. p.161.
34 Kim J, Bae H, Kwon H. Current situation and reorganization direction of the nursing workforce shift system in Korea. Final report. Seoul: FKTU Research Center; 2019 Dec. Report No.: 2019-14.
35 Hayes LJ, O'Brien-Pallas L, Duffield C, Shamian J, Buchan J, Hughes F, et al. Nurse turnover: a literature review. International Journal of Nursing Studies. 2006;43(2):237-263. https://doi.org/10.1016/j.ijnurstu.2005.02.007.   DOI
36 O'BRIEN-PALLAS L, Murphy GT, Shamian J, Li X, Hayes LJ. Impact and determinants of nurse turnover: a pan-canadian study. Journal of nursing management. 2010;18(8):1073-1086. https://doi.org/10.1111/j.1365-2834.2010.01167.   DOI
37 Zhang Y, Wu J, Fang Z, Zhang Y, Wong FKY. Newly graduated nurses' intention to leave in their first year of practice in Shanghai: a longitudinal study. Nursing outlook. 2017;65(2):202-211. https://doi.org/10.1016/j.outlook.2016.10.007   DOI
38 Shin S, Park YW, Kim M, Kim J, Lee I. Survey on the education system for new graduate nurses in hospitals: focusing on the preceptorship. Korean Medical Education Review. 2019;21(2):112-122. https://doi.org/10.17496/kmer.2019.21.2.112.   DOI
39 Labrague L, McEnroe-Petitte D. Job stress in new nurses during the transition period: an integrative review. International nursing review. 2018;65(4):491-504. https://doi.org/10.1111/inr.12425   DOI
40 Chang S-J, Koh S-B. Development of the korean occupational stress scale (KOSS). Stress. 2005;13(3):183-197.