Browse > Article
http://dx.doi.org/10.5977/jkasne.2017.23.3.290

Factors Affecting Hospital Nurses Intention to Remain: Focusing on Role Conflict  

Cho, Kyung Sook (Medical Campus, College of Nursing, Gachon University)
Lee, Eun Hee (Department of Nursing, Gangneung-Wonju National University)
Son, Haeng-Mi (Department of Nursing, University of Ulsan)
Publication Information
The Journal of Korean Academic Society of Nursing Education / v.23, no.3, 2017 , pp. 290-299 More about this Journal
Abstract
Purpose: The purpose of this study is to investigate nurses' role conflict and intention to remain and to identify factors that may influence this intention. Methods: Data were collected from 172 nurses in a 600-plus bed hospital on nurses' intention to remain, which included 47 items and nurses' role conflict, which included 82 items from a self-reported questionnaire. Data were analyzed by descriptive statistics and stepwise multiple regression using SPSS 22.0 Results: The mean of the role conflict frequency was 2.71(${\pm}.39$) and the mean severity was 2.86 (${\pm}.47$). The most significant item among the items of intention to remain was "a nurse's job is to help people." The intention to remain employed showed a significant difference in the duration of desired working period and subjective job satisfaction. The subjective job satisfaction of nurses was the most influential variable as a factor affecting the intention to remain, followed by frequency of role conflict in nursing practice. Conclusion: These results suggest that inadequate nursing environments in nursing practice require improvement and support the idea that nurses with positive attitudes of the nursing organization and theirs leaders reduce nurses' related fatigue.
Keywords
Retention; Intention; Role; Conflict; Nurses;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Twigg, D., & McCullough, K. (2014). Nurse retention: A review of strategies to create and enhance positive practice environments in clinical settings. International Journal of Nursing Studies, 51(1), 85-92. http://dx.doi.org/10.1016/j.ijnurstu.2013.05.015   DOI
2 Lee, E. H., Cho, K. S., Son, H. M., Yi, Y. J., & Yoo, C. S. (2013). Frequency and severity of the nurses's role conflict in the hospital nurses. Journal of Korean Clinical Nursing Research, 19(1), 81-95.   DOI
3 Lee, E. H., Cho, K. S., & Son, H. M. (2014). A study of hospital nurse's intention to keep nursing job. Journal of Korean Clinical Nursing Research, 20(1), 15-27.   DOI
4 Lee, E. O., Im, N. Y., & Park, h. A. (2012). Nursing & medical research and statistical analysis. Seoul:Soomoonsa.
5 Lee, J. S., Kim, H. K., & Park, G. C. (2015). The effects of role conflicts and burnout on turnover intention in nurses of oriental medicine hospitals. Journal of The Korea Contents Society, 15(3), 241-251.   DOI
6 Lee, N. Y., Lee, S. O., & Hwang, J. H. (2012). Factors affecting on hospital nurse intention of retention. Journal of The Korean Data Analysis Society, 14(3), 1479-1491.
7 Ministry of Health and Welfare. (2013). Ministry of halth and welfare statistical year book 2013(Report No. : 11-135000-000137-10). Seoul: Government Printing Office.
8 Nei, D., Snyder, L. A., & Litwiller, B. J. (2015). Promoting retention of nurses: A meta-analytic examination of causes of nurse turnover. Health Care Management Review, 40(3), 237-253. http://dx.doi.org/10.1097/HMR.0000000000000025   DOI
9 Park, M. H. (2001). Managing nurses' role conflict at hospitals. Unpublished master's thesis, Chungbuk National University, Cheongju.
10 Reitz, O. E., Anderson, M. A., & Hill, P. D. (2010). Job embededness and nurse retention, Nursing Administration Quarterly, 34(3), 190-200. http://dx.doi.org/10.1097/NAQ.0b013e3181e702b7   DOI
11 Seo, Y. S., & Kim, Y. C. (2007). A Study on factors affecting the turnover intention and job involvement of nurses. Business Education Journal, 12, 151-172.
12 Son, E. J. (2011). Nurses role conflicts influencing on the organizational commitments and turnover intentions. Unpublished master's thesis, Kyunghee University, Seoul.
13 Statistics Korea. (2016). Annual report on the economically active population survey 2015 (Report No. 11-1240000-000058-10). Seoul: Government Printing Office.
14 Sung, M. H. (2006). A comparative study on role conflict and job satisfaction between nurses in ICU and nurses in general ward. Journal of Korean Academy of Nursing Administration, 12(1), 104-112.
15 Tourangeau, A. E., & Cranley, L. A. (2006). Nurse intention to remain employed: Understanding and strengthening determinants. Journal of Advanced Nursing, 55(4), 497-509. http://dx.doi.org/10.1111/j.1365-2648.2006.03934.x   DOI
16 Tourangeau, A. E., Cummings, G., Cranley, L. A., Ferron, E. M., & Harvey, S. (2010). Determinants of hospital nurse intention to remain employed: Broadening our understanding. Journal of Advanced Nursing, 66(1), 22-32. http://dx.doi.org/10.1111/j.1365-2648.2009.05190.x   DOI
17 Eo, Y. S., Kim, M. S., & Park, Y. J. (2015). Influencing factors of the turnover intention among clinical Nurses: Focused on professionalization, burnout, and organizational commitment. Journal of Psychology and Behavior, 7(1), 1-13.
18 Carter, M. R., & Tourangeau, A. E. (2012). Staying in nursing: What factors determine whether nurses intend to remain employed?. Journal of Advanced Nursing, 8(7), 1589-1600. http://dx.doi.org/10.1111/j.1365-2648.2012.05973.x   DOI
19 Chang, E. M., Hancock, K. M., Johnson, A., Daly, J., & Jackson, D. (2005). Role stress in nurses: Review of related factors and strategies for moving forward. Nursing & Health Science, 7(1), 57-65. http://dx.doi.org/10.1111/j.1442-2018.2005.00221.x   DOI
20 Cowin, L. S. Johnson, M., Craven, R. G., & Marsh, H. W. (2008). Causal modeling of self-concept, job satisfaction, and retention of nurses. International Journal of Nursing Studies, 45(10), 1449-1459. http://dx.doi.org/10.1016/j.ijnurstu.2007.10.009   DOI
21 Hospital Nurses Association. (2017). Survey on the status of hospital nursing staff placement. Seoul.
22 Kim, I. S., Chang, K. S., Lee, M. H., Ha, N. S., Lee, T. H., Kim, J. S., et al. (2016). Nursing management. Seoul: Hyunmoonsa.
23 Kim, M. R. (2008). Clinical nurses' professionalism, nursing performance and intention of retention. Unpublished master's thesis, Hanyang University, Seoul.
24 Kim, S. H., & Lee, M. A. (2014). Effects of emotional labor and communication competence on turnover intention in nurses. Journal of Korean Academic Nursing Administration, 20(3), 332-341. http://dx.doi.org/10.11111/jkana.2014.20.3.332   DOI
25 Korea Health Industry Development Institute. (2014). Survey of nurses' activity status, Chungju.
26 Christmas, K. (2008). How work environment impacts retention. Nursing Economics, 26(5), 316-318.
27 Laschinger, H. K. S., Wong, C. A., & Grau, A. L. (2012). The influence of authentic leadership on newly graduated nurses' experiences of workplace bullying, burnout and retention outcomes: A cross-sectional study. International Journal of Nursing Studies, 49(10), 1266-1276. http://dx.doi.org/10.1016/j.ijnurstu.2012.05.012   DOI