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http://dx.doi.org/10.11111/jkana.2015.21.1.88

Organizational Socialization and Intention to Leave in Operating Room Nurses Working at Secondary General University Hospitals  

Yoon, Su Jung (Bundang CHA General Hospital)
Park, Hye-Ja (Department of Nursing, CHA University)
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Abstract
Purpose: To evaluate the relationship between organizational socialization and intention to leave, and to identify factors affecting on intention to leave in operating room nurses. Methods: This study used a descriptive design. Seventy operating room nurses recruited from three hospitals under the same management style, in-service educational system, and working conditions agreed to participate in this study, and completed self-administered questionnaires of the organizational socialization and the intention to leave questionnaire. Respondents were classified by career as advanced beginner, competent practitioner, proficient practitioner and expert practitioner by Benner's stages of nursing proficiency. Data were analyzed with t-test, ANOVA with multiple comparisons, Spearman correlation, and multiple regression analysis. Results: Nurses unsatisfied with the current in-service continuous education had lower organizational socialization and higher intention to leave. In advanced beginners, job performance was lowest and organizational commitment was highest. In expert practitioners, intention to leave was highest. Organizational commitment, interpersonal relationship, identity and burnout were associated with intention to leave. Mutual trust, burnout, and interpersonal relationship were predictors of intention to leave explained 20.8% of variance. Conclusion: The career ladder program to enhance nurses' organizational socialization and intention to stay should be established and expanded for well-experienced operating room nurses.
Keywords
Operating room; Nurse; Socialization; Intention to leave;
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1 Weis D, Schank MJ. Professional values: Key to professional development. Journal of Professional Nursing. 2002;18(5): 271-275.   DOI
2 Lee Y-J, Kim K-B. Experiences of nurse turnover. Journal of Korean Academy of Nursing. 2008;38(2):248-257.   DOI
3 Vowels A, Topp R, Berger J. Understanding stress in the operating room: A step toward improving the work environment. Kentucky Nurse. 2012;60(2):5-7.
4 Yoon K. A study on the job satisfaction and organizational commitment among perioperative nurses. Journal of Korean Academy of Nursing Administration. 2010;16(1):86-100. http://dx.doi.org/10.11111/jkana.2010.16.1.86   DOI
5 Taormina RJ, Law CM. Approaches to preventing burnout: The effects of personal stress management and organizational socialization. Journal of Nursing Management. 2000;8(2):89-99.   DOI
6 Kim H, Jang KS. Development of a clinical ladder system for operating room nurses. Journal of Korean Academy of Nursing Administration. 2011;17(3):301-314. http://dx.doi.org/10.11111/jkana.2011.17.3.301   DOI
7 Park KO, Yi MS. Nurses' experience of career ladder programs in a general hospital. Journal of Korean Academy of Nursing. 2011;41(5):581-592. http://dx.doi.org/10.4040/jkan.2011.41.5.581   DOI
8 Ko YK, Yu S. Clinical ladder program implementation: A project guide. The Journal of Nursing Administration. 2014;44 (11):612-616. http://dx.doi.org/10.1097/NNA.0000000000000134   DOI
9 Liu C, Zhang L, Ye W, Zhu J, Cao J, Lu X, et al. Job satisfaction and intention to leave: a questionnaire survey of hospital nurses in Shanghai of China. Journal of Clinical Nursing. 2012; 21(1-2):255-263. http://dx.doi.org/10.1111/j.1365-2702.2011.03766.x   DOI
10 Korean Hospital Nurses Association. Hospital nurses staffing state survey [Internet]. Seoul: Korean Hospital Nurses Association. 2013 [cited 2014 February 13]. Available from: http://www.khna.or.kr/web/information/resource.php.272-429.pdf
11 Price JL, Mueller CW. Professional turnover: the case of nurses. Health Systems Management. 1981;15:1-160.
12 Buerhaus PI, Donelan K, Ulrich BT, Norman L, DesRoches C, Dittus R. Impact of the nurse shortage on hospital patient care: Comparative perspectives. Health Affairs (Project Hope). 2007;26(3):853-862. http://dx.doi.org/10.1377/hlthaff.26.3.853   DOI
13 Ramoo V, Abdullah KL, Piaw CY. The relationship between job satisfaction and intention to leave current employment among registered nurses in a teaching hospital. Journal of Clinical Nursing. 2013;22(21-22):3141-3152. http://dx.doi.org/10.1111/jocn.12260   DOI
14 Spruce L. Bringing back the basics of perioperative nursing care. AORN Journal. 2013;98(5):438-439. http://dx.doi.org/10.1016/j.aorn.2013.09.001   DOI
15 Willemsen-McBride T. Preceptorship planning is essential to perioperative nursing retention: matching teaching and learning styles. Canadian Operating Room Nursing Journal. 2010; 28(1):8, 10-11, 16 passim.
16 Heslin MJ, Doster BE, Daily SL, Waldrum MR, Boudreaux AM, Smith AB, et al. Durable improvements in efficiency, safety, and satisfaction in the operating room. Journal of American College of Surgeons. 2008;206(5):1083-1089. discussion 1089-1090. http://dx.doi.org/10.1016/j.jamcollsurg.2008.02.006   DOI
17 Kim T-Y, Cable DM, Kim S-P. Socialization tactics, employee proactivity, and person-organization fit. The Journal of Applied Psychology. 2005;90(2):232-241. http://dx.doi.org/10.1037/0021-9010.90.2.232   DOI
18 Wanberg CR, editor. The Oxford handbook of organizational socialization. New York, USA: Oxford University Press, Inc.; 2012.
19 Feng RF, Tsai YF. Socialisation of new graduate nurses to practising nurses. Journal of Clinical Nursing. 2012;21(13-14): 2064-2071. http://dx.doi.org/10.1111/j.1365-2702.2011.03992.x   DOI
20 Choi JS, Yang NY. Nursing performance and organizational socialization of new nurses according to teaching style of preceptors and personality of new nurses. Journal of Korean Academy of Nursing Administration. 2012;18(3):281-289. http://dx.doi.org/10.11111/jkana.2012.18.3.281   DOI
21 Dinmohammadi M, Peyrovi H, Mehrdad N. Concept analysis of professional socialization in nursing. Nursing Forum. 2013; 48(1):26-34. http://dx.doi.org/10.1111/nuf.12006   DOI
22 Taormina RJ, Law CM. Approaches to preventing burnout: The effects of personal stress management and organizational socialization. Journal of Nursing Management. 2000;8(2):89-99.   DOI
23 Kramer MW. Organizational socialization: Joining and leaving organizations. Cambridge, UK: Polity Press; 2010. p. 171-179.
24 Mellinger E. Orientation and onboarding processes for the experienced perioperative RN. AORN Journal. 2013;98(4):c5-c6.
25 Song YS, Lee MY. The effect of need for professional development and organizational climate on organizational socialization. Journal of Korean Clinical Nursing Research. 2010;16(3): 51-61.
26 Black BP. Professional nursing. Concepts and challenges. 7th ed. St. Louis, Missouri: Elsevier; 2014. p. 121-123.
27 Sohn IS, Kim HS, Kwon JS, Park DL, Han YH, han SS. Development of an instrument to measure organizational socialization of new clinical nurses. Journal of Korean Clinical Nursing Research. 2008;14(1):85-97.
28 Lawler EE. Satisfaction and behavior. In: Hackman JR, Lawler EE, editors. Perspectives on behavior in organizations. New York: McGraw-Hill; 1983. p. 78-97.
29 Park HS. Relationship between perceived nursing care role orientation, job characteristics, and turnover among nurses [master's thesis]. Seoul: Yonsei University; 2002.
30 Kim J, Park HJ, Lee SH. The relationship between organizational socialization and organizational citizenship behavior among nurses in general hospitals. Journal of Korean Clinical Nursing Research. 2012;18(3):413-423.   DOI