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http://dx.doi.org/10.11111/jkana.2016.22.3.279

Relationships among Nursing Work Environment, Job Embeddedness, and Turnover Intention in Nurses  

Ko, Hae Jin (Jeju Hanmaum Hospital)
Kim, Jeong-Hee (College of Nursing, Jeju National University)
Publication Information
Journal of Korean Academy of Nursing Administration / v.22, no.3, 2016 , pp. 279-291 More about this Journal
Abstract
Purpose: The purpose of this study was to investigate the relationship among nursing work environment, job embeddedness, and turnover intention in order to provide basic data for efficient management of human resources in nursing organizations. Methods: A cross-sectional, descriptive study design was conducted with 177 nurses who had worked for more than 6 months in five general hospitals on Jeju Island. A self-report questionnaire was used for data collection. Results: About 88% of the participants reported that they were considering a turnover plan because of overload in their jobs and poor salaries. Nursing work environment was significantly related to job embeddedness and turnover intention. Job embeddedness was significantly related to turnover intention. Hierarchical multiple regression analysis showed that factors affecting turnover intention were the organizational embeddedness factors of organization fit and organization sacrifice. Conclusion: The results indicate that nurses' turnover intention is associated with nursing work environment and job embeddedness. To reduce nurses' turnover intention and improve nurses' retention, nurse managers should improve the nursing work environment and consider job embeddedness, particularly in relation to the organization fit and sacrifice.
Keywords
Nurses; Work environment; Job; Embeddedness; Turnover intention;
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Times Cited By KSCI : 11  (Citation Analysis)
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1 Korean Hospital Nurses Association. Hospital nurses staffing state survey 2013 [Internet]. Seoul: Korean Hospital Nurses Association; 2014. [cited 2015 October 30]. Available from: http://khna.or.kr/bbs/bbs/board.php?bo_table=board1&wr_id=7954&page=2
2 Jeong BJ, Kim HS, Hwang SK, Park JH, Song SK, Jeong MY, et al. A study on the according to the nursing shortage of job satisfaction and turnover intention of nurses. The Korean Journal of Health Service Management. 2011;l5(1):15-29.
3 Christmas K. How work environment impacts retention. Nursing Economics. 2008;26(5):316-318.
4 Kim JK, Kim MJ, Kim SY, Yu M, Lee KA. Effects of general hospital nurses' work environment on job embeddedness and burnout. Journal of Korean Academy of Nursing Administration. 2014;20(1):69-81. http://dx.doi.org/10.11111/jkana.2014.20.1.69   DOI
5 Aiken LH, Clarke SP, Sloane DM, Lake ET, Cheney T. Effect of hospital care environment patient mortality and nurse outcomes. Journal of Nursing Administration. 2008;38(5):223-229. http://dx.doi.org/10.1097/01.NNA.0000312773.42352.d7   DOI
6 Lake ET. (2002). Development of the practice environment scale of the nursing work index. Research in Nursing & Health. 2002;25:176-188. http://dx.doi.org/10.1002/nur.10032   DOI
7 Kelly LA, McHugh MD, Aiken LH. Nurse Outcomes in Magnet? and Non-Magnet Hospitals. Journal of Nursing Administration. 2011;41(10):428-433. http://dx.doi.org/10.1097/NNA.0b013e31822eddbc   DOI
8 Kang KN. Factors influencing turnover intention of nurses in small-medium sized hospitals. Journal of Korean Academy of Nursing Administration. 2012;18(2):155-165. http://dx.doi.org/10.11111/jkana.2012.18.2.155   DOI
9 Lake ET, Friese CR. Variations in nursing practice environments relation to staffing and hospital characteristics. Nursing Research. 2006;55(1):1-9.   DOI
10 Kim EH, Lee EJ, Choi HJ. Mediation effect of organizational citizenship behavior between job embeddedness and turnover intention in hospital nurses. Journal of Korean Academy of Nursing Administration. 2012;18(4):394-401. http://dx.doi.org/10.11111/jkana.2012.18.4.394   DOI
11 Lee JH, Shin KH, Baeck SG, Heo CG. The effectiveness of job embeddedness in turnover studies. The Korean Journal of Industrial and Organizational Psychology. 2014;27(4):743-782.   DOI
12 Griffeth RW, Hom PW, Gaertner S. A Meta-analysis of antecedents and correlates of employee turnover, update, moderator tests, and research implications for the next millennium. Journal of Management. 2000;26(3):463-488. http://dx.doi.org/10.1177/014920630002600305   DOI
13 Mitchell TR, Holtom BC, Lee TW, Sablynski CJ, Erez M. Why people stay: using job embeddeness to predict voluntary turnover. Academy of Management Journal. 2001;4(6):1102-1121. http://dx.doi.org/10.2307/3069391   DOI
14 Kwon JO, Kim EY. 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. 2012;18(4):414-423. http://dx.doi.org/10.11111/jkana.2012.18.4.414   DOI
15 Korean Small & Medium Hospital Association & Korean Health Industry Development Institute. A survey on the demand and supply on nurse staffing and nurse staffing grades. Journal of the Korean Hospital Association. 2008;37(2):65-73.
16 Moon SJ, Han SS. A predictive model on turnover intention of nurses in Korea. Journal of Korean Academy of Nursing. 2011; 41(5):633-641. http://dx.doi.org/10.4040/jkan.2011.41.5.633   DOI
17 Hwang K. Effect of social capital on Goendang culture (a traditional community culture on Jeju) and local development, Journal of the Korea Academia-Industrial Cooperation Society. 2015;16(3):1764-1772.   DOI
18 Cho E, Choi M, Kim E, Yoo IY, Lee N. Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses, Journal of Korean Academy of Nursing. 2011;41(3):324-325. http://dx.doi.org/10.4040/jkan.2011.41.3.325   DOI
19 Tang WY. A study on the effects of job embeddedness on turnover intention and organizational citizenship behavior [master thesis]. Daejeon: Chungnam National University; 2008.
20 Ko SH. Employment, work environment, & the policy implication of Jeju: focusing on report on the social survey in 2011 (JDI Focus 145). Jeju: Jeju Development Institute; 2012.
21 Kim YS. Influence of job embeddedness on turnover intention of nurses in small and medium sized general hospitals [master thesis]. Muan: Mokpo National University; 2014.
22 Becker TE. Foci and bases of commitment: Are they distinctions worth making? Academy of Management Journal. 1992;35:232-244. http://dx.doi.org/10.2307/256481   DOI
23 Kim, JK. Relationships of emotional labor to job satisfaction and intent to turnover among staff nurses at small & medium-sized hospitals [master thesis]. Busan: Catholic University of Pusan; 2012.
24 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://dx.doi.org/0.5807/kjohn.2012.21.2.134   DOI
25 Ham EO. A study on the current status of nursing personnel in Cheju Island. Journal of Korean Academy of Rural Health Nursing. 2009;5(1):25-32.
26 Kim KY, Lee DM. The effect of reward system on embeddedness and turnover intention. Ordo Economics Journal. 2013;16(4):177-195.
27 Lee MH, Kim JK. A comparative study on nursing practice environment, professionalism, and job satisfaction according to hospital size. Journal of Korean Academy of Nursing Administration. 2013;19(4):470-479. http://dx.doi.org/10.11111/jkana.2013.19.4.470   DOI
28 Holtom BC, O' Neill BS. Job embeddedness: A theoretical foundation for developing a comprehensive nurse retention plan. Journal of Nursing Administration. 2004;34(5):216-227. http://dx.doi.org/10.1097/00005110-200405000-00005   DOI
29 Son SY, Choi JS. (2015). Effect of job embeddedness and job satisfaction on turnover intention in nurses. Korean Journal of Adult Nursing. 2015;27(2):180-187. http://dx.doi.org/10.7475/kjan.2015.27.2.180   DOI
30 Gardner JK, Fogg L, Thomas-Hawkins C, Carolyn EL. The relationships between nurses' perception of the hemodialysis unit work environment and nurse turnover, patient satisfaction, and hospitalizations. Nephrology Nursing Journal. 2007;34(3):271-281; quiz 282.