Browse > Article
http://dx.doi.org/10.5807/kjohn.2021.30.3.110

Factors Affecting Turnover Intention of Nurses in Comprehensive Nursing Care Service Wards: Focusing on Occupational Stress, Emotional Labor, and Burnout  

Im, Ji Ah (Hyewon Medical Foundation, Bucheon Sejong Hospital, Graduate School, College of Nursing, Gachon University)
Ko, Young (College of Nursing, Gachon University)
Publication Information
Korean Journal of Occupational Health Nursing / v.30, no.3, 2021 , pp. 110-119 More about this Journal
Abstract
Purpose: The purpose of this study was to explore the factors affecting turnover intention of nurse who work in comprehensive nursing care service wards. Methods: The study design was a cross-sectional study. We recruited participants in 5 general hospitals located in Gyeonggi. Data were collected using structured questionnaires. Data of 150 nurses were included in the final analysis. Multiple regression analysis was used to identify the influencing factors on turnover intention. Results: Work in the thoracic surgery department (β=.158, p=.045), Emotional labor (β=.282, p=.004), occupational stress (β=.222, p=.004), and burnout (β=.249, p=.003) were identified as factors influencing turnover intention. These factors explained 39.1% of the variance of turnover intention. Conclusion: The findings suggest that it is important to reduce emotional labor and occupational stress to reduce turnover intention for nurse in comprehensive nursing care service wards.
Keywords
Turnover; Intention; Occupational stress; Emotional labor; Burnout;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Kim, J., Son, H., Park, I., Shin, H. J., Park, J. H., Cho, M. O., et al. (2015). Phenomenological study on burnout experience of clinical nurses who have turnover intention. Korean Journal of Women Health Nursing, 21(4), 297-307. https://doi.org/10.4069/kjwhn.2015.21.4.297   DOI
2 Back, J., Kim, M. H., & Kim, S. (2016). Perceived Emotional Labor of Clinical Nurse from the Persons Concerned. Korean Journal of Occupational Health Nursing, 25(3), 148-155. https://doi.org/10.5807/kjohn.2016.25.3.148   DOI
3 Kim, Y. S., Park, H., & Park, S. (2009). Relationship between job stress and work-related musculo-skeletal symptoms among hospital nurses. Journal of Muscle and Joint Health, 16(1), 13-25.
4 Lawler, E. E. (1983). Satisfaction and Behavior. New York: McGrow Hill.
5 Lee, J. Y., & Nam, H. R. (2016). Effects of work environment, organizational culture and demands at work on emotional labor in nurses. Journal of Korean Academy of Nursing Administration, 22(2), 119-128. https://doi.org/10.11111/jkana.2016.22.2.119   DOI
6 Lee, M. K., & Jung, D. Y. (2015). A study of nursing tasks, nurses' job stress and job satisfaction in hospitals with no guardians. Journal of Korean Academy of Nursing Administration, 21(3), 287-296. https://doi.org/10.11111/jkana.2015.21.3.287   DOI
7 Lee, N. S., & Koh, M. S. (2015). Comparative study for the clinical nurses' work satisfaction, job stress and turnover intention - in general ward, comprehensive nursing care service ward, and Anshim unit. Journal of the Korea Academia-Industrial cooperation Society, 16(1), 516-526.   DOI
8 Lee, Y., & Kang, J. (2018). Related factors of turnover intension among Korean hospital nurses: a systematic review and meta-analysis. Korean Journal of Adult Nursing, 30(1), 1-17. https://doi.org/10.7475/kjan.2018.30.1.1   DOI
9 Ministry of Health and Welfare. (2020). Standard operating manual of comprehensive nursing care [Internet]. [updated December 30, 2020; cited June 12, 2021]. Available from https://www.nhis.or.kr/nhis/together/wbhaea01000m01.do?mode=view&articleNo=10803732
10 Morris, J. A., & Feldman, D. C. (1996). The Dimensions, antecedents and consequences of emotional labor. Academy of Management Review, 21(4), 986-1010.   DOI
11 Jung, H. (2007). A study on relationship among violence experience, coping and burnout of emergency department nurses. Unpublished master's thesis, Graduate School, Inje University, Busan.
12 Kwak, S. H., & Hyun, S. (2019). Exploring job stress, job satisfaction, and turnover intention of nurses in the comprehensive nursing service. The Journal of the Convergence on Culture Technology, 5(2), 23-30.   DOI
13 Chang, S., Koh, S., Kang, D., Kim, S., Kang, M., Lee, C., et al. (2005). Developing an occupational stress scale for Korean employees. Annals of Occupational and Environmental Medicine, 17(4), 297-317.
14 Cho, H. N., So, H. S., & Jang, A. (2021). Shift work female nurse turnover intention structual equation modeling: Focused on tertiary hospitals. Journal of the Korean Academia-Industrial cooperation Society, 22(3), 181-189.   DOI
15 Choi, H., & Lee, M. H. (2018). Comparing the emotional labor, job stress, and nursing performance of nurses in the comprehensive nursing care ward and the general ward. Journal of Korean Academy Society of Home Health Care Nursing, 25(2), 139-146. https://doi.org/10.22705/jkashcn.2018.25.2.139   DOI
16 Hwang, N. (2010). An analysis of the debates on introduction of public caregivers' services in acute medical centers. Health and Welfare Policy Forum, 1701, 60-71.
17 Kim, B., & Kang, H. (2018). Job satisfaction, job stress, burnout, and turnover intention of comprehensive nursing care service ward nurses and general ward nurses. Journal of the Korea Academy-Industrial cooperation Society, 19(5), 459-469.
18 Kim, M. J. (1998). Effects of the hotel employee's emotional labor upon the job-related attitudes. Journal of Tourism Sciences, 21 (2), 129-141.
19 Korean Hospital Nurses Association. (2019). Survey on the current nurse deployment, A report of hospital nurses. Seoul: Hospital Nurses Association.
20 Kim, S., & Han, J. (2017). Clinical nurses' job stress, emotional labor, nursing performance, and burnout in comprehensive nursing care service wards and general wards. Journal of Korean Academy of Nursing Administration, 23(3), 336-345. https://doi.org/10.11111/jkana.2017.23.3.336   DOI
21 Kim, J., Kim, S., Park, E., Jeong, S., & Lee, E . (2017). Policy issues and new direction for comprehensive nursing service in the national health insurance. Journal of Korean Academy of Nursing Administration, 23(3), 312-322. https://doi.org/10.11111/jkana.2017.23.3.312   DOI
22 Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Occupational Behavior, 2, 99-113.   DOI
23 Na, B. J., & Kim, E. J. (2016). 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 Nursing Administration, 22(3), 260-269. https://doi.org/10.11111/jkana.2016.22.3.260   DOI
24 Back, C., Hyun, S., & Chang, S. (2017). Association between emotional labor, emotional dissonance, burnout and turnover intention in clinical nurses: a multiple-group path analysis job satisfaction. Journal of Korean Academy of Nursing, 47(6), 770. https://doi.org/10.4040/jkan.2017.47.6.770   DOI
25 Sohn, Y. (2014). Improvement plan for three big national health insurance non-benefit. Health Insurance Review & Assessment Service Policy Brief, 8(1), 5-22.
26 Yang, H., Bang, S., Park, M., & Je, N. (2019). Path analysis of nurse's turnover intention working at the comprehensive nursing care service wards. Journal of Digital Convergence, 17(3), 341-351. https://doi.org/10.14400/JDC.2019.17.3.341   DOI
27 Yoon, G., & Kim, S. Y. (2010). Influences of job stress and burnout on turnover intention of nurses. Journal of Korean Academy of Nursing Administration, 16(4), 507-516.   DOI
28 Yoon, S. H. (2009). Occupational stress and depression in clinical nurses - using Korean Occupational Stress Scales. Journal of Korean Academy of Nursing Administration, 15(3), 463-470.
29 Park, H. S. (2002). Relationship between perceived nursing care role orientation, job characteristics, and turnover among nurses. Unpublished master's thesis, Yonsei University, Seoul.
30 Park, S., & Kim, K. (2005). A study of role-conflict, stress and job satisfaction of nurses according to their current work posts. Journal of East-West Nursing Research, 11(1), 65-74.