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http://dx.doi.org/10.5762/KAIS.2016.17.5.428

The Influence of Emotional Labor, Job Stress, and Burnout on Turnover Intention of Care Worker's at Long-Term Care Hospitals  

Youn, Soon-Chul (Dept. of Nursing, Kosin University Graduate School)
Kwon, Suhye (College of Nursing University)
Kang, Hyo-Jeong (Dept. of Nursing, Dongwon Institute of Science and Technology)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.17, no.5, 2016 , pp. 428-440 More about this Journal
Abstract
The purpose of this study was to identify the extent of and relationships among emotional labor, job stress, burnout and turnover intention and the factors influencing the turnover intention of care workers at long-term care hospitals. The study was approved by KUIRS, and the data were collected from August 12 to September 30, 2015, and analyzed using the SPSS WIN 18.0 program. The participants of this study were 200 care workers at ten different long-term care hospitals in B city and G province. Data were collected through self-reported questionnaires and analyzed by descriptive statistics, the t-test, ANOVA, Pearson's correlation coefficients, and Stepwise multiple regression. The turnover intention was significantly correlated with emotional labor (r=.372, p<.001), job stress (r=.471, p<.001), and burnout (r=.411, p<.001). In the multiple regression, job stress (${\beta}=.290$, p<.001), burnout (${\beta}=.239$, p<.001), type of employment (${\beta}=.185$, p<.001), and emotional labor (${\beta}=.157$, p=.017) were identified as factors influencing the turnover intention. These factors explained 32.6% of the total variance in the turnover intention. Based on the results, in order to reduce the turnover intention, the improvement of work environment and clear job-descriptions are needed to reduce the job stress, and the development and implementation of proactive psycho-social interventions are necessary to reduce burnout and emotional labor in care workers at long-term care hospitals.
Keywords
Burnout; Care Worker; Emotional Labor; Job Stress; Long-Term Care; Turnover Intention;
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Times Cited By KSCI : 8  (Citation Analysis)
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1 J. U. Ko, "The Effects of the Caregiver Emotional Labor Component on Job Satisfaction and Turnover Intention", Korean Journal of Care Management, Vol. 11, pp. 1-20, 2014.
2 A. R. Hochschild, "Emotion work, Feeling rules, and Social Structure. American Journal of Sociology, Vol. 85, No. 3, pp. 551-575, 1979. DOI: http://dx.doi.org/10.1086/227049   DOI
3 J. A. Kim, H. G. Lee, "The Impact of Care Worker's Job Stress on their Perceived Service Quality-Mediated by Job Satisfaction", The Journal of Korea Policy Studies, Vol. 14, No. 4, pp. 1-33, 2014.
4 K. H. Kim, S. W. Kang, "The Impact of the Care-Worker Job Stress on Turnover Intention -Focusing on the Emotional intelligence, Ego-resilience", Journal of community welfare, Vol. 44, pp. 275-304, 2013.
5 H. Y. Kim, J. H. Mo, S. H. Kim, "The Effects of Turnover Intention on Long-term Care Worker's Occupational Stress", The Korean Association for Governance, Vol. 63, pp. 149-173, 2010.
6 H. Moon, "The Mediator Effect of Coping Strategies in the Relationship between Care Givers Job Stress and Burnout", Korean Journal of community Science, Vol. 63, pp. 149-173, 2010.
7 Y. M. Jeong, Y. S. Kang, "The Effect of Stress and Burnout by Job Environment of Care giver on Job Satisfaction", Journal of the Korea Academia-Industrial Society, Vol. 11, No. 10, pp. 3688-3699, 2010. DOI: http://dx.doi.org/10.5762/KAIS.2010.11.10.3688   DOI
8 E. J. Lee, "A study on Effects of the Factors on Burnout of Elderly Care Worker", Social welfare Development, Vol. 6, No. 4, pp. 417-443, 2010.
9 K. S. Park, "Study of Work Environment and Job Factors That Affect The Short of Nursing Professionals", Unpublished Master's thesis, Honam National University, Gwang-Ju, 2010.
10 S. G. Lee, Y. L. Ham, "The Influence on the Impact to Turnover Intention in the Job Stress, Job Satisfaction and Self-Efficacy of Worker in Home Care", International Journal of Welfare for the Aged, Vol. 65, pp. 7-33, 2014.
11 Y. S. Kang, "The Effect of the Long-term Care Worker's Empowerment on Job Satisfaction, Organizational Commitment, Turnover Intention", Journal of the Korea Academia-Industrial Cooperation Society, Vol. 12, No. 9, pp. 3904-3914, 2011. DOI: http://dx.doi.org/10.5762/KAIS.2011.12.9.3904   DOI
12 M. G. Song, "A study on the Influence of Worker Ethic and Job Stress of Domiciliary Care Workers to Turnover Intention", Unpublished Master's thesis, Hanyang National University, Seoul. 2013.
13 B. R. Lee, "A study of the Influence of Social Support on the Job Satisfaction of Care Workers", Korea Institute for Health and Social Affairs, Vol. 32, No. 2, pp. 123-150, 2012.
14 J. Y. Oh, Y. J. Seo, H. S. Park, "Determinants of Intent to Leave among Workers at Long-Term Care Institutions", The Korean Journal of Health Service Management, Vol. 6, No. 1, pp. 87-103, 2012. DOI: http://dx.doi.org/10.12811/kshsm.2012.6.1.087   DOI
15 K. I. Park, J. A. Kwon, J. K. Kim, "Influence the Elderly Care-giver's Conflict and Care Attitudes in Elderly Nursing Homes on Their Turnover Intention around of Job stress's Mediating Effect", Journal of Welfare for the Aged, Vol. 63, pp. 149-173, 2014. DOI: http://dx.doi.org/10.12811/kshsm.2012.6.1.087
16 H. H. Kim, O. I. Park, H. Moon, "The Effect of Worker Environment on Turnover Intention of Geriatric Hospital Care giver", The Korean Society Of Community Living Science, No. 6, pp. 161-161, 2015.
17 M. Y. Kim, J. h. Park, K. J. Lee, J. M. Yoon, "The Study on Care Worker's Self-Efficacy, Job Satisfaction and Turnover Intention at Long-Term and Home Care Service Centers", International Journal of Welfare for the Aged, Vol. 62, pp. 361-382, 2013.
18 J. A. Morris, D. C. Feldman, "The dimension, antecedents and consequences of emotional labor", Academy of Management Review, Vo1. 21, No. 4, pp. 986-1010. 1996. DOI: http://dx.doi.org/10.5465/AMR.1996.9704071861   DOI
19 S. Y. Yoon, Y. S. Seo, Y. C. Kwon, "Factors Influencing the Turnover Intention in Long-Term Care Hospital Care Workers", Journal of Digital Convergence, Vol. 13, No. 1, pp. 321-329, 2015. DOI: http://dx.doi.org/10.14400/JDC.2015.13.1.321   DOI
20 S. J. Moon, S. S. Han, "A Predictive Model on Turnover Intention of Nurses in Korea", Journal of Korea Academy of Nursing, Vol. 41, No. 5, pp. 633-641, 2011.   DOI
21 M. Y. Kim, "The Effects of Emotional Labor and Experience of Violence on Burnout for Care-Givers in Nursing Home", Unpublished doctoral dissertation, Keimyung University Deagu, 2013.
22 Jayaratne, S, & Chess, W. A. "Job satisfaction and turnover among social work administrators : A national survey", Administration in social Work. Vol. 7, No. 2, pp. 11-22, 1983. DOI: http://dx.doi.org/10.1300/J147v07n02_02   DOI
23 J. B. Kwak, "A study on The Relationship between Job Stress and Job Satisfaction of Care-givers", Unpublished master's thesis, Hannam University, Daejeon, 2010.
24 Maslach C, Jackson S. "Maslach burnout inventory manual", Polo Alto CA: Consulting Psychologists Press, 1981.
25 J. S. Kim, "A Study about the Influence of the Care Workers' Emotional Labor on Turnover Intention and Mediating Effects of Emotive Dissonance and Job Satisfaction", Journal of Welfare for the Aged, Vol. 61, pp. 163-188, 2013.
26 Y. S. Kim, E. Y. Chung, J. N. Kim, Y. J. Seo, "The Effect of Emotional Labor on Job Stress, Burnout and Job Satisfaction of Hospital Nurses", Korean Public Health Research, Vol. 40, No. 4, pp. 75-88, 2014.
27 S. M. Hwang, J. H. Yoon, "Impacts of Flight Attenda-nts' Emotional Labor on Burnout and Turnover Intentions in the Airline Industry", Korean Academic Socie-ty of Hotel Administration, Vol. 21, No. 2, pp. 277-294, 2014. DOI: http://dx.doi.org/10.5762/KAIS.2014.15.12.7170
28 S. J. Kim, "A study on emotional labor through examination of care assistant's caring relationship", The Korean Society of welfarenfor the Aged. Vol. 2015 No. 1, 2005
29 J. D. Lim, "The Relationship between Job Stress and Job Satisfaction of Geriatric Care Helpers", The Korea Contents Society, Vol. 61, pp. 163-188, 2011.
30 S. O. Lim, H. H. Kim, "The moderating effects of professional identity on the relationship between job stress and burnout of care workers from care facilities", Journal of Korean social welfare administration, Vol. 13, No. 3, pp. 151-176, 2011. DOI: http://dx.doi.org/10.12811/kshsm.2012.6.1.087
31 J. H. Yang, K. H. Jeoung, "Effects of Emotional Labor, Job Satisfaction and Organizational Commitment on Turnover Intention in Nurses", Journal of the Korea Academy-Industrial Society, Vol. 15, No. 12, pp. 7077-7078, 2014. DOI: http://dx.doi.org/10.5762/kais.2014.15.12.7170   DOI
32 Y. O. Park, G. J. Lee, Y. H. Cho, H. J. Park, "Factors Affecting Turnover Intention of Nurses in Long-term Care Facilities for Elderly People", Journal of Korean Gerontological Nursing, Vol. 11, No. 1, pp. 81-89, 2009.
33 S. H. Cho, H. S. Park, "The Influence of Care Giver's Job Stressor on the Turnover Intention," Korea Society of age. Vol. 32, No. 1, pp. 323-340, 2012.
34 Statistics Korea, "2013 Elder statistics," Statistics Korea, 2015. Available from http://kostat.go.kr/portal/korea/kor_nw/2/6/1/index.board?bmode=read&aSeq=308688 (accessed June, 3, 2015).
35 Health Insurance Review & Assessment Service (HIRA), "Data base for the number of long-term care hospitals," HIRA, 2015. Available from http://www.nhis.or.kr/static/html/wbde/d/e/wbdede0303.html (accessed June 3, 2015).
36 National Health Insurance Corporation, "Long-Term Care, Bohosa care and long-term care institutions representative survey", 2011. 06. 02. Available from, http://www.longtermcare.or.kr/portal/ny/jsp/p/d/03/nypd_publicDatalst_R.jsp?bltBdCd=1102&act=VIEW&boardId=50241 (accessed June 3, 2015).
37 B. O. Hwang, S. J. Lee, "A study about job stress that influences turnover intention of the employees of Long-term Care Services for Older Adults by Q-method", Journal of Welfare for the Aged, Vol. 56, pp. 165-190, 2012.
38 T. H. Lee, C. W. Lee, "The Effects of Geriatric Care Worker's Individual Characteristics on Turnover Intention", Korean Society public administration, Vol. 24, No. 2, pp. 643-672, 2013.
39 W. H. Mobley, "Employee Turnover, cause, Consequences, and Control", Reading, MA: Addison-Wesley, 1982.