J Korean Acad Nurs Adm.  2015 Dec;21(5):519-529. 10.11111/jkana.2015.21.5.519.

Perceptions on Fixed Night Shift System and Turnover Intention of General Hospital Nurses

  • 1Department of Nursing, Dongguk University, Korea. juliet@dongguk.ac.kr
  • 2Department of Nursing, Dongguk University Ilsan Hospital, Korea.


This study was performed to identify perceptions on fixed night shift system and turnover intention of general hospital nurses and to explore a desirable application plan for a fixed night shift system.
This study was a cross-sectional survey. Participants were 300 nurses working at one general hospital in GyeongGi-Do, Korea. Data were collected from November 3 to 7, 2014, with a structured questionnaires and analyzed using SPSS/PC ver 20.0 programs.
Of the participants 73.5% had thought about turnover because of night shifts and the preconditions for desirable fixed night shift system were a payment plan differentiated according to work conditions and an adequate number of nursing staff. Economic and administrative supports like 'raising extra-pay for night shift' and 'increasing the number of paid holidays' were very important for a desirable fixed night shift system.
The results indicate that the most important factor for a desirable fixed night shift system to decrease nurses' turnover intention is economic and administrative support according to the needs of the nurses. So nursing managers need to find a desirable fixed night shift system considering nurses' demographic characteristics and organizational characteristics.


Fixed night shift system; General hospital; Nurse; Turnover intention

MeSH Terms

Cross-Sectional Studies
Hospitals, General*
Nursing Staff


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