J Korean Acad Nurs Adm.  2010 Dec;16(4):507-516.

Influences of Job Stress and Burnout on Turnover Intention of Nurses

• Yoon GS
• Kim SY

Abstract

PURPOSE
The purposes of this study were to understand the general hospital nurses' work stress, burn out and turnover intention and to identify the factors that influence on turnover intention.
METHODS
This study was conducted through a survey of 283 nurses having at least 6 months of work experience of 4 general hospitals in Seoul. Data were collected from September to October 2009. The data were analyzed using descriptive statistics, ANOVA, and stepwise multiple regression test with SPSS WIN 14.0.
RESULTS
The score for turnover intention was 3.57 out of 5. Turnover intention was significantly correlated with work stress, burn out, and working position. The factors influencing turnover intention were organizational system, depersonalization, physical environment, work position, and occupational climate. The predict variables accounted for 27.9% of turnover intention.
CONCLUSION
The results of this study show that factors influencing turnover intention are organizational system, depersonalization, physical environment, work position, and organizational climate. Therefore, nursing managers should understand the organization's climate and establish a reasonable organization system to decrease turnover intention.

Keyword

Personnel Turnover; Stress; Burnout; Nurses

MeSH Terms

Burns
Climate
Depersonalization
Hospitals, General
Intention
Personnel Turnover

Reference

1. Chang SJ, Koh SB, Kang DM, Kim SA, Kang MG, Lee CG, et al. Developing an occupational stress scale for Korean employees. Korean J Occup Environ Med. 2005. 17(4):297–317.

2. Cho YS. A study on the burnout experience and the coping types of clinical nurse. 1999. Seoul: Kyung Hee University;Unpublished master's thesis.

3. Choi HS. Stress and coping among industrial male workers. 2007. Daejeon: Eulji University;Unpublished master's thesis.

4. Choi HY. Perfectionism tendency, social support, and burnout among counselors. 2002. Seoul: The Catholic University of Korea;Unpublished master's thesis.

5. Er KS, Hur HK, Kim KK, Cho YJ, Kim EH, Kim SJ. The relationship between job characteristics, job satisfaction, and intents to leave among hospital nurses. Clin Nurs Res. 2003. 9(2):81–92.

6. Hospital Nurses Association. 2007 Business report. 2007. Seoul: Hospital Nurses Association.

7. Jang SJ. Relationship between experience of patients' violent behaviors and burnout of psychiatric nurses. 2004. Seoul: Seoul National University;Unpublished master's thesis.

8. Jung HC. A study on the job stress of workers at social welfare center. 2008. Busan: Inje University;Unpublished master's thesis.

9. Jung HY. A study on relationship among violence experience, coping and burnout of emergency department nurses. 2008. KwangJu: Chosun University;Unpublished master's thesis.

10. Kim EK. The impacts on the intension of turnover by job embeddedness of social workers: Focused on the residential facilities and the non-residential facilities in Daegu. 2009. Daegu: Catholic University of Daegu;Unpublished master's thesis.

11. Kim KE. An analysis of the factors affecting nurse's intension to leave the job. 2004. Seoul: Korea University;Unpublished master's thesis.

12. Kim KI. The effects of burnout on the turnover intention: Focused on moderating effect on the communication satisfaction. 2008. Daegu: Kyungpook National University;Unpublished master's thesis.

13. Kim HS. A study on the relationship among work stress, burnout and coping method of clinical nurses. 2001. Kwangju: Chosun University;Unpublished master's thesis.

14. Kim MJ. Comparison of job satisfaction, commitment to organization, nursing organization culture and intention of separation between national/public hospital nursed and private hospital nurses. 2007. Seoul: Kyung Hee University;Unpublished master's thesis.

15. Kim NS. The burn-out syndrome of the doctors and nurses working in the emergency department. 2002. Seoul: Yonsei University;Unpublished master's thesis.

16. Lee EH. The relationship between job stress and turnover of registered nurses in a university hospital. 2005. Seoul: Yonsei University;Unpublished master's thesis.

17. Lee EJ. An analysis of the factors affecting general hospital nurses' intention to leave the job. 2002. Seoul: Hanyang University;Unpublished master's thesis.

18. Lee HJ. A study on the personality traits, work stress and job satisfaction of nurses. 2002. Kwangju: Chosun University;Unpublished master's thesis.

19. Lee HS. A study of job stress and satisfaction of the clinical nurse. 2001. Seoul: Kyung Hee University;Unpublished master's thesis.

20. Lee MA. A comparative study of how subjects' characteristics and nursing service quality influence on hospital revisiting intent between patients and nurses. J Korean Acad Nurs. 2005. 35(7):1210–1220.

21. Lowler EE. Satisfaction and behavior. 1983. New York: McGrow Hill Companies.

22. Maslach C, Jackson SE. The measurement of experienced burn-out. J Occup Behav. 1981. 2:99–113.

23. Mun MS. A study on the relations between child-care teachers' departure intention and their work environment and job satisfaction. 2007. Seoul: Duksung Women's University;Unpublished master's thesis.

24. Park HS. Relationship between perceived nursing care role orientation, job characteristics, and turnover among nurses. 2002. Seoul: Yonsei University;Unpublished master's thesis.

25. Woo NH. Relationship between job stress and work-related musculoskeletal symptoms of hospital nurses. 2009. Eulji University: Daejeon;Unpublished master's thesis.

26. Yoon SH. The effects of organizational managerial characteristics and job characteristics on job stress and job effectiveness. Korean J Ind Organ Psychol. 2004. 17(3):451–466.

27. Yoo JM. A study on the occupational stress of social workers in mental health service sector. 2005. Seoul: Ewha University;Unpublished master's thesis.

28. Yun HM. An analysis of the factors affecting turnover intention of new nurses. 2009. Busan: Busan University;Unpublished master's thesis.

29. Yoon JA. Internal marketing, job stress, organizational commitment and turnover intention in nursing organization. 2007. Busan: Busan University;Unpublished master's thesis.

Yu WJ. The relationship among organizational justice, job satisfaction, organizational commitment and turnover intention in hospital nurses. 2008. Seoul: Seoul National University;Unpublished master's thesis.