J Korean Acad Nurs Adm.  2012 Jun;18(2):155-165.

Factors Influencing Turnover Intention of Nurses in Small-medium sized Hospitals

• Kang KN

Abstract

PURPOSE
This study was done to examine the relationships among practice environment, nursing professionalism, career commitment, and turnover intention in nurses working in small-medium sized hospitals. METHOD: This study utilized a descriptive correlational design. Data were collected using structured questionnaires from 362 nurses in 7 small-medium sized hospitals and analyzed with SPSS 18.0. RESULT: The mean scores for practice environment, nursing professionalism, career commitment, and turnover intention were 2.29 on a 4-point scale and 3.13, 2.78, 3.51 on a 5-point scale, respectively. The practice environment showed significantly positive correlations with nursing professionalism and career commitment. Nursing professionalism showed a significantly positive correlation with career commitment. The highest significant negative correlation was between practice environment and turnover intention. Nursing professionalism and career commitment had negative correlations with turnover intention. Factors having significant influence on turnover intention included age, assigned ward, average wage, practice environment, and career commitment. These factors explained 43.0% of variance in turnover intention. Practice environment was identified as the most important variable in explaining turnover intention.
CONCLUSIONS
The results of this study demonstrate the necessity of improving the practice environment and increasing nurses' career commitment if turnover intention in small-medium sized hospitals is to be lowered.

Keyword

Practice environment; Nursing professionalism; Career commitment; Turnover intention

MeSH Terms

Intention
Surveys and Questionnaires
Salaries and Fringe Benefits

Reference

1. Baek HC, Kim-Godwin YS. Translation and validation of Korean version of Hall's professionalism inventory. Journal of Korean Academy of Nursing Administration. 2007. 13(4):509–515.

2. Blau G, Paul A, John N. On developing a general index of work commitment. Journal of Vocational Behavior. 1993. 42(3):298–314.

3. Friese C, Lake E, Aiken L, Silber J, Sochalski J. Hospital nurse practice environment and outcomes for surgical oncology patients. Health Service Research. 2008. 43(4):1145–1163.

4. Gardner JK, Thomas-Hawkins C, Fogg L, Latham CE. The relationships between nurses perceptions of the hemodialysis unit work environment and nurse turnover, patient satisfaction, and hospitalizations. Nephrology Nursing Journal. 2007. 34(3):271–281.

5. Hall RH. Professionalism and bureaucratization. American Sociological Review. 1968. 33(1):92–104.

6. Han SS, Kim MH, Yun EK. Factors affecting nursing professionalism. Journal of Korean Academy Society of Nursing Education. 2008. 14(1):73–79.

7. Chae KS, Choi HJ, Jeong JI, Kim KN, Park MM. Actual condition survey of the placement of hospital nurses manpower. 2009. Seoul: Hospital Nurses Association.

8. Jeong JH, Kim JS, Kim KH. The risk factors influencing turnover intention of nurses. Journal of Korean Academy of Nursing Administration. 2008. 14(1):35–44.

9. Kanai-Pak M, Aiken LH, Sloane DM, Poghosyan L. Poor work environments and nurse inexperience are associated with burnout, job satisfaction and quality deficits in Japanese hospitals. Journal of Clinical Nursing. 2008. 17(24):3324–3329.

10. Kimim H, Capezuti E, Boltz M, Fairchild S. The nursing practice environment and nurse-perceived quality of geriatric care in hospitals. Western Journal of Nursing Research. 2009. 31(4):480–495.

11. Kim MA, Park KO, You SJ, Kim MJ, Kim ES. A survey of nursing activities in small and medium-size hospitals: reasons for turnover. Journal of Korean Clinical Nursing Research. 2009. 15(1):149–165.

12. Kim MR. Influential factors on turnover intention of nurses: The affect of nurse's organizational commitment and career commitment to turnover intention. Journal of Korean Academy of Nursing Administration. 2007. 13(3):335–344.

13. Kim MS. The effects of perceived organizational support on organizational commitment and career commitment of clinical nurses. Journal of Korean Academy of Nursing Administration. 2008. 14(4):458–466.

14. Kim WK, Chung KH. The relationship between professional self-concept, organizational commitment and job satisfaction in clinical nurses. Journal of Korean Academy of Nursing Administration. 2008. 14(3):287–296.

15. Ko SH, Chung BY. Nursing professionalism and job satisfaction of nurses in general hospital. Journal of Korean Academy of Nursing Administration. 2004. 10(3):335–339.

16. Kutney-Lee A, McHugh MD, Sloane DM, Cimiotti JP, Flynn L, Neff DF, et al. Nursing: A key to patient satisfaction. Health Affairs. 2009. 28(4):669–677.

17. Kwon KJ, Chu MS, Kim JA. The impact of nursing professionalism on the nursing performance, job satisfaction and retention intention among clinical nurses. Journal of Korean Academy of Nursing Administration. 2009. 15(2):182–192.

18. Kwon KJ, Chu MS, Kwon JA, Kim JA. The impact of work environment and mood state on job satisfaction among nurses of psychiatric wards. Journal of Korean Society of Living Environment System. 2009. 16(3):323–332.

19. Lake E. Development of practice environment scale of the nursing work index. Research in Nursing & Health. 2002. 25(3):176–188.

20. Lee ES, Chung JY, Jeon MH. The relationship between the satisfaction of benefits, job satisfaction and turnover intention of nurses in small-medium sized hospitals. The Korean Nurse. 2004. 43(4):66–81.

21. Lee SY. The influence of job characteristics and professionalism on empowerment perceived by nurses. Journal of Korean Academy of Nursing Administration. 2006. 12(4):587–596.

22. Lee YJ, Kim KB. Experiences of nurses turnover. Journal of Korean Academy of Nursing. 2008. 38(2):248–257.

23. Mobley W, Horner SM, Hollingsworth A. Employee turnover: Causes, consequences and control, 1-205. 1982. . Massachusetts: Addision-Wesley Publishing Co.

24. Mrayyan MT, Faouri IA. Predictors of career commitment and job performance of Jordanian nurses. Journal of Nursing Management. 2008. 16(3):246–256.

25. Oh YH, Shin HS, Do SR, Sohn CK, Cho SE, Moon IH, et al. Development and management of monitoring system to improve the efficiency of health care resources allocation. 2009. Seoul: Korea Institute for Health and Social Affairs.

26. Teng CI, Shyu YIL, Chang HY. Moderating effects of professional commitment on hospital nurses in Taiwan. Journal of Professional Nursing. 2007. 23(1):47–54.

27. Thomas-Hawkins C, Denno M, Currier H, Wick G. Staff nurses' perceptions of the work environment in freestanding hemodialysis facilities. Nephrology Nursing Journal. 2003. 30(2):169–178.

28. Van Bogaert P, Clarke S, Vermeyen K, Meulemans H, Van de Heyning P. Practice environments and their associations with nurse-reported outcomes in Belgian hospitals: development and validation of a Dutch adaptation of the revised nursing work index. International Journal of Nursing Studies. 2009. 46(1):55–64.

29. Yang NY, Han SS. The core competency and career commitment of the preceptors. Journal of Korean Academy of Nursing Administration. 2004. 10(2):211–218.

30. Yoo SJ, Choi YH. Predictive factors influencing turnover intention of nurses in small and medium-sized hospitals in Daegu City. Journal of Korean Academy of Nursing Administration. 2009. 15(1):16–25.