J Korean Acad Nurs Adm.  2013 Jun;19(3):372-381.

Mediating Effects of Empowerment, Job Stress, and Organizational Commitment in Relation-oriented Nursing Organization Culture and Turnover Intention of Clinical Nurses

  • 1Operation Room, Jeju Hanmaeum Hospital, Korea. mika0221@hanmail.net


The purposes of this study were to analyze the mediating effects of empowerment, job stress, organizational commitment and relation-oriented nursing organization culture on turnover intention of clinical nurses.
Participants selected for the final analysis were 382 nurses working in 4 general hospitals. Data were analyzed through descriptive statistics Pearson correlation analysis (SPSS/WIN 17.0), and Path analysis (AMOS 18.0).
The study results are as follows: relation-oriented nursing organizational culture had no direct effect but had an indirect effect on nurses' turnover intention through empowerment, job stress, and organizational commitment, while job stress and organizational commitment had direct effects on turnover intention. The results also showed that empowerment had strong effect on organizational commitment, but job stress had very weak effect. Empowerment had an effect on turnover intention.
These results indicate that establishment of relation-oriented nursing organization culture is imperative if clinical nurses' turnover intention is to be decreased.


Relation-oriented nursing organization culture; Empowerment; Job stress; Organizational commitment; Turnover intention

MeSH Terms

Hospitals, General
Organizational Culture
Power (Psychology)


  • Figure 1 Research model.

  • Figure 2 Adjusted model.


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