J Korean Acad Nurs Adm.  2015 Jan;21(1):88-98. 10.11111/jkana.2015.21.1.88.

Organizational Socialization and Intention to Leave in Operating Room Nurses Working at Secondary General University Hospitals

• Yoon SJ
• Park HJ

• KMID: 2321282
• DOI: http://doi.org/10.11111/jkana.2015.21.1.88

Abstract

PURPOSE
To evaluate the relationship between organizational socialization and intention to leave, and to identify factors affecting on intention to leave in operating room nurses.
METHODS
This study used a descriptive design. Seventy operating room nurses recruited from three hospitals under the same management style, in-service educational system, and working conditions agreed to participate in this study, and completed self-administered questionnaires of the organizational socialization and the intention to leave questionnaire. Respondents were classified by career as advanced beginner, competent practitioner, proficient practitioner and expert practitioner by Benner's stages of nursing proficiency. Data were analyzed with t-test, ANOVA with multiple comparisons, Spearman correlation, and multiple regression analysis.
RESULTS
Nurses unsatisfied with the current in-service continuous education had lower organizational socialization and higher intention to leave. In advanced beginners, job performance was lowest and organizational commitment was highest. In expert practitioners, intention to leave was highest. Organizational commitment, interpersonal relationship, identity and burnout were associated with intention to leave. Mutual trust, burnout, and interpersonal relationship were predictors of intention to leave explained 20.8% of variance.
CONCLUSION
The career ladder program to enhance nurses' organizational socialization and intention to stay should be established and expanded for well-experienced operating room nurses.

Keyword

Operating room; Nurse; Socialization; Intention to leave

MeSH Terms

Career Mobility
Surveys and Questionnaires
Education
Hospitals, University*
Intention*
Nursing
Operating Rooms*
Socialization*

Reference

1. Liu C, Zhang L, Ye W, Zhu J, Cao J, Lu X, et al. Job satisfaction and intention to leave: a questionnaire survey of hospital nurses in Shanghai of China. J Clin Nurs. 2012; 21(1-2):255–263. DOI: 10.1111/j.1365-2702.2011.03766.x.

2. Korean Hospital Nurses Association. Hospital nurses staffing state survey [Internet]. Seoul: Korean Hospital Nurses Association;2013. cited 2014 February 13. Available from: http://www.khna.or.kr/web/information/resource.php.272-429.pdf.

3. Price JL, Mueller CW. Professional turnover: the case of nurses. Health Syst Manag. 1981; 15:1–160.

4. Buerhaus PI, Donelan K, Ulrich BT, Norman L, DesRoches C, Dittus R. Impact of the nurse shortage on hospital patient care: Comparative perspectives. Health Aff. 2007; 26(3):853–862. DOI: 10.1377/hlthaff.26.3.853.

5. Spruce L. Bringing back the basics of perioperative nursing care. AORN J. 2013; 98(5):438–439. DOI: 10.1016/j.aorn.2013.09.001.

6. Willemsen-McBride T. Preceptorship planning is essential to perioperative nursing retention: matching teaching and learning styles. Can Oper Room Nurs J. 2010; 28(1):810–11. 16 passim

7. Heslin MJ, Doster BE, Daily SL, Waldrum MR, Boudreaux AM, Smith AB, et al. Durable improvements in efficiency, safety, and satisfaction in the operating room. J Am Coll Surg. 2008; 206(5):1083–1089. discussion 1089-1090DOI: 10.1016/j.jamcollsurg.2008.02.006.

8. Ramoo V, Abdullah KL, Piaw CY. The relationship between job satisfaction and intention to leave current employment among registered nurses in a teaching hospital. J Clin Nurs. 2013; 22(21-22):3141–3152.

9. Kim TY, Cable DM, Kim SP. Socialization tactics, employee proactivity, and person-organization fit. J Appl Psychol. 2005; 90(2):232–241. DOI: 10.1037/0021-9010.90.2.232.

10. Wanberg CR, editor. The Oxford handbook of organizational socialization. New York, USA: Oxford University Press, Inc.;2012.

11. Feng RF, Tsai YF. Socialisation of new graduate nurses to practising nurses. J Clin Nurs. 2012; 21(13-14):2064–2071. DOI: 10.1111/j.1365-2702.2011.03992.x.

12. Choi JS, Yang NY. Nursing performance and organizational socialization of new nurses according to teaching style of preceptors and personality of new nurses. J Korean Acad Nurs Adm. 2012; 18(3):281–289. DOI: 10.11111/jkana.2012.18.3.281.

13. Taormina RJ, Law CM. Approaches to preventing burnout: The effects of personal stress management and organizational socialization. J Nurs Manag. 2000; 8(2):89–99.

14. Kramer MW. Organizational socialization: Joining and leaving organizations. Cambridge, UK: Polity Press;2010. p. 171–179.

15. Mellinger E. Orientation and onboarding processes for the experienced perioperative RN. AORN J. 2013; 98(4):c5–c6.

16. Dinmohammadi M, Peyrovi H, Mehrdad N. Concept analysis of professional socialization in nursing. Nursing Forum. 2013; 48(1):26–34. DOI: 10.1111/nuf.12006.

17. Song YS, Lee MY. The effect of need for professional development and organizational climate on organizational socialization. J Korean Clin Nurs Res. 2010; 16(3):51–61.

18. Black BP. Professional nursing. Concepts and challenges. 7th ed. St. Louis, Missouri: Elsevier;2014. p. 121–123.

19. Sohn IS, Kim HS, Kwon JS, Park DL, Han YH, Han SS. Development of an instrument to measure organizational socialization of new clinical nurses. J Korean Clin Nurs Res. 2008; 14(1):85–97.

20. Lawler EE. Satisfaction and behavior. In : Hackman JR, Lawler EE, editors. Perspectives on behavior in organizations. New York: McGraw-Hill;1983. p. 78–97.

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

22. Kim J, Park HJ, Lee SH. The relationship between organizational socialization and organizational citizenship behavior among nurses in general hospitals. J Korean Clin Nurs Res. 2012; 18(3):413–423.

23. Weis D, Schank MJ. Professional values: Key to professional development. J Prof Nurs. 2002; 18(5):271–275.

24. Lee YJ, Kim KB. Experiences of nurse turnover. J Korean Acad Nurs. 2008; 38(2):248–257.

25. Vowels A, Topp R, Berger J. Understanding stress in the operating room: A step toward improving the work environment. Ky Nurse. 2012; 60(2):5–7.

26. Yoon K. A study on the job satisfaction and organizational commitment among perioperative nurses. J Korean Acad Nurs Adm. 2010; 16(1):86–100. DOI: 10.11111/jkana.2010.16.1.86.

27. Taormina RJ, Law CM. Approaches to preventing burnout: The effects of personal stress management and organizational socialization. J Nurs Manag. 2000; 8(2):89–99.

28. Kim H, Jang KS. Development of a clinical ladder system for operating room nurses. J Korean Acad Nurs Adm. 2011; 17(3):301–314. DOI: 10.11111/jkana.2011.17.3.301.

29. Park KO, Yi MS. Nurses' experience of career ladder programs in a general hospital. J Korean Acad Nurs. 2011; 41(5):581–592. DOI: 10.4040/jkan.2011.41.5.581.

30. Ko YK, Yu S. Clinical ladder program implementation: A project guide. J Nurs Adm. 2014; 44(11):612–616. DOI: 10.1097/NNA.0000000000000134.