J Korean Acad Nurs Adm.  2015 Jun;21(3):297-307. 10.11111/jkana.2015.21.3.297.

Moderating Effects of Work-family Conflict between Job . Organizational . Career Characteristics and Turnover Intention among Nurses in Small and Medium-sized Hospitals

• Choi HJ

• KMID: 2321311
• DOI: http://doi.org/10.11111/jkana.2015.21.3.297

Abstract

PURPOSE
The purpose of this study was to identify moderating effects of work-family conflict in the relationship between job, organizational, career characteristics and turnover intention among nurses working in small and medium-sized hospitals.
METHODS
A self report questionnaire survey was completed by 286 nurses working in five small or medium-sized hospitals in P city. Data were gathered during October, 2014 and analyzed using the SPSS 21.0 program.
RESULTS
Work-family conflict had significant moderating effects between job, organizational, career characteristics and turnover intention of nurses working in small or medium-sized hospitals. Career commitment was the biggest factor in reducing turnover intention.
CONCLUSION
The results of the study indicate that work-family conflict and career commitment are important factors in turnover intention among nurses working in small and medium-sized hospitals. Therefore, to understand job and organizational career characteristics of nurses in small and medium hospitals, consideration must be given to the role of conflict in the nurses' workplace and homes. Support from the organization focusing on career development, and provision of an innovative system for the environment of small hospitals are needed.

Keyword

Work-family conflict; Turnover intention; Nurses; Small and medium sized hospital

MeSH Terms

Intention*
Surveys and Questionnaires
Self Report

Reference

1. Hospital Nurse Association. Survey on hospital nurse staffing. Seoul: Author;2012.

2. Korea National Statistics Korea. Hospital nurses staffing state survey. cited 2009 June 17. accessed Dec. 10, 2013. Available from: http://Kosis.kr/wnsearch/totalSearch.jsp.

3. Yoon JA, Lee HJ. Internal marketing, job stress, organizational commitment and turnover intention in nursing organization. J Korean Acad Nurs Adm. 2007; 13(3):293–301.

4. Kwon JO, Kim EY. Impact of unit-level nurse practice environment on nurse turnover intention in small and medium sized hospital. J Korean Acad Nurs Adm. 2012; 18(4):414–423. DOI: 10.11111/jkana.2012.18.4.414.

5. Choi YS. Nursing professionalism, job satisfaction and turnover intention of nurses in small and medium-sized hospitals -focused on "I" city. J Korea Acad Ind Coop Soc. 2014; 15(5):2695–2702. DOI: 10.5762/KAIS.2014.15.5.2695.

6. Kim YM, Kang YS. The relationship among career plateau, self-efficacy, job embeddedness and turnover intention of nurses in small and medium sized hospitals. J Korea Acad Ind Coop Soc. 2013; 14(10):5078–5090. DOI: 10.5762/KAIS.2013.14.10.5078.

7. Hong KO. The effect of workplace-family conflict of hotel employees on career related attitude. Korean J Tourism Res. 2010; 25(3):199–216.

8. Greenhaus JH, Beutell NJ. Sources of conflict between work and family roles. Acad Manage Rev. 1985; 10(1):76–88. DOI: 10.2307/258214.

9. Choi HJ. The effect of work family conflict and facilitation on job satisfaction and job performance: An empirical study in the hotel industry [dissertation]. Daejeon: Pai Chai Universty;2009.

10. Kim YY. The effects of married women's work family conflict and job satisfaction on career satisfaction focused on mediating effect of work motive. J Employ Skills Develop. 2007; 10(2):143–165.

11. Blau GJ. Further exploring meaning and measurement of career commitment. J Vocat Behav. 1988; 32(3):284–297. DOI: 10.1016/0001-8791(88)90020-6.

12. Mrayyan MT, Al-Faouril I. Nurses' career commitment and job performance: Differences between intensive care units and wards. J Res Nurs. 2008; 13(1):38–51. DOI: 10.1177/1744987107079882.

13. Lee MY, Im SB. Structural model of nurses' career commitment. J Korean Clin Nurs Res. 2012; 18(3):341–353.

14. Lee KE. Determinants of career commitment and it's influences on employees' attitudes [dissertation]. Seoul: Sogang University;2000. 54–55.

15. Choi WS. Effects of job characteristics on career commitment and employees' attitude in hotel employees - on the moderating effect of the employment type. J Tourism Leis Res. 2005; 17(3):77–95.

16. Lee HY, Choi YH, Kim JM. Determinants and turnover intention of career commitment for resort employee. J Tourism Leis Res. 2009; 21(4):173–195.

17. Choi BK. Work overload, job burnout, and turnover intention: The moderating effects of job autonomy and career growth opportunity. J Organ Manage. 2013; 37(4):145–170.

18. Jang JY. The organizational adjustment of R & D professionals: Organizational commitment and professional commitment[dissertation]. Seoul: Seoul University;1995. 21–50.

19. Breaugh JA. The measurement of work autonomy. Hum Relat. 1985; 38(6):551–570. DOI: 10.1177/001872678503800604.

20. Meyer JP, Allen NJ. Links between work experiences and organizational commitment during the first year of employment: A longitudinal analysis. J Occup Organ Psychol. 1988; 61(3):195–209. DOI: 10.1111/j.2044-8325.1988.tb00284.x.

21. Iverson RD. Employee intent to stay: An empirical test of a revision of the Price and Mueller mode [dissertation]. Ann Arbor: The University of Iowa;1992. 50–65.

22. Kerr S. Some characteristics and consequences of organizational reward. In : Schoorman FD, Schneider B, editors. Facilitating Work Effectiveness. Lexington Book;1988. p. 43–76.

23. Lee JG. A structural analysis on child care center teachers perceived rewards perceptions, emotional labor, job stress, job burnout, and organizational commitment[dissertation]. Daegu: Catholic University of Daegu;2013. 89–90.

24. Greenhaus JH, Parasuraman S, Wormley WM. Effects of race on organizational experience, job performance evaluations, and career outcome. Acad Manage J. 1990; 33(1):64–86. DOI: 10.2307/256352.

25. Moon IO. The structural model about impact of nurse's career management, career plateau, career satisfaction on career commitment. J Korean Acad Nurs Adm. 2010; 16(2):180–189.

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

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

28. Netemeyer R, Boles J, McMurrian R. Development and validation of work-family conflict and family-work conflict scales. J Appl Psychol. 1996; 81(4):400–410. DOI: 10.1037/0021-9010.81.4.400.

29. Son YJ, Park SK, Kong SS. Impact of internal marketing activity, emotional labor and work-family conflict on turn-over of hospital nurses. J Korean Clin Nurs Res. 2012; 18(3):329–340.

30. Lee HY, Hong AJ. Impact of support from spouses and supervisors on career commitment and work-life conflict among married workers. J Vocat Edu Res. 2012; 31(2):45–66.