J Korean Acad Nurs Adm.  2016 Jun;22(3):279-291. 10.11111/jkana.2016.22.3.279.

Relationships among Nursing Work Environment, Job Embeddedness, and Turnover Intention in Nurses

• Ko HJ
• Kim JH

• KMID: 2326656
• DOI: http://doi.org/10.11111/jkana.2016.22.3.279

Abstract

PURPOSE
The purpose of this study was to investigate the relationship among nursing work environment, job embeddedness, and turnover intention in order to provide basic data for efficient management of human resources in nursing organizations.
METHODS
A cross-sectional, descriptive study design was conducted with 177 nurses who had worked for more than 6 months in five general hospitals on Jeju Island. A self-report questionnaire was used for data collection.
RESULTS
About 88% of the participants reported that they were considering a turnover plan because of overload in their jobs and poor salaries. Nursing work environment was significantly related to job embeddedness and turnover intention. Job embeddedness was significantly related to turnover intention. Hierarchical multiple regression analysis showed that factors affecting turnover intention were the organizational embeddedness factors of organization fit and organization sacrifice.
CONCLUSION
The results indicate that nurses' turnover intention is associated with nursing work environment and job embeddedness. To reduce nurses' turnover intention and improve nurses' retention, nurse managers should improve the nursing work environment and consider job embeddedness, particularly in relation to the organization fit and sacrifice.

Keyword

Nurses; Work environment; Job; Embeddedness; Turnover intention

MeSH Terms

Data Collection
Hospitals, General
Humans
Intention*
Nurse Administrators
Nursing*
Salaries and Fringe Benefits

Reference

1. Korean Hospital Nurses Association. Hospital nurses staffing state survey 2013 [Internet]. Seoul: Korean Hospital Nurses Association;2014. cited 2015 October 30. Available from: http://khna.or.kr/bbs/bbs/board.php?bo_table=board1&wr_id=7954&page=2.

2. Kang KN. Factors influencing turnover intention of nurses in small-medium sized hospitals. J Korean Acad Nurs Adm. 2012; 18(2):155–165. DOI: 10.11111/jkana.2012.18.2.155.

3. Jeong BJ, Kim HS, Hwang SK, Park JH, Song SK, Jeong MY, et al. A study on the according to the nursing shortage of job satisfaction and turnover intention of nurses. Korean J Health Serv Manag. 2011; 15(1):15–29.

4. Christmas K. How work environment impacts retention. Nurs Econ. 2008; 26(5):316–318.

5. Kim JK, Kim MJ, Kim SY, Yu M, Lee KA. Effects of general hospital nurses' work environment on job embeddedness and burnout. J Korean Acad Nurs Adm. 2014; 20(1):69–81. DOI: 10.11111/jkana.2014.20.1.69.

6. Aiken LH, Clarke SP, Sloane DM, Lake ET, Cheney T. Effect of hospital care environment patient mortality and nurse outcomes. J Nurs Adm. 2008; 38(5):223–229. DOI: 10.1097/01.NNA.0000312773.42352.d7.

7. Lake ET. Development of the practice environment scale of the nursing work index. Res Nurs Health. 2002; 25:176–188. DOI: 10.1002/nur.10032.

8. Kelly LA, McHugh MD, Aiken LH. Nurse Outcomes in Magnet? and Non-Magnet Hospitals. J Nurs Adm. 2011; 41(10):428–433. DOI: 10.1097/NNA.0b013e31822eddbc.

9. Lake ET, Friese CR. Variations in nursing practice environments relation to staffing and hospital characteristics. Nurs Res. 2006; 55(1):1–9.

10. Kim EH, Lee EJ, Choi HJ. Mediation effect of organizational citizenship behavior between job embeddedness and turnover intention in hospital nurses. J Korean Acad Nurs Adm. 2012; 18(4):394–401. DOI: 10.11111/jkana.2012.18.4.394.

11. Lee JH, Shin KH, Baeck SG, Heo CG. The effectiveness of job embeddedness in turnover studies. Korean J Ind Organ Psychol. 2014; 27(4):743–782.

12. Griffeth RW, Hom PW, Gaertner S. A Meta-analysis of antecedents and correlates of employee turnover, update, moderator tests, and research implications for the next millennium. J Manag. 2000; 26(3):463–488. DOI: 10.1177/014920630002600305.

13. Mitchell TR, Holtom BC, Lee TW, Sablynski CJ, Erez M. Why people stay: using job embeddeness to predict voluntary turnover. Acad Manag J. 2001; 4(6):1102–1121. DOI: 10.2307/3069391.

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

15. Korean Small & Medium Hospital Association & Korean Health Industry Development Institute. A survey on the demand and supply on nurse staffing and nurse staffing grades. J Korean Hosp Assoc. 2008; 37(2):65–73.

16. Moon SJ, Han SS. A predictive model on turnover intention of nurses in Korea. J Korean Acad Nurs. 2011; 41(5):633–641. DOI: 10.4040/jkan.2011.41.5.633.

17. Cho E, Choi M, Kim E, Yoo IY, Lee N. Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. J Korean Acad Nurs. 2011; 41(3):325–332. DOI: 10.4040/jkan.2011.41.3.325.

18. Tang WY. A study on the effects of job embeddedness on turnover intention and organizational citizenship behavior [master thesis]. Daejeon: Chungnam National University;2008.

19. Ko SH. Employment, work environment, & the policy implication of Jeju: focusing on report on the social survey in 2011 (JDI Focus 145). Jeju: Jeju Development Institute;2012.

20. Hwang K. Effect of social capital on Goendang culture (a traditional community culture on Jeju) and local development. J Korea Acad Ind Coop Soc. 2015; 16(3):1764–1772.

21. Kim YS. Influence of job embeddedness on turnover intention of nurses in small and medium sized general hospitals [master thesis]. Muan: Mokpo National University;2014.

22. Becker TE. Foci and bases of commitment: Are they distinctions worth making? Acad Manag J. 1992; 35:232–244. DOI: 10.2307/256481.

23. Kim JK. Relationships of emotional labor to job satisfaction and intent to turnover among staff nurses at small & mediumsized hospitals [master thesis]. Busan: Catholic University of Pusan;2012.

24. Kim JH, Park EO. The effect of job-stress and self-efficacy on depression of clinical nurses. Korean J Occup Health Nurs. 2012; 21(2):134–144. DOI: 10.5807/kjohn.2012.21.2.134.

25. Ham EO. A study on the current status of nursing personnel in Cheju Island. J Korean Acad Rural Health Nurs. 2009; 5(1):25–32.

26. Lee MH, Kim JK. A comparative study on nursing practice environment, professionalism, and job satisfaction according to hospital size. J Korean Acad Nurs Adm. 2013; 19(4):470–479. DOI: 10.11111/jkana.2013.19.4.470.

27. Holtom BC, O'Neill BS. Job embeddedness: A theoretical foundation for developing a comprehensive nurse retention plan. J Nurs Adm. 2004; 34(5):216–227. DOI: 10.1097/00005110-200405000-00005.

28. Son SY, Choi JS. Effect of job embeddedness and job satisfaction on turnover intention in nurses. Korean J Adult Nurs. 2015; 27(2):180–187. DOI: 10.7475/kjan.2015.27.2.180.

29. Kim KY, Lee DM. The effect of reward system on embeddedness and turnover intention. Ordo Econ J. 2013; 16(4):177–195.

30. Gardner JK, Fogg L, Thomas-Hawkins C, Carolyn EL. The relationships between nurses' perception of the hemodialysis unit work environment and nurse turnover, patient satisfaction, and hospitalizations. Nephrol Nurs J. 2007; 34(3):271–281. quiz 282.