DOI QR코드

DOI QR Code

Factors Associated with General Hospital Nurses' Intention to Remain

종합병원 간호사의 재직의도에 미치는 영향요인

  • Received : 2020.06.29
  • Accepted : 2020.07.25
  • Published : 2020.08.31

Abstract

Purpose: This study aimed to investigate the relationship between general hospital nurses' work environment, resilience, and intention to remain, as well as to identify the factors associated with nurses' intention to remain. Methods: Study participants were nurses at a general hospital in Jeollabuk-do, South Korea. Data collection was undertaken from July 6th to 20th, 2017, through questionnaire responses from 257 nurses. Descriptive statistics were employed for data analysis, including: independent t-test, one way ANOVA, Pearson's correlation coefficient, and multiple regression analysis using SPSS/WIN 22.0. Results: Nurses' work environment, resilience, and intention to remain were found to have a statistically significant correlation. Intention to remain showed statistically significant positive correlations with the nurse's work environment (r=.72, p<.001), resilience (r=.50, p<.001). Factors found to influence intention to remain were work environment, resilience, job satisfaction, and health status. Conclusion: The study findings support the development of a specialized program to strengthen nurses' intention to remain. During the program's formulation, it is necessary to improve nurses' work environment and find ways to bolster the resilience of individual nurses.

Keywords

References

  1. Aiken, L. H., Clarke, S. P., Sloane, D. M., Lake, E. T., & Cheney, T. (2008). Effects of hospital care environment on patient mortality and nurse out comes. The Journal of Nursing Administration, 38(5), 223-229. https://doi.org/10.1097/01.NNA.0000312773.42352.d7
  2. Armstrong-Stassen, M., Freeman, M., Cameron, S., & Rajacic, D. (2015). Nurse managers' role in older nurses' intention to stay. Journal of Health Organization and Management, 29(1), 55-74. https://doi.org/10.1108/JHOM-02-2013-0028
  3. Cho, E., Choi, M., Kim, E. Y., Yoo, I. Y., & Lee, N. J. (2011). Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. Journal of Korean Academy of Nursing, 41(3), 325-332. https://doi.org/10.4040/jkan.2011.41.3.325
  4. Cho, O. S. (2016). Relationship between nursing work environment, teamwork and autonomy perceived by hospital nurses. Unpublished master's thesis, Hanyang University, Seoul.
  5. Choi, S. O., & Kim, J. (2013). Relationships among job stress, nursing performance, and retention intention of clinical nurses. Journal of Korean Public Health Nursing, 27(1), 142-152. https://doi.org/10.5932/JKPHN.2013.27.1.142
  6. Christmas, K. (2008). How work environment impacts retention. Nursing Economics, 26(5), 316-318.
  7. Cohen, J., Stuenkel, D., & Nguyen, Q. (2009). Providing a healthy work environment for nurses: The influence on retention. Journal of Nursing Care Quality, 24(4), 308-315. https://doi.org/10.1097/NCQ.0b013e3181a4699a
  8. Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety, 18(2), 76-82. https://doi.org/10.1002/da.10113
  9. Cowin, L. (2002). The effects of nurses' job satisfaction on retention: An Australian perspective. The Journal of Nursing Administration, 32(5), 283-291. https://doi.org/10.1097/00005110-200205000-00008
  10. Duddle, M., & Boughton, M. (2009). Development and psychometric testing of the Nursing Workplace Relational Environment Scale (NWRES). Journal of Clinical Nursing, 18(6), 902-909. https://doi.org/10.1111/j.1365-2702.2008.02368.x
  11. Engeda, E. H., Birhanu, A. M., & Alene, K. A. (2014). Intent to stay in the nursing profession and associated factors among nurses working in amhara regional state referral hospitals, Ethiopia. BMC Nursing, 13, n/a-24. https://doi.org/10.1186/1472-6955-13-24
  12. Han, M. S. (2016). Effects of work environment and self-efficacy on retention intention in clinical research nurses. Unpublished master's thesis, Gangneung-Wonju National University, Wonju.
  13. Hayes, L. J., O'Brien-Pallas, L., Duffield, C., Shamian, J., Buchan, J., Hughes, F., et al. (2012). Nurse turnover: A literature review-an update. International Journal of Nursing Studies, 49(7), 887-905. https://doi.org/10.1016/j.ijnurstu.2011.10.001
  14. Im, S. B., Lee, M. Y., & Kim, S. Y. (2015). Nurses' perception of organizational commitment, nursing work environment, and social support in a general hospital. Journal of Korean Academy of Nursing Administration, 21(1), 1-9. https://doi.org/10.11111/jkana.2015.21.1.1
  15. Kang, J. S., & Lim, J. Y. (2015). Effects of clinical nurses' resilience on job stress and burnout. The Journal of th Korea Contents Association, 15(11), 263-273. https://doi.org/10.5392/JKCA.2015.15.11.263
  16. Kim, J. K., Kim, M. J., Kim, S. Y., Yu, M., & Lee, K. A. (2014). Effects of general hospital nurses' work environment on job embeddedness and burnout. Journal of Korean Academy of Nursing Administration, 20(1), 69-81. https://doi.org/10.11111/jkana.2014.20.1.69
  17. Kim, N. R. (2016). The effect of nursing practice environment and job satisfaction on intent to stay among nurses. Unpublished master's thesis, Kyung Hee University, Seoul.
  18. Kim, S. H., & Park, S. H. (2016). Verification of validity and reliability of resilience scale for nurses. Journal of the Korean Data Analysis Society, 8(4), 2257-2269.
  19. Korean Hospital Nurses Association. (2016, February 19). 2015 Annual report: Hospital nurse staffing status survey. Retrieved October 17, 2019, from https://khna.or.kr/home/pds/utilities.php?bo_table=board1&page=4
  20. Kwon, K. J., Ko, K. H., Kim, K. W., & Kim, J. A. (2010). The impact of nursing professionalism on the nursing performance and retention intention among psychiatric mental health nurses. Journal of Korean Academy of Nursing Administration, 16(3), 229-239. https://doi.org/10.11111/jkana.2010.16.3.229
  21. Lake, E. T. (2002). Development of the practice environment scale of the nursing work index. Research in Nursing & Health, 25(3), 176-188. https://doi.org/10.1002/nur.10032
  22. Lee, E. H., Cho, K. S., & Son, H. M. (2014). A study of hospital nurse's intention to keep nursing job. Journal of Korean Clinical Nursing Research, 20(1), 15-27. https://doi.org/10.22650/JKCNR.2014.20.1.15
  23. Lee, Y. S., Park, S. H., & Kim, J. K. (2014). A study on relationship among organizational fairness, motivation, job satisfaction, intention to stay of nurses. The Journal of the Korea Contents Association, 14(10), 596-609. https://doi.org/10.5392/JKCA.2014.14.10.596
  24. Lin, S. Y., Chiang, H. Y., & Chen, I. L. (2011). Comparing nurses' intent to leave or stay: Differences of practice environment perceptions. Nursing & Health Sciences, 13(4), 463-467. https://doi.org/10.1111/j.1442-2018.2011.00640.x
  25. Park, M. M., & Park, J. W. (2016). Development of resilience scale for nurses. Journal of Korean Academy of Fundamentals of Nursing, 23(1), 32-41. https://doi.org/10.7739/jkafn.2016.23.1.32
  26. Tourangeau, A. E., & Cranley, L. A. (2006). Nursing intention to remain employed: Understanding and strengthening determinants. Journal of Advanced Nursing, 55(4), 497-509. https://doi.org/10.1111/j.1365-2648.2006.03934.x
  27. Tourangeau, A. E., Cummings, G., Cranley, L. A., Ferron, E. M., & Harvey, S. (2012). Determinants of hospital nurse intention to remain employed: Broadening our understanding. Journal of Advanced Nursing, 66(1), 22-32. https://doi.org/10.1111/j.1365-2648.2009.05190.x
  28. Van Bogaert, P., Meulemans, H., Clarke, S., Vermeyen, K., & Van de Heyning, P. (2009). Hospital nurse practice environment, burnout, job outcome and quality of care: Test of a structural equation model. Journal of Advanced Nursing, 65(10), 2175-2185. https://doi.org/10.1111/j.1365-2648.2009.05082.x
  29. Wang, L., Tao, H., Ellenbecker, C. H., & Liu, X. (2012). Job satisfaction, occupational commitment and intent to stay among Chinese nurses: A cross-sectional questionnaire survey. Journal of Advanced Nursing, 68(3), 539-549. https://doi.org/10.1111/j.1365-2648.2011.05755.x
  30. Warshawsky, N. E., & Havens, D. S. (2011). Global use of the practice environment scale of the nursing work index. Nursing Research, 60(1), 17-31. https://doi.org/10.1097/NNR.0b013e3181ffa79c