JOURNAL BROWSE
Search
Advanced SearchSearch Tips
Impact of Unit-level Nurse Practice Environment on Nurse Turnover Intention
facebook(new window)  Pirnt(new window) E-mail(new window) Excel Download
  • Journal title : Journal of Digital Convergence
  • Volume 14, Issue 6,  2016, pp.355-362
  • Publisher : The Society of Digital Policy and Management
  • DOI : 10.14400/JDC.2016.14.6.355
 Title & Authors
Impact of Unit-level Nurse Practice Environment on Nurse Turnover Intention
Lee, Youngjin; Seomun, GyeongAe;
  PDF(new window)
 Abstract
The purpose of this study was to conduct the impact of unit-level nurse practice environment on turnover intention among nurses in a tertiary hospital. A cross-sectional study was carried out using questionnaires with 267 nurses in 24 nursing units of hospital in Seoul. Data were collected in November 2013 and were analyzed using SPSS/WIN 23.0. The results of the study indicate that nurse turnover intention is associated with the nurse practice environment at the unit level. In addition, the model including age, unit-level nurse practice environment explained 23.0% of the variance for nurse turnover intention. Hospital can improve nurse retention and lower turnover intention by changing the nurse practice environment of unit, such as nurse participation in hospital affairs, improvement of the nurse manager leadership and nurse-physician collaborative relationships.
 Keywords
Nurse Practice Environment;Turnover intention;Hospital units;Nurses;Staffing;
 Language
Korean
 Cited by
 References
1.
H.-I. Park, K. Lee. "The effects of Social Intelligence and Burnout on Turnover Intention in Nurses : An exploratory study". Journal of Digital Convergence. Vol. 14, No. 4, pp.325-336, 2016.

2.
B.-M. Bang, S. Y. Lee, J. O. Cheong. "Empirical study on the turn-over intention of university hospital nurses". Journal of Digital Convergence. Vol. 13, No. 2, pp.205-213, 2015.

3.
H.-J. Kim, D. Park. "The effects of workplace bullying on turnover intention in hospital nurses". Journal of Digital Convergence. Vol. 14, No. 1, pp.241-252, 2016. crossref(new window)

4.
C. M. Duffield, M. A. Roche, C. Homer, J. Buchan, S. Dimitrelis. "A comparative review of nurse turnover rates and costs across countries". J Adv Nurs. Vol. 70, No. 12, pp.2703-2712, 2014. Epub 2014/07/24. doi: 10.1111/jan.12483 crossref(new window)

5.
A. Kutney-Lee, A. W. Stimpfel , D. M. Sloane, J. P. Cimiotti, L. W. Quinn, L. H. Aiken, "Changes in patient and nurse outcomes associated with magnet hospital recognition", Medical Care. Vol. 53, No. 6, pp.550-557, 2015. crossref(new window)

6.
C. R. Friese, R. Xia, A. Ghaferi, J. D. Birkmeyer, M. Banerjee, "Hospitals in 'Magnet' program show better patient outcomes on mortality measures compared to non-'Magnet' hospitals", Health Affairs. Vol. 34, No. 6, pp.986-992, 2015. crossref(new window)

7.
E. T. Lake, "Development of the practice environment scale of the nursing work index", Research in Nursing & Health. Vol. 25, No. 3, pp.176-188, 2002. crossref(new window)

8.
S. Wang, Y. Liu, "Impact of professional nursing practice environment and psychological empowerment on nurses' work engagement: test of structural equation modelling", Journal of Nursing Management. Vol. 23, No. 3, pp. 287-96. 2015. crossref(new window)

9.
O. Petit Dit Dariel, J. P. Regnaux. "Do Magnet(R)-accredited hospitals show improvements in nurse and patient outcomes compared to non-Magnet hospitals: a systematic review". JBI Database System Rev Implement Rep. Vol. 13, No. 6, pp.168-219, 2015. Epub 2015/10/13. doi: 10.11124/jbisrir-2015-2262

10.
L. Claudia, B. Luk, M. Trevor, D. Gilles, H. de Jesus Elvio, S. Walter, et al. "Work environment issues and intention-to-leave in Portuguese nurses: a cross-sectional study", Health Policy. Vol. 119, No. 12, pp. 1584-1592. 2015. crossref(new window)

11.
R. AbuAlRub, F. El-Jardali, D. Jamal, N. Abu Al-Rub, "Exploring the relationship between work environment, job satisfaction, and intent to stay of jordanian nurses in underserved areas", Applied Nursing Research. Vol. 31, No. 3, pp. 19-23. 2016. doi: 10.1016/j.apnr.2015.11.014. crossref(new window)

12.
B. Head, K. Washington, J. Myers, L. Earnshaw, "Job satisfaction, intent to leave, and work improvements as perceived by hospice and palliative nursing assistants (TH330-C)", Journal of Pain and Symptom Management. Vol. 2, No. 45, pp.352-353, 2013.

13.
M. Flinkman, "Young registered nurses' intent to leave the profession in Finland-a mixed-method study", 2014.

14.
R. Redknap, D. Twigg, D. Rock, A. Towell, "Nursing practice environment: A strategy for mental health nurse retention?", International journal of mental health nursing. Vol. 24, No. 3, pp.262-271, 2015. crossref(new window)

15.
H. Arslan Yurumezoglu, G. Kocaman, "Predictors of nurses' intentions to leave the organisation and the profession in Turkey", Journal of Nursing Management. 2015. doi: 10.1111/jonm.12305. crossref(new window)

16.
K. Liu, L. M. You, S. X. Chen, Y. T. Hao, X. W. Zhu, L. F. Zhang, et al. "The relationship between hospital work environment and nurse outcomes in Guangdong, China: a nurse questionnaire survey", Journal of Clinical Nursing. Vol. 21, No. 9, pp.1476-1485, 2012. crossref(new window)

17.
C. Ma, D. M. Olds, N. E. Dunton, "Nurse work environment and quality of care by unit types: A cross-sectional study", International Journal of Nursing Studies. Vol. 52, No. 10, pp.1565-1572, 2015. crossref(new window)

18.
E. T. Lake, S. G. Hallowell, A. Kutney-Lee, L. A. Hatfield, M. Del Guidice, B. B. Alan, et al. "Higher quality of care and patient safety associated with better NICU work environments", Journal of Nursing Care Quality. Vol. 31, No. 1, pp.24-32, 2015.

19.
E. Cho, D. L. Chin, S. Kim, O. Hong, "The relationships of nurse staffing level and work environment with patient adverse events", Journal of Nursing Scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau. Vol. 48, No. 1, pp.74-82, 2016. doi: 10.1111/jnu.12183. crossref(new window)

20.
S. Y. Kang, Y. R. Um, S. S. Han, "A professional nursing practice environment and its impact on nurses' task motivation" Taehan Kanho Hakhoe Chi. Vol. 35, No. 2, pp.353-361, 2005.

21.
M. Y. Han, M. S. Lee, J. Y. Bae, Y. S. Kim, "Effects of nursing practice environment, compassion fatigue and compassion satisfaction on burnout in clinical nurses", Journal of Korean Academy Nursing. Vol. 21, No. 2, pp.193-202. 2015 crossref(new window)

22.
E. Cho, M. Choi, E-Y. Kim, I. Y. Yoo, N. J. Lee, "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. Vol. 41, No. 3, pp.325-332, 2011. crossref(new window)

23.
J. O. Kwon, E-Y. Kim, "Impact of unit-level nurse practice environment on nurse turnover intention in the small and medium sized hospitals", Journal of Korean Academy of Nursing Administration. Vol. 18, No. 4, pp.414-423, 2012. crossref(new window)

24.
L. H. Aiken, D. M. Sloane, S. Clarke, L. Poghosyan, E. Cho, L. You, et al., "Importance of work environments on hospital outcomes in nine countries", International Journal of the International Society for Quality in Health Care. Vol. 23, No. 4, pp.357-364, 2011.

25.
E. Cho, D. M. Sloane, E-Y. Kim, Kim S, Choi M, Yoo IY, et al. "Effects of nurse staffing, work environments, and education on patient mortality: An observational study", International Journal of Nursing Studies. Vol. 52, No. 2, pp.535-542, 2015. crossref(new window)

26.
L. H. Aiken, S. P. Clarke, D. M. Sloane, E. T. Lake, T. Cheney, "Effects of hospital care environment on patient mortality and nurse outcomes", The Journal of Nursing Administration. Vol. 38, No. 5, pp. 223-229, 2008. crossref(new window)

27.
W. H. Mobley, "Employee turnover: Causes, consequences, and control", 1992.

28.
T. E. Becker, "Foci and bases of commitment: are they distinctions worth making?", Academy of Management Journal. Vol. 35, No. 1, pp. 232-244, 1992. crossref(new window)

29.
M-R. Kim, "Influential factors on turnover intention of nurses: The affect of nurse's organizational commitment and career commitment to turnover intention", Journal of Korean Academy of Nursing Administration. Vol. 13, No. 3, pp. 335-344, 2007.

30.
K. Han, A. M. Trinkoff, A. P. Gurses, "Workrelated factors, job satisfaction and intent to leave the current job among United States nurses", Journal of Clinical Nursing. Vol. 24, No. 21-22, pp. 3224-3232, 2015. crossref(new window)

31.
S. H. Kim, M-A. Lee, "Effects of emotional labor and communication competence on turnover intention in nurses", Journal of Korean Academy Nursing Administration. Vol. 20, No. 3, pp.333-342, 2014.

32.
S. J. Moon, S. S. Han, "A predictive model on turnover intention of nurses in Korea", Journal of Korean Academy of Nursing. Vol. 41, No. 5, pp.633-641, 2011. crossref(new window)

33.
H. S. Seok, "Factors affecting organizational commitment and turnover tntention of hospital nurses: Focused on the mediating effects of person-environment fit", Journal of Korean Academy of Nursing Administration. Vol. 19, No. 3, pp.361-371, 2013. crossref(new window)

34.
N. E. Warshawsky, D. S. Havens, "Nurse manager job satisfaction and intent to leave", Nursing economics$. Vol. 32, No. 1, pp.32-39. 2014.