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Influence of Workplace Bullying and Leader-Member Exchange on Turnover Intention among Nurses

간호사의 직장 내 약자 괴롭힘, 리더-구성원 교환관계가 이직의도에 미치는 영향

  • Han, Mi Ra (Graduate School, College of Nursing, Yonsei University.Department of Nursing, Mokpo Catholic University) ;
  • Gu, Jeung Ah (Graduate School, College of Nursing, Yonsei University.Department of Nursing, Kyungwoon University) ;
  • Yoo, Il Young (College of Nursing, Yonsei University)
  • 한미라 (연세대학교 간호대학원.목포가톨릭대학교 간호학과) ;
  • 구정아 (연세대학교 간호대학원.경운대학교 간호학과) ;
  • 유일영 (연세대학교 간호대학)
  • Received : 2014.04.22
  • Accepted : 2014.07.07
  • Published : 2014.09.30

Abstract

Purpose: The purpose of this descriptive study was to identify the impact of workplace bullying and LMX (Leader-Member Exchange) on turnover intention among nurses. Methods: The participants were 364 nurses from the Seoul metropolitan area who were attending a continuing education program. A structured questionnaire was used for data collection and data were analyzed using the SPSS/Window program. Hierarchical multiple regression analysis was performed to verify the effect of variables on turnover intention. Results: Higher workplace bullying was associated with higher turnover intention. Workplace bullying was negatively correlated with leader-member exchange. The most influential factors for turnover intention were LMX (${\beta}=-7.22$, p<.001), work load (${\beta}=2.96$, p=.003), and workplace bullying (${\beta}=2.64$, p=.009). These factors accounted for 28% of the variance in turnover intention. Conclusion: The study results indicate that there is need to develop strategies to prevent workplace bullying and cultivate a good relationship between nursing managers and nurses to lower nurses' turnover intention.

Keywords

References

  1. Hospital Nurses Association. (2011). 2010 Actual condition survey report of nursing staff [Internet]. Seoul: Korean Hospital Nurses Association. 2011 [cited 2014 February 9]. Available from http://www.khna.or.kr/web/information/resource.php
  2. Moon SJ, Han SS. A predictive model on turnover intention of nurses in Korea. Journal of Korean Academy of Nursing. 2011;41(5):633-641. https://doi.org/10.4040/jkan.2011.41.5.633
  3. Kim CH, Yang ES, Kim YJ, Son YJ, You MA, Song JE. A Structural equation model of nurses' turnover intention. Journal of Korean Academy of Nursing Administration. 2009;15 (4):550-562.
  4. Quine L. Workplace bullying in nurses. Journal of Health Psychology. 2001;6(1);73-84. https://doi.org/10.1177/135910530100600106
  5. Simons S. Workplace bullying experienced by Massachusetts registered nurses and the relationship to intention to leave the organization. Advances in Nursing Science. 2008;31(2):E48-E59. https://doi.org/10.1097/01.ANS.0000319571.37373.d7
  6. Zapf D, Gross C. Conflict escalation and coping with workplace bullying: A replication and extension. European Journal of Work and Organizational Psychology. 2001;10(4): 497-522. https://doi.org/10.1080/13594320143000834
  7. Einarsen S, Hoel H, Notelaers G. Measuring exposure to bullying and harrassment at work: validity, factor structure and psychometric properties of negative acts questionnaire-revised. Work & Stress. 2009;23(1):24-44. https://doi.org/10.1080/02678370902815673
  8. Leymann H. The content and developing of mobbing at work, European Journal of Work and Organizational Psychology. 1996;5(2):165-184. https://doi.org/10.1080/13594329608414853
  9. Nam W. The Relationship between workplace bullying and intention to leave among nurses in one university hospital [master's thesis]. Seoul: The Catholic University of Korea; 2010.
  10. Park KO, Kim SY, Kim JK. Hospital nurses' experience of bullying in the workplace and burnout, organizational commitment, turnover intension and nursing productivity. Journal of Korean Clinical Nursing Research. 2013;19(2):169-180.
  11. International Centre for Human Resources in Nursing. Workplace Bullying in the Health Sector [Internet]. Seoul: (2007 June). Retrieved February 10, 2014, Available from http://www.icn.ch/images/stories/documents/pillars/sew/ICHRN/Facts_Sheets/Workplace_Bullying_in_the_Health_Sector.pdf
  12. Hutchison M, Vickeres MH, Wikes L, Jackson D. "The worse you behave, the more you seem, to be rewarded": Bullying in nursing as organizational corruption. Employee Responsibilities and Rights. 2009;21(3):213-229. https://doi.org/10.1007/s10672-009-9100-z
  13. Hutchison M, Jackson D, Wilkes L, Vickers MH. A new model of bullying in the nursing workplace: Organizational characteristics as critical antecedents. Advances in Nursing Science. 2008;31(2):E60-E71. https://doi.org/10.1097/01.ANS.0000319572.37373.0c
  14. Embree JL, White AH. Concept analysis: Nurse-to-nurse lateral violence. Nursing Forum. 2010;45(3):166-173. https://doi.org/10.1111/j.1744-6198.2010.00185.x
  15. Setton RP, Bennet N, Liden RC. Social exchange in organization: perceived organization support, leader-member exchange, and employee reciprocity. Journal of Applied Psyhology. 1996;81(3):219-227. https://doi.org/10.1037/0021-9010.81.3.219
  16. Liden RC, Maslyn JM. Multidimensionality of leader-member exchange: An empirical assessment through scale development. Journal of Management. 1998;24(1):43-72.
  17. Yi HH, Yi YJ. Influence of leader-member exchange quality of head nurses and clinical nurses on organizational commitment and job satisfaction in clinical nurses. Journal of Korean Academy of Nursing Administration. 2014;20(2):195-205. https://doi.org/10.11111/jkana.2014.20.2.195
  18. Liden RC, Erdgan B, Wayne SJ, Sparrowe RT. Leader-member exchange, differentiation, and task interdependence: Implications for individual and group performance. Journal of Organizational Behavior. 2006;27(6):723-746. http://dx.doi.org/10.1002/job.409
  19. Han GH, Jekel M. The mediating role of job satisfaction between leader-member exchange and turnover intentions. Journal of Nursing Management. 2011;19(1):41-49. https://doi.org/10.1111/j.1365-2834.2010.01184.x
  20. Portoghese I, Galletta M, Battistelli A, Leiter MP. A multilevel investigation on nursing turnover intention: The cross-level role of leader-member exchange. Journal of Nursing Management. 2014; Jan 12. doi: 10.1111/jonm.12205.
  21. Nam W, Kim JW, Kim YK, Koo JW, Park CY. The reliability and validity of the negative acts questionnaire-revised (NAQ R) for nurses for the assessment of workplace bullying. Korean Journal of Occupational Environmental Medicine. 2010;22 (2);129-139.
  22. Choi JW. A causal relationship among critical reflective work behavior, participation in decision-making, leader-member exchange, self-efficacy, and readiness for change of office workers in large corporations [master's thesis]. Seoul: Seoul National University; 2012.
  23. Lawler EE. Satisfaction and behavior. New York. McGraw-Hill, 1983. p. 287-301.
  24. Park, HS. Relationship between perceived nursing care role orientation, job characteristics, and turnover among nurses Unpublished [master's thesis]. Seoul: Yonsei University, Korea; 2002.
  25. Han JH, Yang IS, Yom YH. An empirical study on burnout in clinical nurses: focused on bullying and negative affectivity. Journal of Korean Academy of Nursing Administration. 2013; 19(5):578-588. https://doi.org/10.11111/jkana.2013.19.5.578
  26. Vogelpohl DA, Rice SK, Edwards ME, Bork CE. New graduate nurses' perception of the workplace: have they experienced bullying? Journal of Professional Nursing. 2013;29(6):414-422. http://dx.doi.org/10.1016/j.profnurs.2012.10.008
  27. Rodrigez-MunozA, Baillien E, Witte HD, Moreno-Jimenez B, Pastor J. Cross-lagged relationships between workplace bullying, job satisfaction and engagement: Two longitudinal studies. Work & Stress. 2009;23(3):225-243. http://dx.doi.org/10.1080/02678370903227357
  28. Kim YH, Choi JH, Kim KE. The impact of job overload, relationship with senior on nurses' intention to quit their jobs-mediating role of emotional exhaust. Journal of Korean Academy of Nursing Administration. 2009;15(3):372-381.
  29. Griffin, M. Teaching cognitive rehearsal as shield for lateral violence: An intervention for newly licensed nurses. Journal of Continuing Education in Nursing. 2004;35(6):257-263.
  30. Fouka, G. Mantzorou, M. What are the major ethical issues in conducting research? Is there a conflict between the research ethics and the nature of nursing? Health Science Journal. 2011;5(1):3-14.

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