Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
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Perceptions on Fixed Night Shift System and Turnover Intention of General Hospital Nurses

종합병원 간호사의 밤번고정근무제도와 이직의도에 관한 인식

  • Lee, Mi-Aie (Department of Nursing, Dongguk University) ;
  • Cho, Hye-Jin (Department of Nursing, Dongguk University Ilsan Hospital) ;
  • Ahn, Sung-Hee (Department of Nursing, Dongguk University Ilsan Hospital) ;
  • Kim, Hyo-Ju (Department of Nursing, Dongguk University Ilsan Hospital)
  • Received : 2015.08.26
  • Accepted : 2015.10.13
  • Published : 2015.12.31
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Abstract

Purpose: This study was performed to identify perceptions on fixed night shift system and turnover intention of general hospital nurses and to explore a desirable application plan for a fixed night shift system. Methods: This study was a cross-sectional survey. Participants were 300 nurses working at one general hospital in GyeongGi-Do, Korea. Data were collected from November 3 to 7, 2014, with a structured questionnaires and analyzed using SPSS/PC ver 20.0 programs. Results: Of the participants 73.5% had thought about turnover because of night shifts and the preconditions for desirable fixed night shift system were a payment plan differentiated according to work conditions and an adequate number of nursing staff. Economic and administrative supports like 'raising extra-pay for night shift' and 'increasing the number of paid holidays' were very important for a desirable fixed night shift system. Conclusion: The results indicate that the most important factor for a desirable fixed night shift system to decrease nurses' turnover intention is economic and administrative support according to the needs of the nurses. So nursing managers need to find a desirable fixed night shift system considering nurses' demographic characteristics and organizational characteristics.

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References

  1. Lee KJ, Kim MR, Lee AS, Lee JH, J ang YH, J ung MS. Study on development work form for improving nurse working conditions Seoul: Hospital Nurses Association; 2006.
  2. Saksvil IB, Bjorvatn B, Hetland H, Sandal GM, Pallesen S. Individual differences in tolerance to shift work - a systematic review. Sleep Medicine Reviews. 2011;15:221-235. http://dx.doi.org/10.1016/j.smrv.2010.07.002
  3. Yoon JS, Kook SH, Lee HY, Sin IS, Kim AJ. Sleep pattern, job satisfaction and quality of life in nurses on rotating shift and daytime fixed work schedules. Journal of Korean Neuropsychiatric Association. 1999;38(4):713-722.
  4. Alward R.R, Monk TH. A comparison of rotating-shift and permanent night nurses. International Journal of Nursing Studies. 1990;27(3):297-302. http://dx.doi.org/10.1016/0020-7489(90)90044-J
  5. Kim HJ, Han YM, Sung MH. A study of health status and job satisfaction of nurses on day shift and nurses on night shift. Journal of Korean Academy of Nursing Administration 2007;13(1):32-39.
  6. Park HJ. A study on the working condition improvements and main factor analysis attain to nurse's recognition for night shift of nurse's shift work [dissertation]. Seoul: Hanyang University; 2004.
  7. Barton J. Choosing to work at night: A moderating influence on individual tolerance to shift work. The Journal of Applied Psychology. 1994;79(3):449-454. http://dx.doi.org/10.1037/0021-9010.79.3.449
  8. Jang SY. Comparison of life quality, burn-out and job satisfaction between fixed night nurses and three rotating shift nurses [master's thesis]. Seoul: Kyung Hee University; 2010.
  9. Eun SA. Analysis of influencing factors related with job change of the nurses changed their job [master's thesis]. Seoul: Kyung Hee University; 2011.
  10. Kim YH, Cho GY, Yang YO. An action research study on flexible shift of nurses. Journal of Korean Academy of Nursing Administration 2005;11(3):275-288.
  11. Jeong EJ, Chae GS, Noh WJ, Park MM, Cho UY, Kim HJ. A survey on hospital nursing staffing (2013). Business report for Hospital Nurses Association. Seoul: Hospital Nurses Association; 2013.
  12. Choi SO. Development of new organizational socialization nurse using a system dynamics model [master's thesis]. Seoul; Ewha Womans University; 2004.
  13. Hayes LJ, O'Brien-Pallas L, Duffield C, Shamian J, Buchan J, Hughes F, et al. Nurse turnover: A literature review. International Journal of Nursing Studies 2006;43(2):237-263. http://dx.doi.org/10.1016/j.ijnurstu.2005.02.007
  14. 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. http://dx.doi.org/10.4040/jkan.2011.41.5.633
  15. Kim SY, Lee MA Effects of emotional labor and communication competence on turnover intention in nurses. Journal of Korean Academy of Nursing Administration 2014;20(3):332-341. http://dx.doi.org/10.11111.jkana.2014.20.3.332 https://doi.org/10.11111/jkana.2014.20.3.332
  16. Lee HJ, Lim YJ, J ung HY, Shin YW. Turnover intention of graduate nurses in South Korea. Japan Journal of Nursing Science: JJNS 2012;9(1):63-75. http://dx.doi:10.1111/j.174-7924.2011.00187.x
  17. Geiger-Brown J, Trinkoff AM. Is it time to pull the plug on 12-hours shift?: Part 1. The evidence. The Journal of Nursing Administration. 2010;40(3):100-102. http://dx.doi.org/10.1097/NNA.0b013e3181d0414e
  18. O'Brien-Pallas L, Murphy GT, Shamian J, Li X, Hayes LJ. Impact and determinants of nurse turnover: A pan-Canadian study. Journal of Nursing Management 2010;18(8):1073-1086. http://dx.doi.org/10.1111/j.1365-2834.2010.01167.x
  19. Park YW, Oh KH, Moon KH, Park JS, Jung MA, Sin HK, et al. A study for developing the efficient working pattern for nurses in shift work. Seoul: Korean Hospital Nurses Association; 2012.
  20. Korean Hospital Nurses Association. Status of hospital nurse staffing on 2013. Seoul: Korean Hospital Nurses Association; 2014.
  21. Lee ES, Kim KO, Song HJ, Lee JS, Kim, SY, Lee HS, et al. Comparison of job satisfaction and nursing performance between nurses on fixed nights and nurses on three shifts, and nurses understanding of fixed night shift system. Journal of Korean Clinical of Nursing Research. 2012;18(1):63-73. https://doi.org/10.22650/JKCNR.2012.18.1.63
  22. Coffey LC, Skipper JK, Jung FD. Nurses and shift work: Effects on job performance and job-related stress. Journal of Advanced Nursing. 1988;13(2):245-254. http://dx.doi.org/10.1111/j.1365-2648.1988.tb01414.x
  23. Lee SJ. Comparison of fatigue, job satisfaction and nursing performance between fixed night nurses and rotating shift nurses [master's thesis]. Seoul: Yonsei University; 2001.
  24. Kim IS. Work, home job sharing practices incompatible type: Various works in the form of a small hospital nursing staff [Internet]. Seoul: Korea Labor Institute; 2009. [cited 2009 May]. Avaliable from: http://www.kli.re.kr/_FILE/NEW_PUBLICATIONS/cdcea2437090462dea71194c65e7ff23.pdf
  25. Yoon KS. Factors affecting the turnover intention of nurses [master's thesis]. Daejeon: Eulji University; 2010.
  26. Park YW, Skin HK, Lee HS, Lee HY, Kim EH, Park JS, et al. A study for developing the effective working pattern for nurses in shift work. Journal of Korean Clinical Nursing Research. 2013;19(3):333-344. https://doi.org/10.22650/JKCNR.2013.19.3.333
  27. Blunch NJ. Introduction to structural equation modelling using SPSS and AMOS. Los Angeles, CA: Sage; 2008.
  28. Kim YH, Young OY. A study for perception and preference on flexible working pattern of nurses in hospital. Journal of Korean Academy Nursing Administration. 2007;13(2):167-175.
  29. Rose M. Shift work How does it affect you? The American Journal of Nursing. 1984;84(4):442-447. http://dx.doi.org/10.1097/00000446-198404000-00022

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