DOI QR코드

DOI QR Code

Factors Influencing Turnover Intention in Clinical Nurses: Compassion Fatigue, Coping, Social Support, and Job Satisfaction

  • Received : 2016.07.12
  • Accepted : 2016.10.15
  • Published : 2016.12.31

Abstract

Purpose: This study was done to construct and verify a model of turnover intention in clinical nurses, considering the effects of compassion fatigue, coping, social support, and job satisfaction. Methods: For this study a cross-sectional correlational design was used. Participants were 283 clinical nurses in four general hospitals. Data were collected using a questionnaire and were analyzed with descriptive statistics, Pearson correlation coefficient and path analysis. Results: The modified model of turnover intention had a good fit in this study. Turnover intention was influenced by job satisfaction, and job satisfaction was affected by workload, problem-focused coping, peer support, family-friend support and compassion fatigue. Compassion fatigue was associated with occupational trauma events, problem-focused coping and emotional-focused coping. Job satisfaction was the most important factors controlling nurse's turnover intention. Conclusion: Findings show that job satisfaction, compassion fatigue, and traumatic events are important factors influencing turnover intention. Nurse managers try to manage job satisfaction, compassion fatigue, support, and coping for nurses, it could be expected making proper nursing circumstance.

Keywords

References

  1. Kim JK, Kim MJ. A review of research on hospital nurses' turnover intention. Journal of Korean Academy of Nursing Administration. 2011;17(4):538-550. http//dx.doi.org/10.11111/jkana.2011.17.4.538
  2. Bettencourt LA, Brown SW. Role stressors and customer-oriented boundary spanning behaviors in service organizations. Journal of the Academy of Marketing Science. 2003;31(4):394-408. http://dx.doi.org/10.1177/0092070303255636
  3. Sung KW, Seo YS, Kim JH. Relationships between compassion fatigue, burnout, and turnover intention in Korean hospital nurses. Journal of Korean Academy Nursing. 2012;42(7):1087-1094. http://dx.doi.org/10.4040/jkan.2012.42.7.1087
  4. Joinson C. Coping with compassion fatigue. Nursing. 1992;22:116, 118-119, 120.
  5. Lazarus RS, Folkman S. Stress, appraisal and coping. New York: Springer Publishing Company,1984.
  6. Coetzee SK, Klopper HC. Compassion fatigue within nursing practice: A concept analysis. Nursing & Health Sciences. 2010;12(2):235-243. http://dx.doi.org/ 10.1111/j.1442-2018.2010.00526.x
  7. Bride BE, Radey M, Figley CR. Measuring compassion fatigue. Clinical Social Work Journal. 2007;35(3):155-163. http://dx.doi.org/10.1007/s10615-007-0091-7
  8. Figley CR. Compassion fatigue as a secondary traumatic stress disorder: An overview. In: Figley CR (ed.), Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized. New York: Brunner/Mazel, 1995;1-17.
  9. Buurman BM, Mank APM, Beijer HJM, Olff M. Coping with serious events at work: A study of traumatic stress among nurses. Journal of the American Psychiatric Nurses Association. 2011;17(5):321-329. http://dx.doi.org/10.1177/1078390311418651
  10. Southwick SM, Vythilingam M, Charney DS. The psychobiology of depression and resilience to stress: Implications for prevention and treatment. Annual Review of Clinical Psychology. 2005;1:255-291. http://dx.doi.org/10.1146/annurev.clinpsy.1.102803.143948
  11. Pronost AM, Le Gouge A, Leboul D, Gardembas-Pain M, Berthou C, Giraudeau B, et al. Relationships between the characteristics of oncohematology services providing palliative care and the sociodemographic characteristics of caregivers using health indicators: Social support, perceived stress, coping strategies, and quality of work life. Support Care Cancer. 2012;20(3):607-614. http://dx.doi.org/10.1007/s00520-011-1139-3
  12. Kim HJ. The relationships between traumatic events, compassion fatigue, burnout and compassion satisfaction in emergency nurses [master's thesis]. Chungju: Konkuk University;2011.
  13. Yang YH, Kim JK. A literature review of compassion fatigue in nursing. Korean Journal of Adult Nursing. 2012;24(1):38-51. https://doi.org/10.7475/kjan.2012.24.1.38
  14. Price JL, Mueller CW. A causal model of turnover for nurses. Academy of Management Journal. 1981;24(1):543-565. http://dx.doi.org/10.2307/255574
  15. Mobley WH. Intermediate linkages in the relationship between job satisfaction and employee turnover. Journal of Applied Psychology. 1977;62(2):237-240. http://dx.doi.org/10.1037/0021-9010.62.2.237
  16. Bae BR. Structural equation model with LISREL: Concepts, application, and programing. 2nd ed. Seoul; Chungram Publishing;2005.
  17. Niiyama E, Okamura H, Kohama A, Taniguchi T. A survey of nurses who experienced trauma in the workplace: Influence of coping strategies on traumatic stress. Stress and Health. 2009;25(1):3-9. http://dx.doi.org/10.1002/smi.1217
  18. Yang YH. The comparison of the coping patterns of cancer patients and their caregivers according to the phases of illness. Journal of Korean Academy of Nursing. 1998;28(4):970-979. https://doi.org/10.4040/jkan.1998.28.4.970
  19. Park JW. A study for development of social support [dissertation]. Seoul;Yonsei University:1985.
  20. Stamm BH. Professional quality of life: Compassion satisfaction and fatigue (ProQOL) Version 5 [Internet]. 2009. [cited 2016 July 1]. Available from URL: http://www.texasbar.com/AM/Template.cfm?Section=Wellness1&Template=/CM/ContentDisplay.cfm&ContentID=15157
  21. Park SA, Yoon SN. Measurement of job satisfaction of nurses and health workers in health centers. Journal of Korean Academy of Nursing. 1992;22(3):316-324.
  22. Stamp PL, Piedmont EB, Slavitt DB, Hasse AM. Measurement of work satisfaction among health professionals. Medical Care 1978;16(4):337-352. https://doi.org/10.1097/00005650-197804000-00006
  23. Park HS. Relationship between perceived nursing care role orientation, job characteristics, and turnover among nurses [master's thesis]. Seoul; Yonsei University: 2002.
  24. Lawler EE. Satisfaction and behavior. In: Hackman JR, Lawler EE, Porter LW, editors. Perspectives on behavior in organizations. 2nd ed. New York: McGraw-Hill; 1983. p. 78-97.
  25. Beck CT. Secondary traumatic stress in nurses: A systematic review. Archives of Psychiatric Nursing. 2011;25(1):1-10. http://dx.doi.org/10.1016/j.apnu.2010.05.005
  26. Jeon SY, Ha JY. Traumatic events, professional quality of life and physical symptoms among emergency nurses. Korean Journal of Adult Nursing. 2012;24:64-73. https://doi.org/10.7475/kjan.2012.24.1.64
  27. Yang YS, Kang YH. ICU New nurses' job stress, job satisfaction, organizational commitment and turnover intention. Nursing Science. 2013;25(2):47-52.

Cited by

  1. 요양병원 간호사의 의사소통능력, 직무스트레스가 이직의도에 미치는 영향 : 감성지능 조절효과 중심으로 vol.16, pp.12, 2016, https://doi.org/10.14400/jdc.2018.16.12.449
  2. Clinical practice and work‐related burden among second career nurses: A cross‐sectional survey vol.28, pp.17, 2016, https://doi.org/10.1111/jocn.14906
  3. Evidence-Based Practice Guideline: Nurse Retention for Nurse Managers vol.45, pp.11, 2019, https://doi.org/10.3928/00989134-20191011-03
  4. Becoming a good nurse – Socialisation of newly employed nurses into the oncological clinic vol.29, pp.13, 2020, https://doi.org/10.1111/jocn.15265
  5. Assessing the Presence of Post-Traumatic Stress and Turnover Intention Among Nurses Post-Middle East Respiratory Syndrome Outbreak: The Importance of Supervisor Support vol.68, pp.7, 2020, https://doi.org/10.1177/2165079919897693
  6. Factors Influencing Nurses’ Intention to Leave and Intention to Stay: An Integrative Review vol.32, pp.4, 2016, https://doi.org/10.1177/1084822320931363
  7. Nurses Compassion Fatigue during the Pilgrim (Al-Hajj) Season vol.1, pp.2, 2016, https://doi.org/10.1159/000514644
  8. Work-Family Conflict of Emergency Nurses and Its Related Factors: A National Cross-Sectional Survey in China vol.9, pp.None, 2021, https://doi.org/10.3389/fpubh.2021.736625
  9. Linking nurses’ job security to job satisfaction and turnover intention during reform and privatization: A cross‐sectional survey vol.29, pp.6, 2016, https://doi.org/10.1111/jonm.13279
  10. The Impact of the Coronavirus Disease (COVID-19) Pandemic on Nurses’ Turnover Intention: An Integrative Review vol.11, pp.4, 2016, https://doi.org/10.3390/nursrep11040075