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The Influences of Type D Personality, Burnout and Work Environment on Nurses' Intention to Stay in the Hospitals

병원간호사의 type D 성격, 소진, 간호근무환경이 재직의도에 미치는 영향

  • 김숙영 (차의과학대학교 간호대학) ;
  • 서연옥 (순천향대학교 간호학과)
  • Received : 2018.10.05
  • Accepted : 2018.11.07
  • Published : 2018.11.30

Abstract

Purpose: The purpose of this study was to identify the influences of type D personality, burnout and work environment on nurses' intention to stay at the hospitals among nurses. Methods: A cross-sectional descriptive design was used. Participants were 135 nurses working at general hospitals. Data were collected using self-report questionnaires. Data were analyzed using the SPSS/WIN 23.0 program for descriptive statistics, independent t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation, and hierarchical multiple regression. Results: The score of nurses' intention to stay was 4.78. 39.3% of participants were classified as type D personality group. The scores of burnout and work environment were 2.92 and 2.39, respectively. Intention to stay was negatively correlated with burnout and positively correlated with nurse participation in hospital affairs, nursing foundations for quality of care, nurse manager ability, leadership, and support of nurses, staffing and resource adequacy. Burnout and manager ability, leadership, and support for nurses explained 46.0% of variance of nurses' intention to stay in the hospitals. Conclusion: The results of the study indicate that nursing intervention programs for increasing intention to stay for nurses should include strategies for decreasing the burnout and increasing manager ability, leadership, and support for nurses.

Keywords

Table 1. Differences in Intention to Stay according to General Characteristics

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Table 2. Mean Scores of the Type D Personality, Burnout, PES-NWIand Intention to Stay

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Table 4. Factors Influencing on Intention to Stay

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Table 3. Correlation among Burnout, PES-NWI and Intention to Stay

DSKHBO_2018_v24n2_163_t0004.png 이미지

References

  1. Oh YH, The demand and supply of registered nurses in Korea and policy recommendations, Health and Social Welfare Review, 2008;28(1):68-86. https://doi.org/10.15709/hswr.2008.28.1.68
  2. Han YH, Sohn IS, Park KO, Kang KH, The relationships between professionalism, job involvement, organizational commitment and turnover intention among clinical nurses Journal of Korean Clinical Nursing Research, 2010;16(2):17-31.
  3. Park SY. Issues and challenges of nursing workforce supply to improve the quality of health care services. Korean Journal of Converging Humanities. 2018;6(1):31-54. https://doi.org/10.14729/converging.k.2018.6.1.31
  4. Korean Hospital Nurses Association. 2015 Annual report. Seoul: Korean Hospital Nurses Association;2016.
  5. Liou SR. Nurses' intention to leave: Critically analyse the theory of reasoned action and organizational commitment model. Journal of Nursing Management. 2009;17(1):92-99. https://doi.org/10.1111/j.1365-2834.2008.00873.x
  6. Hayes LJ, O''Brien-Pallas L, Duffield C, Shamian J, Buchan J, Hughes F, et al. Nurse turnover: a literature review-an update. International Journal of Nursing Studies. 2012;49(7):887-905. https://doi.org/10.1016/j.ijnurstu.2011.10.001
  7. Cowden T, Cummings G, Profetto-Mcgrath J. Leadership practices and staff nurses' intent to stay: A systematic review. Journal of Nursing Management. 2011;19(4):461-477. https://doi.org/10.1111/j.1365-2834.2011.01209.x
  8. Cowin LS. The effects of nurses' job satisfaction on retention: an Australian perspective. The Journal of Nursing Administration. 2002;32(5):283-291. https://doi.org/10.1097/00005110-200205000-00008
  9. Park S, Lee T. Factors influencing Korean nurses' intention to stay: a systematic review and meta-analysis. Journal of Korean Academy of Nursing Administration. 2018;24(2):139-148. https://doi.org/10.11111/jkana.2018.24.2.139
  10. Kim MJ. The effect of nursing organizational culture on nurses' intention of retention. [master's thesis]. Seoul: Hanyang University; 2006. pp.1-66.
  11. Tourangeau AE, Cranley LA. Nurse intention to remain employed: understanding and strengthening determinants. Journal of Advanced Nursing, 2006;55(4):497-509. https://doi.org/10.1111/j.1365-2648.2006.03934.x
  12. Chen LC, Perng SJ, Chang FM, Lai HL. Influence of work values and personality traits on intent to stay among nurses at various types of hospital in Taiwan, Journal of Nursing Management, 2016;24(1):30-38. https://doi.org/10.1111/jonm.12268
  13. Denollet J. DS14: Standard assessment of negative affectivity, social inhibition, and type D personality. Psychosomatic Medicine. 2005;67(1):89-97. https://doi.org/10.1097/01.psy.0000149256.81953.49
  14. Kim SR, Kim HY, Kang JH. Effects of type D personality on compassion fatigue, burnout, compassion satisfaction, and job stress in clinical nurses. Journal of Korean Academy of Nursing Administration. 2014;20(3):272-280. https://doi.org/10.1097/01.psy.0000149256.81953.49
  15. Mols F, Denollet J. Type D personality in the general population: a systematic review of health status, mechanisms of disease and work-related problems. Health and Quality of Life Outcomes. 2010;8(9):1-10. https://doi.org/10.1186/1477-7525-8-1
  16. Sabo BM. Adverse psychosocial consequences: Compassion fatigue, burnout and vicarious traumatization: are nurses who provide palliative and hematological cancer care vulnerable? Indian Journal of Palliative Care. 2008;14(1):23-29. https://doi.org/10.4103/0973-1075.41929
  17. Yom YH, Yang IS, Han JH. Effects of workplace bullying, job stress, self-esteem, and burnout on the intention of university hospital nurses to keep nursing job Journal of Korean Academy of Nursing Administration. 2017;23(3):259-269. https://doi.org/10.11111/jkana.2017.23.3.259
  18. Lake ET. Development of the practice environment scale of the nursing work index. Research in Nursing & Health. 2002;25:176-188. https://doi.org/10.1002/nur.10032
  19. Carter MR, Tourangeau AE. Staying in nursing: what factors determine whether nurses intend to remain employed. Journal of Advanced Nursing. 2012;68(7):1589-1600. https://doi.org/10.1111/j.1365-2648.2012.05973.x
  20. Kong MY, Kim JH. Influence of nurse manager and peer group caring behaviors as perceived by nurses on intention to retention. Journal of Korean Academy of Nursing Administration. 2017;23(2):191-200. https://doi.org/10.11111/jkana.2017.23.2.191
  21. Lim EH, Lee MS, Ko YH, Park YM, Joe SH, Kim YK. et al. Assessment of the type D personality construct in the Korean population: a validation study of the Korean DS14. Journal of Korean Medical Science. 2011;26(1):116-123. https://doi.org/10.3346/jkms.2011.26.1.116
  22. Stamm BH. Professional quality of life: compassion satisfaction and fatigue version 5 (ProQOL) [Internet]. Minnesota: The Center for Victims of Torture; 2009 [cited 2018 June 30]. Available from: https://proqol.org/ProQol_Test.html.
  23. Cho E, Choi M, Kim EY, Yoo IY, Lee NJ. 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 Nurses. 2011;41(3):325-332. https://doi.org/10.4040/jkan.2011.41.3.325
  24. Kupper N, Pelle A, Denollet J. Association of type D personality with the autonomic and hemodynamic response to the cold pressor test. Psychophysiology. 2013;50(12):1194-1201. https://doi.org/10.1111/psyp.12133
  25. Kim S, Kim JH, Park JY, Suh EY, Yang HJ, Lee SY, et al. Oncology nurses' professional quality of life in a tertiary hospital. Journal of Korean Clinical Nursing Research. 2010;16 (3):145-155.
  26. Choi EJ, Hwang JH, Jang IS. Effects of nursing practice environment and self-esteem on critical thinking disposition among clinical nurses. Journal of Korean Academy of Nursing Administration. 2017;23(2):161-169. https://doi.org/10.11111/jkana.2017.23.2.161
  27. Park JO, Jung KI. Effects of advanced beginner-stage nurses' sense of calling, job satisfaction and organizational commitment on retention intention. Journal of Korean Academy of Nursing Administration. 2016;22(2):137-147. https://doi.org/10.11111/jkana.2016.22.2.137
  28. Smith SA. Mindfulness-based stress reduction: an intervention to enhance the effectiveness of nurses' coping with work-related stress. International Journal of Nursing Knowledge. 2014;25(2):119-130. https://doi.org/10.1111/2047-3095.12025
  29. Blake N, Leach LS, Robbins W, Pike N, Needleman J, Healthy work environments and staff nurse retention: the relationship between communication, collaboration, and leadership in the pediatric intensive care unit. Nursing Administration Quartery. 2013;37(4):356-370. https://doi.org/10.1097/NAQ.0b013e3182a2fa47
  30. Moon JH, Joo GE, Lee J. Grounded theoretical analysis on the hospital accreditation experience of head nurses in general hospitals. Journal of Korean Academy of Nursing Administration. 2016;22(5):437-447. http://doi.org/10.11111/jkana.2016.22.5.437