DOI QR코드

DOI QR Code

Predictive Factors of Turnover Intention among Intensive Care Unit Nurses

중환자실 간호사의 이직의도 예측요인

  • Received : 2018.09.18
  • Accepted : 2018.10.18
  • Published : 2018.12.31

Abstract

Purpose: The purpose of this study was to understand morality identity, occupational stress and authentic leadership and identify factors contributing to turnover intention among intensive care unit (ICU) nurses. Methods: Data were collected from 230 nurses at the university hospitals in Daegu, Ulsan and Busan between February 15 and March 23, 2017. Instruments measuring turnover intention, moral identity, occupational stress, and authentic leadership were utilized. Statistical analysis included t-test, ANOVA, Pearson correlational analysis, and hierarchical regression analysis. Results: A total of 207 nurses in ICU participated in this study. The power of explanation with age and dependents on turnover intention was 4.1%. With inclusion of occupational stress, moral identity, and authentic leadership factors put into the model, further 20.4% was explained. The explanatory power of the turnover intention in the final model was 23.6% (F=11.63 p<.001), and occupational stress was the key factor explaining turnover intention (${\beta}=.28$, p<.001). Predictive factors contributing to turnover intention were age, occupational stress, moral identity, and authentic leadership in final model. Conclusion: These findings demonstrated occupational stress, moral identity and authentic leadership as critical factors contributing turnover intention of ICU nurses. It is necessary to promote nursing manager's authentic leadership, and to encourage moral identity in ICU nurses. In addition, providing intervention programs to reduce occupational stress for ICU nurses is necessary.

Keywords

Table 1. Differences in Turnover Intention according to General Characteristics of Subjects

BGHSBR_2018_v24n3_347_t0001.png 이미지

Table 2. Descriptive Statistics of Turnover Intention, Moral Identity, Occupational Stress, and Authentic Leadership (N=207)

BGHSBR_2018_v24n3_347_t0002.png 이미지

Table 3. Correlations among Turnover Intention, Moral Identity, Occupational Stress, and Authentic Leadership

BGHSBR_2018_v24n3_347_t0003.png 이미지

Table 4. Predictors of Turnover Intention in Intensive Care Unit Nurses

BGHSBR_2018_v24n3_347_t0004.png 이미지

References

  1. Moon JY. Ethical issues on critically ill patients. The Korean Journal of Medical Ethics. 2015;18(1):1-9.
  2. Kim YH. Nursing turnover cost estimation: A tertiary hospital case [dissertation]. Seoul: Seoul National University; 2015. p. 1-102.
  3. Kim SI, Kim JA. A study on nursing unit culture, efficiency on nursing performance, job satisfaction and turnover intention. Journal of Korean Academy of Nursing Administration. 1997;3(2):17-40.
  4. Kim JJ, Park JW. Factors influencing the decisions of nurses to resign. Journal of Korean Academy of Nursing. 1991;21(3):383-395.
  5. Cotton JL, Tuttle JM. Employee turnover: A meta-analysis and review with implications for research. The Academy of Management Review. 1986;11(1):55-70. https://doi.org/10.5465/amr.1986.4282625
  6. Yang YS, Kang YH. ICU new nurses' job stress, job satisfaction, organizational commitment and turnover intention. Health & Nursing. 2013;25(2):47-58.
  7. Cho YA, Kim GS, Kim ES, Park HM, You M, Lim EO, et al. A correlational study on ICU nurses’ job stress, the way of coping, and the turnover intention. Journal of Korean Clinical Nursing Research. 2009;15(3):129-141.
  8. Yeun YR. Job stress, burnout, nursing organizational culture and turnover intention among nurses. Journal of the Korea Academia-industrial Cooperation Society. 2014;15(8):4981-4986. https://doi.org/10.5762/KAIS.2014.15.8.4981
  9. Aquino K, Reed A. The self importance of moral identity. Journal of Personality and Social Psychology. 2002;83(6):1423-1440. https://doi.org/10.1037//0022-3514.83.6.1423
  10. Lee IT. A study on characteristic and application method of instrument to measure moral identity. Journal of Moral & Ethics Education. 2016;50:1-27.
  11. American Association of Critical-Care Nurses. AACN standards for establishing and sustaining healthy work environments [Internet]. Aliso Viejo, CA: AACN; 2016. [cited 2018 July 14]. Available from: http://www.aacn.org/wd/hwe/docs/HWEStandards.pdf?lastmenu=divheader_web_assessment_tool.
  12. Wang W, Fu Y, Qiu H, Moore JH, Wang Z. Corporate social responsibility and employee outcomes: a moderated mediation model of organizational identification and moral identity. Frontiers in Psychology. 2017;8:1906. https://doi.org/10.3389/fpsyg.2017.01906
  13. Park SH, Kim KB. A study of role-conflict, stress and job satisfaction of nurses according to their current work posts. Journal of East-West Nursing Research. 2005;11(1):65-74.
  14. Gardner WL, Avolio BJ, Luthans F, May DR, Walumbwa F. "Can you see the real me?" A self-based model of authentic leader and follower development. The Leadership Quarterly. 2005;16(3):343-372. https://doi.org/10.1016/j.leaqua.2005.03.003
  15. Yun JY. Authentic leadership of head nurse, burnout and job satisfaction of nurse: Mediating effect of positive psychological capital [master's thesis]. Busan: Pusan National University; 2016. p. 1-70.
  16. Jeong MS, Park GO, Kim YK, Kim SY, Kim JK, Park MH, et al. Nursing management. 2nd ed. Seoul: Hyunmoonsa; 2016. p. 250-252.
  17. Jeon JM, Lee KS, Park CJ, Woo HY. Effect of nurses' transformational leadership on job attitude: The mediating effects psychological capital. Journal of Korea Academia-Industrial cooperation Society. 2016;17(7):228-236. https://doi.org/10.5762/KAIS.2016.17.7.228
  18. Choi HG, Ahn SH. Influence of nurse managers' authentic leadership on nurses' organizational commitment and job satisfaction: Focused on the mediating effects of empowerment. Journal of Korean Academy of Nursing. 2016;46(1):100-108. https://doi.org/10.4040/jkan.2016.46.1.100
  19. Neider LL, Schriesheim CA. The authentic leadership inventory (ALI): development and empirical tests. The Leadership Quarterly. 2011;22(6):1146-1164. https://doi.org/10.1016/j.leaqua.2011.09.008
  20. Hinshaw AS, Atwood JR. Anticipated turnover among nursing staff. Tucson, Arizona: University of Arizona College of Nursing; 1984 August. Report No.: 1RO1-NU-00908.
  21. Chang SJ, Koh SB, Kang D, Kim SA, Kang MG, Lee CG, et al. Developing an occupational stress scale for Korean employees. Annals of Occupational and Environmental Medicine. 2005;17(4):297-317.
  22. Almalki MJ, FitzGerald G, Clark M. The relationship between quality of work life and turnover intention of primary health care nurses in Saudi Arabia. BMC Health Services Research. 2012;12:314. https://doi.org/10.1186/1472-6963-12-314
  23. Thomas AP. Relationship of a healthy work environment to retention of direct care nurses in a hospital setting [master's thesis]. Kennesaw, Georgia: Kennesaw State University; 2012. p. 1-58.
  24. Shoorideh FA, Ashktorab T, Yaghmaei F, Alavi Majd H. Relationship between ICU nurses’ moral distress with burnout and anticipated turnover. Nursing Ethics. 2015;22(1):64-76. https://doi.org/10.1177/0969733014534874
  25. Organisation for Economic Co-operation and Development. Health at a glance 2017: OECD indicators. Paris: OECD; 2017.
  26. Kim HJ, Choi YH. Factors influencing clinical nurses' nursing intention for high risk pathogen infected patient. Journal of Korean Clinical Nursing Research. 2016;22(3):327-335.
  27. Hong EH, Kim MS. A study on the relationship between nursing organization culture and ICUs team effectiveness. Journal of Korean Academy of Nursing Administration. 2004;10(1):83-96.
  28. Kang J, Yun S, Won YH, An YS. Organizational culture and workplace bullying of intensive care unit. Journal of Korean Critical Care Nursing. 2014;7(2):24-33.
  29. Mesdaghinia S, Rawat A, Nadavulakere S. Why moral followers quit: Examining the role of leader bottom-line mentality and unethical pro-leader behavior. Journal of Business Ethics. 2018. Forthcoming. https://doi.org/10.1007/s10551-018-3812-7
  30. Shirey MR. Authentic leaders creating healthy work environments for nursing practice. American Journal of Critical Care. 2006;15(3):256-267.