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Factors related to the turnover intention of Korea dental hygienists based on ecological systems model : a systematic review & meta analysis

생태체계모델에 따른 한국치과위생사의 이직의도 관련요인 : 체계적 문헌고찰 및 메타분석

  • Lee, Da-Som (Department of Dental Hygiene, Graduate school of Gachon University) ;
  • Kim, Dong-Hee (Department of Dental Hygiene, Graduate school of Gachon University) ;
  • Han, Gyeong-Soon (Department of Dental Hygiene, Graduate school of Gachon University)
  • 이다솜 (가천대학교 일반대학원 치위생학과) ;
  • 김동희 (가천대학교 일반대학원 치위생학과) ;
  • 한경순 (가천대학교 일반대학원 치위생학과)
  • Received : 2021.08.09
  • Accepted : 2021.09.08
  • Published : 2021.10.30

Abstract

Objectives: A systematic review and a meta-analysis were performed investigate the factors related to turnover intention of dental hygienists in Korea. Methods: Literature between 2000 and January 2021 were used to support the meta-analysis, which focused on 21 factors extracted from 50 articles using a random effects model. The correlation coefficient, r, in the effect size was calculated. Results: Substantial literature was published after 2011 (76%); in academic journals (74%); and targeted nonmetropolitan areas (40%). Lawler's turnover intention tool was used in several studies. The effect size for each ecosystem was in the order of microsystem (r=0.325), mesosystem (r=0.307), macrosystem (r=0.259), exosystem (r=0.176), and individuals (r=0.171). The random-effects model indicated an overall average of r=0.311. The factor that showed a large effect size in relation to turnover intention was organizational commitment of the microsystem (r=-0.594). Furthermore, mesosystem reward (r=- 0.416), microsystem burnout (r=0.464), job stress (r=0.408), and job satisfaction (r=-0.405) were identified as other major factors. Conclusions: To lower the turnover rate of dental hygienists, it is important to focus on factors belonging to the microsystem, and mesosystem reward.

Keywords

References

  1. Korea Health Personnel Licensing Examination Institute. Examination Guide[Internet]. KHPLEI. [cited 2021 Apr 07]. Available from: http://www.kuksiwon.or.kr/peryearPass/list.do?seq=13&srchWord=12.
  2. Ministry of Health and Welfare. Health and welfare statistical year book 2020[Internet]. MOHW. [cited 2021 Apr 07]. Available from: http://210.179.230.152:8083/statHtml/statHtml.do?orgId=358&tblId=DT_IEB001_3&conn_path=I2.
  3. Ministry of Health and Welfare. Basic data collection for nurturing high-quality health and medical personnel[Internet]. MOHW; 2019. [cited 2021 Apr 07]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=351956.
  4. Mobley WH, Griffeth RW, Hand HH, Meglino BM. Review and conceptual analysis of the employee turnover process. Psychological bulletin 1979;86(3):493-522. https://doi.org/10.1037/0033-2909.86.3.493
  5. Yoo YS. Factors associated with turnover intention of social workers. Jour. of KoCon.a 2011;11(5):338-46. https://doi.org/10.5392/jkca.2011.11.5.338
  6. Ju OJ, Kim KS, Lee HO. Analysis of the correlation of job satisfaction to turnover among dental hygienists in the region of J. J Dent Hyg Sci 2007;7(4):251-6.
  7. Lee SM, Choi WJ, Han GS, Kim CH. Influencing factors of turnover intention of dental hygienists using by the path analysis. J Korean Soc Dent Hyg 2013;13(6):941-9. https://doi.org/10.13065/jksdh.2013.13.06.941
  8. Min HH, Kim YS. Factors influencing turnover intention in new dental hygienists. J Korean Soc Dent Hyg 2016;16(6):1047-55. https://doi.org/10.13065/jksdh.2016.16.06.1047
  9. Kim YO, Park HJ. Exploring 'Intention to Leave' management in Korean IT firms at India : the role of CSR. Korea trade review 2017;42(6):69-85. https://doi.org/10.22659/KTRA.2017.42.6.69
  10. Parasuraman S. Nursing turnover: an integrated model. Res Nurs Health 1989;12(4):267-77. https://doi.org/10.1002/nur.4770120409
  11. Zimmerman RD, Darnold TC. The impact of job performance on employee turnover intentions and the voluntary turnover process: a meta-analysis and path model. Personnel Review 2009;38(2):142-58. https://doi.org/10.1108/00483480910931316
  12. Price JL, Mueller CW. Professional turnover: the case of nurses. Health Syst Manage 1981;15:1-160.
  13. Griffeth RW, Hom PW, Gaertner S. A meta-analysis of antecedents and correlates of employee turnover: Update, moderator tests, and research implications for the next millennium. J manage 2000;26(3):463-88. https://doi.org/10.1177/014920630002600305
  14. Bronfenbrenner U. The ecology of human development: experiments by nature and design. USA: Harvard University Press; 1981: 352. American psychologist 1979;34(10):844. https://doi.org/10.1037//0003-066X.34.10.844
  15. University of south australia. Critical review form-quantitative studies[Internet]. UNISA. [cited 2021 Apr 07]. Available from: http://www.unisa.edu.au/siteassets/episerver-6-files/global/health/sansom/documents/icahe/cats/mcmasters_quantitative-review.pdf.
  16. Borenstein M, Hedges LV, Higgins JPT, Rothstein HR. Introduction to meat-anaylsis. 1st ed. West Sussex, UK: John Wiley & Sons; 2009: 41-3.
  17. Higgins JP, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, et al. Cochrane handbook for systematic reviews of interventions. 2nd ed. Garsington road-Oxford, UK: John Wiley & Sons; 2019: 728.
  18. Light EA, Pillemer DB. Summing up: the science of reviewing research. highlighting edition. Cambridge, Massachusetts: Harvard University Press, 1984: 1-191.
  19. Duval S, Tweedie R. Trim and fill: a simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics 2000;56(2):455-63. https://doi.org/10.1111/j.0006-341x.2000.00455.x
  20. Cohen J. Statistical Power analysis for the behavioral sciences. 2nd ed. New York: Routledge; 1988: 1-567. https://doi.org/10.4324/9780203771587
  21. Nam YO, Park SA. Current status of workplace bullying of the clinical dental hygienists. J Korean Soc Dent Hyg 2020;20(4):479-90. https://doi.org/10.13065/jksdh.20200044
  22. Yoon MS, Lee KH, Choi MS. A study on the turnover intention and job satisfaction of dental hygienists. J Dent Hyg Sci 2006;6(3):147-52.
  23. Park SA, Lee JY. A literature review on measurement tools for dental hygienist turnover intention in Korea. J Korean Soc Dent Hyg 2019;19(1): 1-17. https://doi.org/10.13065/jksdh.20190001
  24. Lawler EE. Satisfaction and behavior. Perspectives on behavior in organizations. 2nd ed. New York: McGraw-Hill; 1983: 78-97.
  25. Heo MY. The relationship between organizational commitment and turnover intentions; a meta-analysis. Korean Public Administration Review 2001;35(3):181-97.
  26. Oh IS, Kim KH, Darnold TC, Hwang JO, Yoo TY, Park YA, et al. Relationships among job satisfaction, organizational commitment, job performance, and turnover intention: a literature review and meta-analysis with Korean samples. Korean Journal of Management 2007;15(4):43-86.
  27. Kang HS, Jung YR, Cho YY. Survey on the working environment of national clinical dental hygienists. J Korean Soc Dent Hyg 2018;18(6):863-78. https://doi.org/10.13065/jksdh.20180074
  28. Song KH, Kim YJ. A study on the job satisfaction and turnover intention of dental hygienists and nursing aids. J Korean Soc Dent Hyg 2013;15(1):1-11.
  29. Gang KB, Lee YJ. Effect of positive psychological capital on turnover intention of care worker. Jour. of KoCon.a 2015;15(11):126-36. https://doi.org/10.5392/JKCA.2015.15.11.126
  30. Lee YO, Kang JY. Related factors of turnover intention among Korean hospital nurses: a systematic review and meta-analysis. Korean J Adult Nurs 2018;30(1):1-17. https://doi.org/10.7475/kjan.2018.30.1.1
  31. Sutton AJ, Duval SJ, Tweedie RL, Abrams KR, Jones DR. Empirical assessment of effect of publication bias on meta-analyses. BMJ 2000;320(7249):1574-7. https://doi.org/10.1136/bmj.320.7249.1574