• Title, Summary, Keyword: Turnover Intention

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Mediating Effects of Burnout in the Association Between Emotional Labor and Turnover Intention in Korean Clinical Nurses

  • Back, Chi-Yun;Hyun, Dae-Sung;Jeung, Da-Yee;Chang, Sei-Jin
    • Safety and Health at Work
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    • v.11 no.1
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    • pp.88-96
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    • 2020
  • Background: The current lack of the number of nurses and high nurse turnover rate leads to major problems for the health-care system in terms of cost, patient care ability, and quality of care. Theoretically, burnout may help link emotional labor with turnover intention. The purpose of this study was to investigate the mediating effect of burnout in the association between emotional labor and turnover intention in Korean clinical nurses. Methods: Using data collected from a sample of 606 nurses from six Korean hospitals, we conducted a multiple regression analysis to determine the relationships among clinical nurses' emotional labor, burnout, and turnover intention, looking at burnout as a mediator. Results: The results fully and partially support the mediating role of burnout in the relationship between the subfactors of emotional labor and turnover intention. In particular, burnout partially mediated the relationship between emotional disharmony and hurt, organizational surveillance and monitoring, and lack of a supportive and protective system in the organization. In addition, we found that burnout has a significant full mediation effect on the relationship between overload and conflicts in customer service and turnover intention. Although the mediating effect of burnout was significantly associated with the demands and regulation of emotions, no significant effects on turnover intention were found. Conclusion: To reduce nurses' turnover, we recommend developing strategies that target both burnout and emotional labor, given that burnout fully and partially mediated the effects of emotional labor on turnover intention, and emotional labor was directly associated with turnover intention.

The mediating effects of self-efficacy on the relationship between job stress and turnover intention of paramedics in hospitals (병원 내 1급 응급구조사의 직무스트레스와 이직의도와의 관계에서 자기효능감의 매개효과)

  • Cho, Hye-Young;Kang, Kyoung-Ah
    • The Korean Journal of Emergency Medical Services
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    • v.21 no.3
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    • pp.109-120
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    • 2017
  • Purpose: The purpose of the study was to investigate the mediating effects of self-efficacy on the relationship between job stress and turnover intention of paramedics in hospitals. Methods: A self-reported questionnaire was completed by 209 paramedics in hospitals from September 4 to 24, 2015. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analysis using Baron & Kenny's 3 step procedure. Indirect effect was confirmed with Sobel test using SPSS/Win 22.0 program. Results: There were negative relationships between job stress, self-efficacy, and turnover intention (r=-.509, p<.001). There was a negative relationship between job stress and self efficacy (r=-.821, p<.001). The self-efficacy and turnover intention showed a positive relationship (r=.636, p<.001) with job stress and turnover intention. Concerning the mediated effect of self efficacy on job stress and turnover intention, the influence of job stress at step 2 on turnover intention was significant (B=1.207, p<.001), while job stress at step 3 had significant influence on turnover intention (B=.474, p<.001). The mediated effect of self-efficacy on job stress and turnover intention showed significant partially mediated effect of self-efficacy (z=7.100, p<.001). Conclusion: Improvement of self-efficacy and job stress was effective at decreasing turnover intention in paramedics in hospitals.

The Interaction Effects on Job Turnover and Occupational Turnover of Child Care Teachers by Child Care Efficacy and Burnout (보육교사의 이직의도 및 전직의도에 미치는 보육효능감과 소진의 상호작용효과)

  • Yang, Yeon Suk
    • Korean Journal of Childcare and Education
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    • v.7 no.4
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    • pp.205-221
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    • 2011
  • This study purposed to examine the interaction effects of child care teachers' child care efficacy and burnout on their job turnover intention and occupational turnover intention. For this purpose, we conducted a questionnaire survey with 251 child care teachers. The results of this study are summarized as follows. First, child care teachers' occupational turnover intention was stronger than their job turnover intention. Second, job turnover intention to another child care facility was affected by burnout, but occupational turnover intention to another job was affected by high burnout, low child care efficacy, and interaction between the two factors. With regard to the interaction effects, child care teachers with high burnout were found to control their occupational turnover intention through child care efficacy. Accordingly, in order to prevent child care teachers' job turnover and occupational turnover, it is necessary to develop strategies to reduce their burnout experienced in child care activities and enhance their child care efficacy.

A Study on the Relationship of Empowerment, Self-efficacy, and Turnover Intention of Dental Hygienists (치과위생사의 임파워먼트와 자기효능감, 이직의도와의 관계 연구)

  • Kang, Boo-Wol;Lee, Sun-Mi
    • Journal of Korean society of Dental Hygiene
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    • v.2 no.2
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    • pp.131-143
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    • 2002
  • The purpose of this study was to investigate the relationship of empowerment, self-efficacy, and turnover intention of dental hygienists. Date were obtained from 213 dental hygienists who were working at dental clinics, hospitals located in Seoul Kyung-ki. The results were analyzed with spsswin 9.0 and the conclusion is as follows; 1. The level of dental hygienists empowerment was 3.07, self-efficacy was 3.67, and their turnover intention was 2.98. 2. According to the working place and position, there were significant differences in empowerment(p<0.05). 3. According to the experienced-years, position, marriage and turnover experience there were significant differences in self-efficacy(p<0.05). 4. According to the position and marriage, there were significant differences in turnover intention(p<0.05). 5. Empowerment showed significant a positive correlation with self-efficacy and significant a negative correlation with turnover intention. 6. Turnover intention, information structure and opportunity structure accounted significantly for the empowerment structure and self-efficacy. 7. Self-efficacy and GE structure accounted significantly for the turnover intention.

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The Effects of Employers' Breach of Safety Obligation and Violation of Psychological Contract on the Workers' Safety Behaviors and Turnover Intention (고용주의 안전 의무 불이행과 심리적 계약 위반이 근로자의 안전행동과 이직의도에 미치는 효과)

  • Hwang, Kyongin;Moon, Kwangsu;Oh, Shezeen
    • Journal of the Korean Society of Safety
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    • v.30 no.3
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    • pp.85-92
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    • 2015
  • This study examined the effects of employers' breach of safety obligation and violation of psychological contract on the workers' safety behaviors and turnover intention. Especially, this study examined a mediating effect of violation of psychological contract on the relationship between employer's breach of safety obligation and workers' safety behavior and turnover. 198 workers were asked to respond to the questionnaires that measured various demographic variables, employers' breach of safety obligation, violation of psychological contract, safety behavior, turnover intention. A hierarchical regression was conducted to identify variables that had significant relationships between employers' breach of safety obligation and employees' safety behavior and turnover intention, and to examine the mediating effect of violation of psychological contract. Results indicated that the employers' breach of safety obligation significantly predicted both workers' safety behaviors and turnover intention. It was also found that the violation of psychological contract was a significant predictor for both workers' safety behavior and turnover intention. In addition, violation of psychological contract was found as mediating effect on the relationship between employers' breach of safety obligation and workers' safety behavior and turnover intention. Based on these results, the implications of this study and suggestions for future research were discussed.

The Relationship of Emotional Labor, Empowerment, Job Burnout and Turnover Intention of Clinical Nurses (병원 간호사의 감정노동, 임파워먼트, 직무소진 및 이직의도 간의 관계)

  • Lee, Keum-Jae;Lee, Eliza
    • Korean Journal of Occupational Health Nursing
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    • v.20 no.2
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    • pp.130-142
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    • 2011
  • Purpose: The purpose of this study was to identify the relationships among emotional labor, empowerment, job burnout, and turnover intention. Methods: The design of this study was a cross-sectional descriptive study. The subjects of this study were 358 nurses working for over 6 months in Seoul and Gyeonggi-do. The data were collected from 4th to 30th of September, 2009 through one-to-one interviews. Survey data were analyzed using t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical regression. Results: We find the positive correlation of turnover intention with emotional labor and with job burnout, but the negative correlation of empowerment with job burnout and with turnover intention. The nurses' turnover intention scores were relatively low with 1.30. Job burnout, shift work, and frequency of turnover were predictors of turnover intention. The most powerful predictor variable was job burnout (${\beta}$=.420, p<.001). We find that emotional labor and empowerment as determinants of turnover intention are not significant. Conclusion: These results suggest that manager should consider shift work of nurses and job burnout in order to manage nurse organization and resource effectively.

Relationships among Nursing Work Environment, Job Embeddedness, and Turnover Intention in Nurses (간호사의 간호업무환경, 직무착근도와 이직의도 간의 관계)

  • Ko, Hae Jin;Kim, Jeong-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.3
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    • pp.279-291
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    • 2016
  • Purpose: The purpose of this study was to investigate the relationship among nursing work environment, job embeddedness, and turnover intention in order to provide basic data for efficient management of human resources in nursing organizations. Methods: A cross-sectional, descriptive study design was conducted with 177 nurses who had worked for more than 6 months in five general hospitals on Jeju Island. A self-report questionnaire was used for data collection. Results: About 88% of the participants reported that they were considering a turnover plan because of overload in their jobs and poor salaries. Nursing work environment was significantly related to job embeddedness and turnover intention. Job embeddedness was significantly related to turnover intention. Hierarchical multiple regression analysis showed that factors affecting turnover intention were the organizational embeddedness factors of organization fit and organization sacrifice. Conclusion: The results indicate that nurses' turnover intention is associated with nursing work environment and job embeddedness. To reduce nurses' turnover intention and improve nurses' retention, nurse managers should improve the nursing work environment and consider job embeddedness, particularly in relation to the organization fit and sacrifice.

A Structural Model of Hospital Nurses' Turnover Intention: Focusing on Organizational Characteristics, Job Satisfaction, and Job Embeddedness (종합병원 간호사의 조직특성, 직무만족, 직무배태성 관련 이직의도 모형)

  • Yoo, Mi Ja;Kim, Jong Kyung
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.3
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    • pp.292-302
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    • 2016
  • Purpose: This study was done to build and verify a model of clinical nurses' turnover intention using organizational characteristics, job satisfaction and job embeddedness. Methods: The study participants were 389 hospital nurses. SPSS and AMOS 22.0 program were used to analyze the data and the modeling of turnover intention. Results: A total of 41% of turnover intention was explained by job satisfaction, job embeddedness and organizational characteristics. Nurses with higher job satisfaction and job embeddedness showed lower turnover intention, while organizational characteristics had an indirect effect on their turnover intention. It was found that organizational characteristics had positive effects on both job satisfaction and job embeddedness, and job embeddedness played a mediating role between organizational characteristics and turnover intention. Conclusion: To reduce nurses' turnover intention, hospitals' organizational characteristics should be considered. Nurse managers should strive to increase nurses' job satisfaction and job embeddedness through an understanding of the factors of organizational characteristics such as organizational fairness, nursing work environment, motivation, organizational citizenship behavior, and transformational leadership.

The Relationship between Work-life Conflict and Turnover Intention among Hospital Nurses based on Shift Work (병원간호사의 근무형태에 따른 일-생활 양립 갈등이 이직의도에 미치는 영향)

  • Son, Dong Min;Ham, Ok Kyung
    • Korean Journal of Occupational Health Nursing
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    • v.27 no.4
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    • pp.191-202
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    • 2018
  • Purpose: This study analyzes the relationship between work-life conflict and turnover intention among hospital nurses. Furthermore, it seeks to determine whether the relationship between the two varies depending on the shift work condition of the nurses. Methods: A total of 435 nurses working at five tertiary hospitals were included in the study. The questionnaire included items on turnover intentions, work-life conflicts, sociodemographic factors, working conditions, and internal and external resources. Results: The level of work-life conflict among shift work nurses was higher than that of non-shift work nurses. The turnover intention was also higher for shift work nurses than for non-shift work nurses. Results from the multivariate logistic regression analysis revealed that the work-life conflict of nurses had a positive relationship with turnover intention. The effect of work-life conflict on turnover intention was greater for shift work nurses than for non-shift work nurses. Conclusion: Work-life conflict had a greater impact on the turnover intention of hospital nurses working under shift work conditions. Based on this study's findings, it can be suggested that, in order to reduce high turnover intention, it will be necessary to make specific efforts to balance work-life conflict and improve working conditions.

Predictive Factors of Turnover Intention among Intensive Care Unit Nurses (중환자실 간호사의 이직의도 예측요인)

  • Lee, Jung Hoon;Song, Yeoungsuk
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.3
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    • pp.347-355
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    • 2018
  • 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.