Factors Influencing Turnover Intention Among Operating Room Nurses in South Korea

10.1097/jnr.0000000000000467

Minkyung GU；Yeong Seung KIM；Sohyune SOK

nurse ； turnover intention ； burnout ； verbal abuse ； job stress

The Journal of Nursing Research

30卷1期（2022 / 02 / 01）

1 - 8

英文

Background: Operating room nurses experience verbal abuse, high levels of job stress, and burnout that may increase turnover intention. Purpose: This study was designed to investigate and identify factors influencing turnover intention among operating room nurses in South Korea. Methods: This study used a cross-sectional descriptive design. The sample included 193 nurses, all of whom had over 3 months of work experience at operating rooms in hospitals in Seoul, South Korea. Measures used included the Verbal Abuse Experience Scale, Job Stress Scale, Burnout Scale, and Turnover Intention Scale. Results: Burnout was found to have the greatest influence on turnover intention (β= .34, p ＜ .001), followed by verbal abuse (β= -.23, p = .004), job stress (β= .22, p = .001), age (β= -20, p = .032), and job satisfaction (β= -.14, p = .020). Conclusions/Implications for Practice: The findings support burnout and verbal abuse, respectively, as the most significant and second most significant predictors of turnover intention among operating room nurses in South Korea. These factors should be proactively and effectively addressed to reduce turnover intention in this important group of healthcare professionals.

1. Choi, S. H.,Lee, H.(2017).Workplace violence against nurses in Korea and its impact on professional quality of life and turnover intention.Journal of Nursing Management,25(7),508-518.
2. Costello, J.,Clarke, C.,Gravely, G.,D'Agostino-Rose, D.,Puopolo, R.(2011).Working together to build a respectful workplace: Transforming OR culture.AORN Journal,93(1),115-126.
3. Dahl, A. B.,Ben Abdallah, A.,Maniar, H.,Avidan, M. S.,Bollini, M. L.,Patterson, G. A.,Steinberg, A.,Scaggs, K.,Dribin, B. V.,Ridley, C. H.(2017).Building a collaborative culture in cardiothoracic operating rooms: Pre and postintervention study protocol for evaluation of the implementation of teamSTEPPS training and the impact on perceived psychological safety.BMJ Open,7(9),Article e017389.
4. Duan, X.,Ni, X.,Shi, L.,Zhang, L.,Ye, Y.,Mu, H.,Li, Z.,Liu, X.,Fan, L.,Wang, Y.(2019).The impact of workplace violence on job satisfaction, job burnout, and turnover intention: The mediating role of social support.Health and Quality of Life Outcomes,17(1),Article No. 93.
5. Eo, Y.-S.,Kim, M.-S.,Park, Y.-J.(2015).Influencing factors of the turnover intention among clinical nurses: Focused on professionalization, burnout, and organizational commitment.Journal of Psychology and Behavior,7(1),1-13.
6. Faul, F.,Erdfelder, E.,Lang, A. G.,Bunchner, A.(2007).G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences.Behavior Research Methods,39,175-191.
7. Fontes, K. B.,Alarcão, A. C. J.,Santana, R. G.,Pelloso, S. M.,de Barros Carvalho, M. D.(2019).Relationship between leadership, bullying in the workplace and turnover intention among nurses.Journal of Nursing Management,27(3),535-542.
8. Gan, Y.,Gong, Y.,Chen, Y.,Cao, S.,Li, L.,Zhou, Y.,Herath, C.,Li, W.,Song, X.,Li, J.,Yang, T.,Yin, X.,Lu, Z.(2018).Turnover intention and related factors among general practitioners in Hubei, China: A cross-sectional study.BMC Family Practice,19(1),Article No. 74.
9. Gu, M. O.,Kim, M. J.(1985).An analytical study of work stress among clinical nurses.Journal of Korean Academy of Nursing,15(3),39-49.
10. Hackman, J. R.(Ed.),Lawler, E. E.(Ed.),Porter, L. W.(Ed.)(1983).Perspectives on behavior in organization.McGraw-Hill Book.
11. Hatamizadeh, M.,Hosseini, M.,Bernstein, C.,Ranjbar, H.(2019).Health care reform in Iran: Implications for nurses' moral distress, patient rights, satisfaction and turnover intention.Journal of Nursing Management,27(2),396-403.
12. Hong, G. P.(1985).An analytic study on burnout in relation with personal and job related characteristics and social support.Yon-Sei University.
13. Hospital Nurses Association. (2019). Survey on the status of hospital nursing staff placement. Author. http://khna.or.kr/web/information/resource.php
14. Huang, X.,Li, Z.,Wan, Q.(2019).From organisational justice to turnover intention among community nurses: A mediating model.Journal of Clinical Nursing,28(21-22),3957-3965.
15. Im, M. S.,Park, K. H.,Choi, E. K.,Kim, W. S.,Choi, E. J.(2017).The relationship between verbal abuse, psychosocial stress, and nursing performance in nurses.Journal of the Korea Contents Association,17(8),586-596.
16. Im, S. B.,Choi, M. K.,Heo, M. L.(2013).Factors to affect turnover intention of nurse: Focusing on personal, situational and interpersonal relation variables.Journal of Korean Academic Society of Occupational Health Nursing,22(4),314-323.
17. Kim, Y. M.,Park, S. A.(1995).A study on the turnover intention and the turnover behavior of nurses.The Seoul Journal of Nursing,9(1),47-67.
18. Korean Statistical Information Service. (2019). Current status of human resources by category of medical institutions II (nurses and other personnel). http://kosis.kr/statHtml/statHtml.do?orgId=354&tblId=DT_HIRA4A&vw_cd=MT_ZTITLE&list_id=354_MT_DTITLE&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_ZTITLE
19. Labrague, L. J.,Gloe, D. S.,McEnroe-Petitte, D. M.,Tsaras, K.,Colet, P. C.(2018).Factors influencing turnover intention among registered nurses in Samar Philippines.Applied Nursing Research,39,200-206.
20. Lee, S. J.,Kim, J. S.(2017).Convergence study on relationship among verbal violence experience, verbal violence impact and burnout in operating room nurses.Journal of Korea Convergence Society,8(6),85-96.
21. Lu, Y.,Hu, X. M.,Huang, X. L.,Zhuang, X. D.,Guo, P.,Feng, L. F.,Hu, W.,Chen, L.,Zou, H.,Hao, Y. T.(2017).The relationship between job satisfaction, work stress, work–family conflict, and turnover intention among physicians in Guangdong, China: A cross-sectional study.BMJ Open,7(5),Article e014894.
22. Luo, Y.,Bao, G. J.,Chen, R. M.,Mao, C.,Jia, B. F.,Yu, Y. Q.,Yu, G. F.(2018).The correlation analysis of turnover intention, moral distress and stressor in nurses.Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi,36(8),590-593.
23. Nam, K. D.,Yoon, K. S.,Chung, H. S.,Park, S. A.,Jang, B. Y.,Kim, H. R.,Ohm, H. S.,Sung, Y. H.(2005).A study on the development of verbal abuse scale for operating room nurses.Journal of Korean Academy of Nursing Administration,11(2),1-27.
24. Oh, S.,Kim, H.(2019).Turnover intention and its related factors of employed doctors in Korea.International Journal of Environmental Research and Public Health,16(14),Article 2509.
25. Park, B. Y.,Lee, K. H.(2012).Relationship between verbal abuse and mental health in some operating nurses.Journal of the Korea Institute of Electronic Communication Science,7(5),1205-1211.
26. Park, E. K.,Na, Y. K.(2015).A study on verbal abuse experience, sexual harassment damages and self-esteem of operating room nurses.Korean Journal of Scientific Criminal Investigation,9(4),266-274.
27. Pines, A.,Maslach, C.(1978).Characteristics of staff burnout in mental health settings.Psychiatric Services,29(4),233-237.
28. Roh, Y. H.,Yoo, Y. S.(2012).Workplace violence, stress, and turnover intention among perioperative nurses.Korean Journal of Adult Nursing,24(5),489-498.
29. Sasso, L.,Bagnasco, A.,Catania, G.,Zanini, M.,Aleo, G.,Watson, R.,RN4CAST@IT Working Group(2019).Push and pull factors of nurses' intention to leave.Journal of Nursing Management,27(5),946-954.
30. Shi, Y.,Guo, H.,Zhang, S.,Xie, F.,Wang, J.,Sun, Z.,Dong, X.,Sun, T.,Fan, L.(2018).Impact of workplace incivility against new nurses on job burn-out: A cross-sectional study in China.BMJ Open,8(4),Article e020461.
31. Shin, H. R.,Cho, Y. C.(2013).Relationship between job stress and turnover intention among nurses in university hospitals.Journal of Korea Academy Industrial Cooperation Society,14(8),3958-3970.
32. Vowels, A.,Topp, R.,Berger, J.(2012).Understanding stress in the operating room: A step toward improving the work environment.Kentucky Nurse,60(2),5-7.
33. Wen, T.,Zhang, Y.,Wang, X.,Tang, G.(2018).Factors influencing turnover intention among primary care doctors: A cross-sectional study in Chongqing, China.Human Resources for Health,16(1),Article No. 10.
34. Yanchus, N. J.,Periard, D.,Osatuke, K.(2017).Further examination of predictors of turnover intention among mental health professionals.Journal of Psychiatric and Mental Health Nursing,24(1),41-56.
35. Zaheer, S.,Ginsburg, L.,Wong, H. J.,Thomson, K.,Bain, L.,Wulffhart, Z.(2019).Turnover intention of hospital staff in Ontario, Canada: Exploring the role of frontline supervisors, teamwork, and mindful organizing.Human Resources for Health,17(1),Article No. 66.
36. Zhao, S. H.,Shi, Y.,Sun, Z. N.,Xie, F. Z.,Wang, J. H.,Zhang, S. E.,Gou, T. Y.,Han, X. Y.,Sun, T.,Fan, L. H.(2018).Impact of workplace violence against nurses' thriving at work, job satisfaction and turnover intention: A cross-sectional study.Journal of Clinical Nursing,27(13-14),2620-2632.
37. Zhou, H.,Gong, Y. H.(2015).Relationship between occupational stress and coping strategy among operating theatre nurses in China: A questionnaire survey.Journal of Nursing Management,23(1),96-106.

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