J Korean Acad Nurs Adm.  2016 Jun;22(3):292-302. 10.11111/jkana.2016.22.3.292.

A Structural Model of Hospital Nurses' Turnover Intention: Focusing on Organizational Characteristics, Job Satisfaction, and Job Embeddedness

Affiliations
  • 1Dankook University Hospital, Korea.
  • 2College of Nursing, Dankook University, Korea. jongkimk@dankook.ac.kr

Abstract

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.

Keyword

Nurses; Job satisfaction; Personnel turnover; Organization and administration; Health facility environment
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