J Korean Acad Psychiatr Ment Health Nurs.  2017 Dec;26(4):325-332. 10.12934/jkpmhn.2017.26.4.325.

Influence of Mental Health Nurses' Moral Distress and Job Satisfaction on Turnover Intention

• Hwang J
• Bae J

• KMID: 2401219
• DOI: http://doi.org/10.12934/jkpmhn.2017.26.4.325

Abstract

PURPOSE
The purposes of this study were to investigate moral distress, job satisfaction and turnover intention of mental health nurses, and identified influencing factors on mental health nurses' turnover intention.
METHODS
A descriptive survey was conducted with 85 mental health nurses working in mental medicine department closed wards of 5 hospitals in Busan Metropolitan City and Gyeongsangnam Province. Data were collected from December 1, 2015 to January 31, 2016 and analyzed using percentage, frequency analysis, average, standard deviation, t-test, ANOVA, Pearson correlation coefficient and multiple linear regression analysis, with SPSS/WIN 18.0.
RESULTS
1) Moral distress had a statistically significant positive relationship with turnover intention (r=.24, p=.023). Job satisfaction had a statistically significant negative relationship with turnover intention (r=−.45, p<.001). 2) Moral distress had a positive effect on turnover intention (β=.23, p=.018), and job satisfaction, a negative effect on turnover invention (β=−.44, p<.001). These variables explained 24.0% of the variance.
CONCLUSION
Findings indicate that moral distress and job satisfaction are important variables influencing turnover intention in mental health nurses. Development and provision of intervention programs to reduce moral distress and increase job satisfaction will help to decrease nurses' turnover intention.

Keyword

Psychiatric nursing; Moral status; Job satisfaction; Personnel turnover

MeSH Terms

Busan
Intention*
Inventions
Job Satisfaction*
Linear Models
Mental Health*
Personnel Turnover
Psychiatric Nursing

Reference

1. Lee WH. Theory: an analysis of nursing ethics education and research. Korean J Nurs Query. 2005; 13(1):24–34.

2. Yoo MS. Concept analysis of moral distress in nurses. J Korean Acad Nurs Adm. 2004; 10(1):49–62.

3. Ju HG, Lee KJ, Kim HS. Effects of human rights sensitivity program on the human rights consciousness and attitudes toward the mental illness by psychiatric mental health nurses. J Korean Acad Psychiatr Ment Health Nurs. 2013; 22(3):169–179. DOI: 10.12934/jkpmhn.2013.22.3.169.

4. Corley MC. Nurse moral distress: a proposed theory and research agenda. Nurs Ethics. 2002; 9(6):636–650. DOI: 10.1191/0969733002ne557oa.

5. Olsen DP. Influence and coercion: relational and right-based ethical approaches to forced psychiatric treatment. J Psychiatr Ment Health Nurs. 2003; 10(6):705–712. DOI: 10.1046/j.1365-2850.2003.00659.x.

6. Noh DB. Moral distress of psychiatric nurses in Korea [master's thesis]. [Seoul]: Yonsei University;2013. 99 p.

7. Deady R, McCarthy J. A study of the situations, features, and coping mechanisms experienced by Irish psychiatric nurses experiencing moral distress. Perspect Psychiatr Care. 2010; 46(3):209–220. DOI: 10.1111/j.1744-6163.2010.00260.x.

8. Schluter J, Winch S, Holzhauser K, Henderson A. Nurses' moral sensitivity and hospital ethical climate: a literature review. Nurs Ethics. 2008; 15(3):304–321. DOI: 10.1177/0969733007088357.

9. Jameton A. Dilemmas of moral distress: moral responsibility and nursing practice. AWHONNS Clin Issues Perinat Womens Health Nurs. 1993; 4(4):542–551.

10. Ohnishi K, Ohqushi Y, Nakano M, Fujii H, Tanaka H, Kitaoka K, et al. Moral distress experienced by psychiatric nurses in Japan. Nurs Ethics. 2010; 17(6):726–740. DOI: 10.1177/0969733010379178.

11. Lutzeén K, Blom T, Ewalds-Kvist B, Winch S. Moral stress, moral climate and moral sensitivity among psychiatric professionals. Nurs Ethics. 2010; 17(2):213–224. DOI: 10.1177/0969733009351951.

12. Hamaideh SH. Moral distress and its correlates among mental health nurses in Jordan. Int J Ment Health Nurs. 2014; 23(1):33–41. DOI: 10.1111/inm.12000.

13. Yang YK. Effects of ego-resilience and work environment on job satisfaction in psychiatric nurses. J Korean Acad Psychiatr Ment Health Nurs. 2015; 24(4):226–235. DOI: 10.12934/jkpmhn.2015.24.4.226.

14. Lu H, While AE, Barriball KL. Job satisfaction among nurses: a literature review. Int J Nurs Stud. 2005; 42(2):211–227. DOI: 10.1016/j.ijnurstu.2004.09.003.

15. Corley MC, Elswick RK, Gorman M, Clor T. Development and evaluation of a moral distress scale. J Adv Nurs. 2001; 33(2):250–256. DOI: 10.1046/j.1365-2648.2001.01658.x.

16. Slavitt DB, Stamps PL, Piedmont EB, Haase AM. Nurses' satisfaction with their work situation. Nurs Res. 1978; 27(2):114–120.

17. Kim TH. Comparative study of the duty performance and satisfaction of psychiatric mental health nurse and general nurse in the mental hospital [master's thesis]. [Seoul]: Kyung Hee University;1998. 81 p.

18. Richard MS, Lyman WP, editors. Motivation and work behavior. New York, NY: McGraw Hill;1991.

19. Park HS. Relationship between perceived nursing care role orientation, job characteristics, and turnover among nurses [master's thesis]. 2002. [Seoul]: Yonsei University;67 p.

20. Corley MC, Minick P, Elswick RK, Jacobs M. Nurse moral distress and ethical work environment. Nurs Ethics. 2005; 12(4):381–390. DOI: 10.1191/0969733005ne809oa.

21. Lee HN, Lee SY, Lee MA. A study of nurses' job satisfaction. J East West Nurs Res. 2009; 15(2):91–101.

22. Cho YH. Relationship of psychiatric nurse image, job satisfaction and assertiveness of psychiatric mental health nurses. J Korean Acad Psychiatr Ment Health Nurs. 2014; 23(3):135–143. DOI: 10.12934/jkpmhn.2014.23.3.135.

23. Severinsson E, Hummelvoll JK. Factors influencing job satisfaction and ethical dilemmas in acute psychiatric care. Nurs Health Sci. 2001; 3(2):81–90. DOI: 10.1046/j.1442-2018.2001.00076.x.

24. Han SJ. Relationship between moral distress and turnover intention among hospital nurses. J Korea Contents Assoc. 2012; 12(3):276–284. DOI: 10.5392/JKCA.2012.12.03.276.

25. Kim MR. Influential factors on turnover intention of nurses: the affect of nurse's organizational commitment and career commitment to turnover intention. J Korean Acad Nurs Adm. 2007; 13(3):335–344.