J Korean Acad Nurs Adm.  2018 Mar;24(2):139-148. 10.11111/jkana.2018.24.2.139.

Factors Influencing Korean Nurses' Intention to Stay: A Systematic Review and Meta-analysis

• Park S
• Lee T

• KMID: 2408121
• DOI: http://doi.org/10.11111/jkana.2018.24.2.139

Abstract

PURPOSE
To systematically review research articles that examined factors affecting Korean clinical nurses' intention to stay in their jobs.
METHODS
Articles related to Korean clinical nurses and published both in Korean and English languages were retrieved from computerized databases using a manual search. Data extraction, quality assessment, and analysis including meta-analysis were completed.
RESULTS
The review included 15 studies. There was strong evidence for the effects of 19 factors on Korean clinical nurses' intention to stay. Factors were categorized into three major categories; demographic, extrinsic, and intrinsic factors. In the meta-analysis of 10 articles, career experience of more than 6 years was the main factor that led to high intention to stay (OR=−0.5, p < .001). Job performance related factors (28.1%) and nursing work environment or organizational climate for caring (21.9%) were studied as the main extrinsic factors. Job related attitude (28.1%) including job satisfaction and organizational commitment and nursing value (15.6%) were studied as the main intrinsic factors.
CONCLUSION
Expert nurses are more likely to retain their current positions as well as quality workplace environments or psychological capitals. Healthcare organizations must be responsible for improving professional and psychological capital of beginner nurses and affecting change for a warm organizational environment.

Keyword

Nurse; Intention to stay; Systematic review; Meta-analysis

MeSH Terms

Climate
Delivery of Health Care
Intention*
Intrinsic Factor
Job Satisfaction
Nursing
Work Performance
Intrinsic Factor

Figure

• 

  Figure 1. Nurse experience comparison outcome of intention to stay.

Reference

1. Cowden TL, Cummings GG. Nursing theory and concept development: A theoretical model of clinical nurses' intentions to stay in their current positions. Journal of Advanced Nursing. 2012; 68(7):1646–1657. https://doi.org/10.1111/j.1365-2648.2011.05927.x.

2. Boyle DK, Bott MJ, Hansen HE, Woods CQ, Taunton RL. Ma-nager's leadership and critical care nurses' intent to stay. American Journal of Critical Care. 1999; 8(6):361–371.

3. Lee EH, Cho KS, Son HM. A study of hospital nurse's intention to keep nursing job. Journal of Korean Clinical Nursing Research. 2014; 20(1):15–27.

4. Park SH, Lee TW. Predicting patient safety behaviors of nurses in inter-hospital transfer. Journal of Korean Academy of Nurse Administration. 2016; 22(3):230–238. https://doi.org/10.11111/jkana.2016.22.3.230.

5. Choi SO, Kim JH. Relationships among job stress, nursing performance, and retention intention of clinical nurses. Journal of Korean Public Health Nursing. 2013; 27(1):142–152. https://doi.org/10.5932/jkphn.2013.27.1.142.

6. Cowden T, Cummings G, Profetto-Mcgrath J. Leadership practices and staff nurses' intent to stay: A systematic review. Journal of Nursing Management. 2011; 19(4):461–477. https://doi.org/10.1111/j.1365-2834.2011.01209.x.

7. Kwon KJ, Choo MS, Kim JA. The impact of nursing pro- fessionalism on the nursing performance, job satisfaction and retention intention among clinical nurses. Journal of Korean Academy of Nursing Administration. 2009; 15(2):182–192.

8. Kwon KJK, Ko KH, Kim KW, Kim JA. The impact of nursing professionalism on the nursing performance and retention intention among psychiatric mental health nurses. Journal of Korean Academy of Nursing Administration. 2010; 16(3):29–39. https://doi.org/10.11111/jkana.2010.16.3.229.

9. Sung, MH, Choi, EY. The relationships between professional self- concept, nursing performance and retention intention of emergency department nurses. Journal of the Korean Academy of Fundamentals of Nursing. 2012; 19(2):244–252. https://doi.org/10.7739/jkafn.2012.19.2.244.

10. Park JH, Kim JA. Effects of emotional labor and work environment on retention intention in nurses. Asian Journal of Beauty Cosmetology. 2016; 14(4):437–448. https://doi.org/10.20402/ajbc.2016.0077.

11. Park HS. Impact of self-leadership and organizational commitment on the intention of psychiatric mental health nurses to remain in the profession. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2016; 25(4):409–417. https://doi.org/10.12934/jkpmhn.2016.25.4.409.

12. Lee YS, Park SH, Kim JK. A study on relationship among organizational fairness, motivation, job satisfaction, Intention to stay of nurses. Journal of the Korea Contents Association. 2014; 14(10):596–609.

13. Tourangeau AE, Cummings G, Cranley LA, Ferron EM, Harvey S. Determinants of hospital nurse intention to remain employed: Broadening our understanding. Journal of Advanced Nursing. 2010; 66(1):22–32. https://doi.org/10.1111/j.1365-2648.2009.05190.x.

14. Mullen B, Hu L-t. Perceptions of ingroup and outgroup variability: A meta-analytic integration. Basic and Applied Social Psychology. 1989; 10(3):233–252. https://doi.org/10.1207/s15324834basp1003_3.

15. Joanna Briggs Institute. Joanna Briggs Institute reviewers' manual: 2011 edition. Adelaide, South Australia: Joanna Briggs Institute;2011.

16. Barbara JD. Novice to expert: An exploration of how professionals learn. Adult Education Quarterly [serial online]. 1999; 49(4):133–147. https://doi.org/10.1177/074171369904900401.

17. Park KO, Kim JK, Kim SY. Qualitative study on clinical nurses' intention to stay in hospital. Korean Journal of Adult Nursing. 2014; 26(6):681–692. https://doi.org/10.7475/kjan.2014.26.6.681.

18. Cowin L. The effects of nurses' job satisfaction on retention: An Australian perspective. Journal of Nursing Administration. 2002; 32(5):283–291.

19. Lee NY, Lee SO, Hwang JH. Factors affecting on hospital nurse intention of retention. Journal of The Korean Data Analysis Society. 2012; 14(3):1479–1491.

20. Han MS, Choi SH. Effects of work environment and self-efficacy on retention intention in clinical research nurses. Journal of The Korean Society of Living Environmental System. 2017; 24(1):18–28.

21. Kim EK, Hwang JI. Characteristics associated with intent to stay among quality improvement nurses. International nursing review. 2011; 58(1):89–95. https://doi.org/10.1111/j.1466-7657.2010.00841.x.

22. Park JO, Jung KI. Effects of advanced beginner-stage nurses' sense of calling, job satisfaction and organizational commitment on retention intention. Journal of Korean Academy of Nursing Administration. 2016; 22(2):137–147. https://doi.org/10.11111/jkana.2016.22.2.137.

23. Kwon EK, Lee EJ. Relationship of nurses' perception of the Joint Commission International Hospital Accreditation, nursing performance, self-concept and retention Intention. Journal of Korean Academy of Nursing Administration. 2017; 23(2):118–126. https://doi.org/10.11111/jkana.2017.23.2.118.

24. Kong MY, Kim JH. Influence of nurse manager and peer group caring behaviors as perceived by nurses on intention to retention. Journal of Korean Academy of Nursing Administration. 2017; 23(2):191–200. https://doi.org/10.11111/jkana.2017.23.2.191.

25. Porter LW, Steers RM. Organizational, work, and personal factors in employee turnover and absenteeism. Psychological bulletin. 1973; 80(2):151–176. https://doi.org/10.1037/h0034829.

26. Chung HC, Suk JH, Park WS. The effect of age on job satisfaction: Using latent growth modeling for longitudinal study. Quarterly Journal of Labor Policy,. 2013; 13(2):67–93.

27. AbuAlRub RF, AL-ZARU IM. Job stress, recognition, job performance and intention to stay at work among Jordanian hospital nurses. Journal of Nursing Management. 2008; 16(3):227–236. https://doi.org/10.1111/j.1365-2834.2007.00810.x.

28. Park SD, Cho JH, Han MH. The study on types and factors of separation among workers with disability. Journal of Vocational Rehabilitation. 2004; 14(1):73–103.

29. Kim MJ, Kim SH. Influences of calling, work value, and organizational commitment on turnover intention in nurses employed at university hospitals in a Region. The Korean Journal of Health Service Management. 2016; 10(1):67–77. https://doi.org/10.12811/kshsm.2016.10.1.067.

30. Kim YS, Park KY. The mediating effect of professionalism in the relationship between clinical competence and field adaptation in newly graduated nurses. Journal of Korean Academy of Nursing Administration. 2013; 19(4):536–543. https://doi.org/10.11111/jkana.2013.19.4.536.