Health Policy Manag.  2021 Mar;31(1):24-34. 10.4332/KJHPA.2021.31.1.24.

The Effect of the Working Environment of Nurses Working in Emergency Departments in Medically Vulnerable Areas on Work Dissatisfaction and Turnover Intention

Affiliations
  • 1Jeonbuk Emergency Medical Support Center, National Emergency Medical Center, National Medical Center, Jeonju, Korea
  • 2EMS Development Support Team, National Emergency Medical Center, National Medical Center, Seoul, Korea

Abstract

Background
The purpose of this study is to identify factors that affect work dissatisfaction and turnover intention for dedicated nurses working in emergency departments of vulnerable areas of health care. The purpose of this study is to identify risk factors related to the working environment that influence job dissatisfaction and intention to turnover among dedicated nurses working in emergency rooms in areas of medical vulnerability.
Methods
We conducted a survey of nurses working in emergency rooms in vulnerable areas of medical care, and the survey was conducted for two consecutive years. A logistic regression analysis was performed with the working environment variable as the independent variable and the work environment dissatisfaction and turnover intention as dependent variables, respectively.
Results
The variables that significantly affected both dissatisfactions with the working environment and turnover intention at the current institution were age, overlapping work in other departments, and the total work experience of nurses. Annual salary, the average number of double-duty (continuous work) per month, type of work, and work experience of nurses at the current institution had a significant effect only on dissatisfaction with the working environment.
Conclusion
The results of this study are thought to be of great help if the government takes reference when establishing medical policies in vulnerable areas in the future.

Keyword

Vulnerable areas; Emergency rooms; Work dissatisfaction; Turnover intention; Nurse
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