Back Chi Yun, Hyun Dae Sung, Chang Sei Jin
Department of Medicine, Yonsei University Graduate School, Seoul, Korea.
Department of Biostatistics and Computing, Yonsei University Graduate School(Seoul), Seoul, Korea.
J Korean Acad Nurs. 2017 Dec;47(6):770-780. doi: 10.4040/jkan.2017.47.6.770.
This study was conducted to investigate the influence of emotional labor, emotional dissonance, and burnout on nurse's turnover intention and examine the effect of job satisfaction on the relationships among emotional labor, emotional dissonance, burnout, and turnover intention.
The sample consisted of 350 nurses recruited from 6 general hospitals in 2 cities in Korea. A multiple-group analysis was utilized. Data were analyzed using SPSS statistics 23 and AMOS 20.
In the path analysis, turnover intention was directly related to burnout in clinical nurses who had a high job satisfaction (β=.24, p=.003), while it was indirectly related to emotional dissonance (β=.13, p=.002). In the multiple-group path analysis, turnover intention was directly related to emotional dissonance (β=.18, p=.033) and burnout (β=.26, p=.002) for nurses with low job satisfaction.
These results indicate that manuals and guidelines to alleviate the negative effects of emotional labor, emotional dissonance, and burnout, and to increase job satisfaction are strongly required to reduce turnover intention in nurses at the organizational level as well as at the individual level.
本研究旨在探讨情绪劳动、情绪失调和职业倦怠对护士离职意愿的影响，并检验工作满意度对情绪劳动、情绪失调、职业倦怠和离职意愿之间关系的作用。
样本包括从韩国两个城市的6家综合医院招募的350名护士。采用多组分析。数据使用SPSS统计软件23和AMOS 20进行分析。
在路径分析中，工作满意度高的临床护士的离职意愿与职业倦怠直接相关（β = 0.24，p = 0.003），而与情绪失调间接相关（β = 0.13，p = 0.002）。在多组路径分析中，工作满意度低的护士的离职意愿与情绪失调（β = 0.18，p = 0.033）和职业倦怠（β = 0.26，p = 0.002）直接相关。
这些结果表明，迫切需要制定手册和指南，以减轻情绪劳动、情绪失调和职业倦怠的负面影响，并提高工作满意度，从而在组织层面和个人层面降低护士的离职意愿。
