Yu Mi, Lee Haeyoung
College of Nursing, Institute of Health Sciences, Gyeongsang National University, Jinju, South Korea.
Department of Nursing, The Research Institute for Basic Science, Hoseo University, Asan, South Korea.
Jpn J Nurs Sci. 2018 Oct;15(4):351-362. doi: 10.1111/jjns.12210. Epub 2018 Mar 6.
Nurses' turnover intention is not just a result of their maladjustment to the field; it is an organizational issue. This study aimed to construct a structural model to verify the effects of new graduate nurses' work environment satisfaction, emotional labor, and burnout on their turnover intention, with consideration of resilience and job involvement, and to test the adequacy of the developed model.
A cross-sectional study and a structural equation modelling approach were used. A nationwide survey was conducted of 371 new nurses who were working in hospitals for ≤18 months between July and October, 2014.
The final model accounted for 40% of the variance in turnover intention. Emotional labor and burnout had a significant positive direct effect and an indirect effect on nurses' turnover intention. Resilience had a positive direct effect on job involvement. Job involvement had a negative direct effect on turnover intention. Resilience and job involvement mediated the effect of work environment satisfaction, emotional labor, and burnout on turnover intention.
It is important to strengthen new graduate nurses' resilience in order to increase their job involvement and to reduce their turnover intention.
护士的离职意愿不仅仅是他们对该领域适应不良的结果；它是一个组织问题。本研究旨在构建一个结构模型，以验证新毕业护士的工作环境满意度、情绪劳动和倦怠对其离职意愿的影响，并考虑心理韧性和工作投入度，同时检验所构建模型的适用性。
采用横断面研究和结构方程建模方法。2014年7月至10月间，对全国范围内371名在医院工作≤18个月的新护士进行了调查。
最终模型解释了离职意愿中40%的变异。情绪劳动和倦怠对护士的离职意愿有显著的正向直接效应和间接效应。心理韧性对工作投入度有正向直接效应。工作投入度对离职意愿有负向直接效应。心理韧性和工作投入度介导了工作环境满意度、情绪劳动和倦怠对离职意愿的影响。
增强新毕业护士的心理韧性以提高其工作投入度并降低其离职意愿很重要。
