Kim Jihyun, Yang Yaki
Department of Nursing, Kunsan College of Nursing, Kunsan-si 54068, Republic of Korea.
Department of Nursing, Wonkwang University, Iksan-si 54538, Republic of Korea.
Healthcare (Basel). 2023 Sep 18;11(18):2575. doi: 10.3390/healthcare11182575.
The main factor in the turnover of new nurses in Korea is burnout, and a high turnover rate can lead to discontinuation in the nursing profession, due to failure to adapt to the organization. This study aimed to examine the mediating influences of an exchange relationship with the preceptor on the relationship between burnout and job retention intention among new nurses in Korea. Data were collected from 210 new nurses in three general hospitals from 2 May to 30 June 2023. The following statistical analysis were conducted: -test, ANOVA, the Scheffé test, Pearson's correlation coefficient analysis, and Hayes Process Macro Model 4 (to test the mediating effect). Burnout was negatively associated with job retention intention (r = -0.54, < 0.001) and the exchange relationship with the preceptor (r = -0.29, = 0.001). The exchange relationship with the preceptor was positively associated with job retention intention (r = 0.38, < 0.001). Furthermore, the mediation analysis indicated that the exchange relationship with the preceptor mediated the relationship between burnout and job retention intention. According to the results, the impact of burnout on the job retention intention was mediated by the exchange relationship with the preceptor. Therefore, to increase the job retention intention of new nurses, developing programs to enhance the exchange relationship with the preceptor are recommended.
韩国新护士离职的主要因素是职业倦怠，而高离职率可能导致因无法适应组织而中断护理职业。本研究旨在探讨与带教老师的交换关系在韩国新护士职业倦怠与留职意愿之间关系中的中介作用。2023年5月2日至6月30日期间，从三家综合医院的210名新护士中收集了数据。进行了以下统计分析：t检验、方差分析、谢弗检验、皮尔逊相关系数分析和海斯过程宏观模型4（用于检验中介效应）。职业倦怠与留职意愿呈负相关（r = -0.54，p < 0.001），与带教老师的交换关系呈负相关（r = -0.29，p = 0.001）。与带教老师的交换关系与留职意愿呈正相关（r = 0.38，p < 0.001）。此外，中介分析表明，与带教老师的交换关系在职业倦怠和留职意愿之间起中介作用。根据结果，职业倦怠对留职意愿的影响是通过与带教老师的交换关系来介导的。因此，为了提高新护士的留职意愿，建议制定计划以加强与带教老师的交换关系。
