Health-Related Factors Influencing Nurse Turnover by Clinical Career: A Secondary Data Analysis of Clinical Nurses in South Korea

Abstract

The increase in clinical nurse turnover is an important issue in human resource management worldwide. Factors influencing it include health-related risk factors such as sleep quality and presenteeism, which need further exploration. We examined differences in job survival time of clinical nurses in relation to nurses’ sleep quality and presenteeism. Participants were 857 Korean clinical nurses with more than three months’ experience providing direct patient care. Data were analyzed using a time-independent Cox proportional hazard regression analysis of factors affecting actual turnover of clinical nurses. Average job survival times of competent, proficient, and expert nurses were 33, 64, and 143 months, respectively. Sleep quality and presentism significantly affected turnover risk. For clinical nurses with less than three years of experience, sleep quality significantly influenced the risk of turnover. For clinical nurses with more than six years of experience, presenteeism significantly affected the risk of turnover. The findings of this study offer a clinical career-based approach to reduce the turnover rate of clinical nurses. A differentiated approach based on work experience is necessary to establish a turnover management strategy for clinical nurses.

Psychological Well-Being of Nurses with One to Five Years of Clinical Experience

“…During transition, workload, inadequate staffing, managing multiple role demands, and incivility were reported as stressor in newly qualified nurses ( Halpin et al, 2017 ). According to a study investigating the turnover by year spent in the career of nursing, there is a significant difference in job survival time between competent, proficient, and expert nurses group ( Kang and Lee, 2022 ). Rather than expert nurses (six year or more) who have a longer survival time, it is necessary to investigate the psychological well-being of junior nurses with less than five years career length.…”

The Mediating Role of Job Satisfaction and Presenteeism in the Relationship Between Job Stress and Turnover Intention: An Application in Family Health Centres

“…Presenteeism is defined as the employee having to go to work when he/she should stay at home and rest due to his/her physical illness, experiencing a decrease in work performance as a result of not being able to fully devote himself/herself to his/her work due to his/her illness, infecting his/her illness to other colleagues and reducing the morale and motivation of the employees of the organisation (Monojit & Tilley, 2002). According to Kang and Lee (2022), presenteeism is defined as the employee having to continue working not only because of physical ailments but also because of organisational problems or mental distress. The "Conservation of Resources Theory" is used in the literature to explain the relationship between turnover intention and presenteeism.…”

Understanding the Association of Sleep Disorders with Nursing Productivity in Malaysia

“…The most probable reason for this occurrence is that single nurses are less concerned about their jobs than married ones. Married nurses have to think about their families before pursuing unproductive behaviors (Kang & Lee, 2022).…”