Literature Review of Structural Equation Models for Hospital Nurses' Turnover Intention in Korea

Abstract

Purpose:The purpose of this study was to review research papers on structural equation models for hospital nurses' turnover intentions, and to identify the factors that influence these intentions. Methods: Twenty-four research papers on structural equation models for hospital nurses' turnover intentions were identified for systematic review. Results: All 24 papers assessed nurses' turnover intentions in general hospitals and university hospitals. A total of 36 indicators and 105 items were used to measure turnover intention. Turnover intention was positively related with 10 variables, and negatively with 17 variables. Organizational commitment, job satisfaction, job stress, burnout, organizational culture, and empowerment were found to have significant direct and indirect effects on nurses' turnover intentions. Structural equation models in 23 of the 24 research papers showed high compatibility with the data. The models accounted for 20.1% 68.0% of total variances. Conclusion: The study findings show recent trends in nurses' turnover intentions, and indicate directions for future research.

The mediating effect of emotional intelligence between emotional labour, job stress, burnout and nurses' turnover intention

“…In the model, job stress had the largest direct effect on nurses' turnover intention; additionally, its indirect effect through burnout was significant. This result is consistent with prior studies' results . Burnout had the second‐largest effect on nurses' turnover intention; again, this is consistent with the results of prior studies …”

“…Emotional labour significantly indirectly affected turnover intention through job stress and burnout; however, its direct effect on turnover intention was not significant. These results are consistent with a previous study, which found that emotional labour indirectly affects turnover intention through job stress . As emotional labour's effect on turnover intention was mediated by job stress and burnout, nurse support programmes should aim to reduce nurses' emotional labour in order to effectively reduce nurses' turnover intention; further, interventions that address nurses' job stress and burnout might diminish nurses' turnover intention.…”

“…Emotional labour, job stress and burnout are related to nurses' turnover intention . In South Korea, recent studies have reported that nurses perform above‐average amounts of emotional labour, and that increased emotional labour significantly increases job stress, burnout and turnover intention …”

“…Emotion is critical in healthcare organizations, as hospital staff must manage events related to strong emotions, for example, births, illnesses and deaths . Emotional intelligence is negatively correlated with emotional labour and significantly reduces job stress, burnout and turnover intention . Emotional intelligence is the ability to accurately sense one's emotional state, to control one's state in a constructive manner and to sense the emotional state of others, responding in a way that elicits desirable outcomes .…”

Workplace violence against nurses in Korea and its impact on professional quality of life and turnover intention

“…Although many studies have investigated the factors influencing turnover intention of nurses (Jeong et al . , Kim & Kim , ), few studies have dealt with the effects of violence experienced by nurses on quality of life and turnover intention.…”