The Factors That Affect Turnover Intention According to Clinical Experience: A Focus on Organizational Justice and Nursing Core Competency
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Sample
2.3. Measures
2.3.1. General Characteristics
2.3.2. Organizational Justice
2.3.3. Nursing Core Competency
2.3.4. Turnover Intention
2.4. Data Collection
2.5. Data Analysis
2.6. Ethical Considerations
3. Results
3.1. General Characteristics and Their Effects on Turnover Intention
3.2. Participants’ Perceived Organizational Justice, Nursing Core Competency, and Turnover Intention
3.3. Correlations between Perceived Organizational Justice, Nursing Core Competency, and Turnover Intention
3.4. The Effect of Perceived Organizational Justice and Nursing Core Competency on Turnover Intention by Clinical Experience
4. Discussion
5. Limitations
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variables | Categories | N (%) | M ± SD | Turnover Intention | ||
---|---|---|---|---|---|---|
M ± SD | t or F | p | ||||
Personal characteristics | ||||||
Gender | Female | 141 (92.2) | 41.23 ± 6.47 | 0.64 | 0.524 | |
Male | 12 (7.8) | 40.00 ± 5.89 | ||||
Age (years) | <25 | 21 (13.7) | 28.58 ± 5.67 | 40.60 ± 7.09 | 2.20 | 0.090 |
25 ≤ 30 | 98 (64.1) | 41.94 ± 5.80 | ||||
30 ≤ 35 | 13 (8.5) | 40.77 ± 9.43 | ||||
≥35 | 21 (13.7) | 38.10 ± 5.80 | ||||
Marital status | Single | 132 (86.3) | 41.36 ± 6.49 | 1.10 | 0.275 | |
Married | 21 (13.7) | 39.71 ± 5.88 | ||||
Education level | 3-year diploma | 6 (3.9) | 41.33 ± 7.69 | 2.47 | 0.088 | |
Bachelor’s degree | 128 (83.7) | 41.58 ± 6.17 | ||||
Master’s degree or above | 19 (12.4) | 38.11 ± 7.20 | ||||
Clinical experience (years) | <3 | 54 (35.3) | 5.50 ± 5.80 | 41.07 ± 6.41 | 0.81 | 0.445 |
3–5.99 | 57 (37.2) | 41.88 ± 5.62 | ||||
≥6 | 42 (27.5) | 40.21 ± 7.41 | ||||
Position | Staff nurse | 129 (84.3) | 41.67 ± 6.38 | 1.35 | 0.180 | |
Charge nurse or above | 24 (15.7) | 39.47 ± 5.79 | ||||
Type of work | 3-shift | 128 (83.7) | 41.80 ± 6.11 | 3.47 | 0.018 | |
Day/evening | 15 (9.8) | 37.80 ± 7.12 | ||||
Non-shift | 8 (5.2) | 36.38 ± 7.58 | ||||
Other | 2 (1.3) | 42.50 ± 0.71 | ||||
Organizational characteristics | ||||||
Hospital type | General hospital | 69 (45.1) | 41.64 ± 6.08 | 0.87 | 0.384 | |
Tertiary hospital | 84 (54.9) | 40.73 ± 6.69 | ||||
Bed-to-nurse ratio | General ward | 1.98:1 | ||||
Emergency room | 0.70:1 | |||||
Intensive care unit | 0.50:1 |
Variables | M ± SD | Range | Min | Max |
---|---|---|---|---|
Organizational justice (overall) | 62.25 ± 14.09 | 20–100 | 25 | 92 |
Interactional justice | 28.84 ± 7.58 | 9–45 | 9 | 45 |
Procedural justice | 19.28 ± 4.89 | 6–30 | 7 | 30 |
Distributive justice | 14.13 ± 3.83 | 5–25 | 5 | 23 |
Nursing core competency | 275.86 ± 34.52 | 70–350 | 188 | 350 |
Understanding of human beings and communication | 84.41 ± 10.26 | 21–105 | 58 | 105 |
Critical thinking and evaluations | 55.09 ± 7.22 | 14–70 | 37 | 70 |
General clinical performance | 52.63 ± 7.08 | 13–65 | 34 | 65 |
Professional attitudes | 49.69 ± 7.87 | 13–65 | 29 | 65 |
Special clinical performance | 34.03 ± 5.75 | 9–45 | 21 | 45 |
Turnover intention | 41.13 ± 6.40 | 10–50 | 20 | 50 |
Job satisfaction | 15.99 ± 3.24 | 4–20 | 8 | 20 |
Work performance | 12.78 ± 2.06 | 3–15 | 6 | 15 |
Interpersonal relationships | 12.36 ± 2.37 | 3–15 | 6 | 15 |
Variables | Turnover Intention | |
---|---|---|
r | p | |
Organizational justice | −0.23 | 0.004 |
Interactional justice | −0.15 | 0.070 |
Procedural justice | −0.16 | 0.053 |
Distributive justice | −0.35 | <0.001 |
Nursing core competency | 0.03 | 0.770 |
Variables | <3 Years (n = 54) | 3–5.99 Years (n = 57) | ≥6 Years (n = 42) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
B | β | t | p | B | β | t | p | B | β | t | p | |
(constant) | 69.99 | 4.34 | <0.001 | 42.77 | 2.78 | 0.008 | 41.41 | 3.61 | 0.001 | |||
Distributive justice | −0.95 | −0.47 | −3.45 | 0.001 | −0.38 | −0.27 | −1.80 | 0.079 | −0.98 | −0.56 | −2.26 | 0.031 |
Procedural justice | −0.19 | −0.14 | −0.65 | 0.517 | −0.05 | 0.03 | 0.17 | 0.867 | 0.12 | 0.09 | 0.36 | 0.722 |
Interactional justice | 0.18 | 0.19 | 0.88 | 0.384 | −0.29 | −0.37 | −2.09 | 0.042 | 0.21 | 0.25 | 0.90 | 0.373 |
Nursing core competency | 0.00 | −0.00 | −0.01 | 0.993 | 0.06 | 0.31 | 0.03 | 0.034 | 0.04 | 0.19 | 0.94 | 0.356 |
Age | −0.68 | −0.16 | −1.21 | 0.231 | −0.13 | −0.03 | 0.81 | 0.806 | −0.10 | −0.09 | −0.41 | 0.681 |
Education (diploma) † | 4.96 | 0.11 | 0.82 | 0.418 | −2.74 | 0.11 | 0.39 | 0.390 | 5.21 | 0.15 | 0.88 | 0.386 |
Education (≥master) † | 11.73 | 0.25 | 1.96 | 0.056 | −2.93 | −0.13 | 0.29 | 0.287 | −4.26 | −0.27 | −1.52 | 0.139 |
Type of work (other) † | 5.62 | 0.12 | 0.92 | 0.365 | −4.79 | 0.11 | 0.38 | 0.381 | ||||
Type of work (D/E) † | −4.14 | −0.27 | −1.20 | 0.239 | ||||||||
Type of work (non-shift) † | −2.02 | −0.11 | −0.47 | 0.642 | ||||||||
R2 | 0.32 | 0.31 | 0.35 | |||||||||
Adj. R2 | 0.19 | 0.20 | 0.17 | |||||||||
F (p) | 2.59 (0.021) | 2.71 (0.015) | 1.90 (0.087) |
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Choi, H.; Shin, S. The Factors That Affect Turnover Intention According to Clinical Experience: A Focus on Organizational Justice and Nursing Core Competency. Int. J. Environ. Res. Public Health 2022, 19, 3515. https://doi.org/10.3390/ijerph19063515
Choi H, Shin S. The Factors That Affect Turnover Intention According to Clinical Experience: A Focus on Organizational Justice and Nursing Core Competency. International Journal of Environmental Research and Public Health. 2022; 19(6):3515. https://doi.org/10.3390/ijerph19063515
Chicago/Turabian StyleChoi, Hanna, and Sujin Shin. 2022. "The Factors That Affect Turnover Intention According to Clinical Experience: A Focus on Organizational Justice and Nursing Core Competency" International Journal of Environmental Research and Public Health 19, no. 6: 3515. https://doi.org/10.3390/ijerph19063515