학회지보기

체계적 문헌고찰과 메타상관분석을 이용한 간호사 재직의도 영향요인 고찰

Influencing Factors on Nurse's Intention to Stay: Systematic Review and Meta Correlation Analysis

임지영 (인하대학교 간호학과), 신정애 (인하대학교 간호학과), 김슬기 (인하대학교 간호학과), 이은미 (인하대학교 간호학과), 김선희 (인하대학교 간호학과)

언어 :

권호 : v.26, no.3, 265-277,

발행일자 : 2019년 12월

PDF 원문보기

초록

Purpose: This study was performed to explore research trends in the intention to stay of hospital nurses and provide basic data to establish nursing management strategies to increase the intention to stay. Methods: Articles published between 2009 and 2018 were searched. The search terminologies were "intention to stay," "nurse", and "hospital". In the first search, 381 articles were extracted from academic databases. Thirty articles were used in the systematic review, and 29 articles were used in the correlation meta-analysis. Results: Thirty-two variables were explored in relation to the intention to stay. In the correlation analysis, job satisfaction and work environment showed statistically significant positive correlations in many studies. In the correlation meta-analysis, 7 variables including organizational commitment showed statistically significant effect sizes. Conclusion: We suggest that structural equation model analysis to identify causal relations among influencing variables of the intention to stay of hospital nurses may be conducted. This study can be used as a guideline to develop intention-to-stay enhancement programs for hospital nurses.

참고문헌 (30)

  • Chan ZC, Tam WS, Lung MK, Wong WY, Chau CW. A systematic literature review of nurse shortage and the intention to leave. Journal of Nursing Management. 2013;21(4):605-613. https://doi.org/10.1111/j.1365-2834.2012.01437.x

    http://dx.doi.org/10.1111/j.1365-2834.2012.01437.x

  • Kim JH, Bae HJ, Jeong SY. Forecasting supply and demand for registered nurses workforce in Korea. Journal of the Korean Data Analysis Society. 2017;19(2):1083-1097.

    http://dx.doi.org/10.37727/jkdas.2017.19.2.1083

  • Korea Health Industry Development Institute [Internet]. Seoul: Korea Health Industry Development Institute; 2014 [cited 2019 April 22]. Available from: http://www.khidi.or.kr

  • Japan Nursing Association. Nurse demand-supply survey in hospitals in 2012: overall results [Internet]. Tokyo: Japan Nursing Association; 2013 [cited 2019 April 24]. Available from: http://www.nurse.or.jp/up_pdf/20130307163239_f.pdf

  • KPMG Healthcare & Pharmaceutical Institute. KPMG's 2011 U.S. Hospital nursing labour costs study [Internet]. USA: KPMG; 2011 [cited 2019 April 24]. Available from: http://natho.org/pdfs/KPMG_2011_Nursing_LaborCostStudy.pdf

  • Korean Government Services 24. Ministry of Health and Welfare Announces, Preparative Measures to Improve Work Environment and Treatment of Nurses [Internet]. Seoul: Korean Government Services 24; 2018 [cited 2019 April 24]. Available from: https://www.gov.kr/portal/ntnadm News/1393788

  • Lee EH, Cho KS, Son HM. A study of hospital nurse's intention to keep nursing job. Journal of Korean Clinical Nursing Research. 2014;20(1):15-27. http://doi.org/10.22650/JKCNR.2014.20.1.15

    http://dx.doi.org/10.22650/JKCNR.2014.20.1.15

  • Cowin L. The effects of nurses' job satisfaction on retention: an Australian perspective. The Journal of Nursing Administration. 2002;32(5):283-291. https://doi.org/10.1097/00005110-200205000-00008

    http://dx.doi.org/10.1097/00005110-200205000-00008

  • Chan EY, Morrison P. Factors influencing the retention and turnover intentions of registered nurses in a Singapore hospital. Nursing & Health Sciences. 2000;2(2):113-121. https://doi.org/10.1046/j.1442-2018.2000.00046.x

    http://dx.doi.org/10.1046/j.1442-2018.2000.00046.x

  • Byun SW, Ha YO. Factors affecting on small and medium sized hospital nurse intention of retention. Poster session presented at: 21st EAFONS & 11th INC; 2018 October 22; Seoul.

  • Kim NH. Relationships among nursing work environment, job embeddedness, and intention of retention of nurses. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2018;8(11):349-58.

    http://dx.doi.org/10.35873/AJMAHS.2018.8.11.034

  • Lee YS, Park SH, Kim JK. A study on relationship among organizational fairness, motivation, job satisfaction, intention to stay of nurses. The Journal of the Korea Contents Association. 2014;14(10):596-609. http://dx.doi.org/10.5392/JKCA.2014.14.10.596

    http://dx.doi.org/10.5392/JKCA.2014.14.10.596

  • AbuAlRub RF, Nasrallah MA. Leadership behaviors, organizational culture and intention to stay amongst jordanian nurses. International Nursing Review. 2017;64(4):520-527. https://doi.org/10.1016/j.apnr.2015.11.014

    http://dx.doi.org/10.1111/inr.12368

  • Armstrong-Stassen M, Freeman M, Cameron S, Rajacic D. Nurse managers' role in older nurses' intention to stay. Journal of Health Organization & Management. 2015;29(1):55-74. http://dx.doi.org/10.1108/JHOM-02-2013-0028

    http://dx.doi.org/10.1108/JHOM-02-2013-0028

  • Park SH, Lee TH. Factors influencing Korean nurses' intention to stay: a systematic review and Meta-analysis. Journal of Korean Academy of Nursing Administration. 2018;24(2):139-148. https://doi.org/10.11111/jkana.2018.24.2.139

    http://dx.doi.org/10.11111/jkana.2018.24.2.139

  • Cohen J. Statistical power analysis for the behavioral science. 2nd ed. New York: Academic press; 1988. p. 1-17.

  • Borenstein M, Hedges LV, Higgins JP, Rothstein HR. Introduction to meta-analysis. New Jersey: John Wiley & Sons; 2009. p. 21-43.

  • Duval S, Tweedie R. Trim and fill: a simple funnel‐plot-based method of testing and adjusting for publication bias in meta‐analysis. Biometrics. 2000;56(2):455-463. https://doi.org/10.1111/j.0006-341X.2000.00455.x

    http://dx.doi.org/10.1111/j.0006-341X.2000.00455.x

  • Orwin RG. A fail-safe N for effect size in meta-analysis. Journal of Educational Statistics. 1983;8(2):157-159. https://doi.org/10.2307/1164923

    http://dx.doi.org/10.2307/1164923

  • Lee TW, Kang KH, Ko YK, Cho SH, Kim EY. Issues and challenges of nurse workforce policy: a critical review and implication. Korean Academy of Nursing Administration. 2014;20(1):106-116. https://doi.org/10.11111/jkana.2014.20.1.106

    http://dx.doi.org/10.11111/jkana.2014.20.1.106

  • Hong KJ, Cho SH. Comparison of nursing workforce supply and employment in South Korea and Other OECD Countries. Perspectives in Nursing Science. 2017;14(2):55-63.

    http://dx.doi.org/10.16952/pns.2017.14.2.55

  • Pak SY. Issues and challenges of nursing workforce supply to improve the quality of health care services. Korean Association of Converging Humanities. 2018;6(1):31-54.

    http://dx.doi.org/10.14729/converging.k.2018.6.1.31

  • Kim JA. Work stress and nursing performance of clinical nurses. Korean Academy of Nursing Administration. 2003;9(4):515-527.

  • Choi SO, Kim JH. Relationships among job stress, nursing performance, and retention intention of clinical nurses. Journal of Korean Public Health Nursing. 2013;27(1):142-152. https://doi.org/10.5932/JKPHN.2013.27.1.142

    http://dx.doi.org/10.5932/JKPHN.2013.27.1.142

  • Herzberg F, Mausnre B, Synderman B. The motivation to work. 2nd ed. New York: John Wiley & Sons; 1950. p. 8-79.

  • Kim YS. The factors affecting advanced beginner-stage nurse's intention of retention. Journal of the Korea Academia-Industrial Cooperation Society. 2018;19(4):221-228. http://dx.doi.org/10.5762/KAIS.2018.19.4.221

    http://dx.doi.org/10.5762/KAIS.2018.19.4.221

  • Oh EH, Chung BY. The effect of empowerment on nursing performance, job satisfaction, organizational commitment, and turnover intention in hospital nurses. Journal of Korean Academy of Nursing Administration. 2011;17(4):391-401. https://doi.org/10.11111/jkana.2011.17.4.391

    http://dx.doi.org/10.11111/jkana.2011.17.4.391

  • Choi HJ, Lee SO. Effects of nursing work environment, job satisfaction, and organizational commitment on retention intention of clinical nurses. The Korean Journal of Health Service Management. 2018;12(3):27-39. https://doi.org/10.12811/kshsm.2018.12.3.027

    http://dx.doi.org/10.12811/kshsm.2018.12.3.027

  • Lee SO, Kim KH. Effects of nurse's parenting stress and parenting efficacy on turnover intention of nurses at medium-sized hospitals. The Korean Journal of Health Service Management. 2018;12(1):69-80. http://dx.doi.org.openlink.inha.ac.kr:8080/10.12811/kshsm.2018.12.1.069

    http://dx.doi.org/10.12811/kshsm.2018.12.1.069

  • Kang JH, Kim CW. Evaluating applicability of Maslach burnout inventory among university hospitals nurses. Korean Society of Adult Nursing. 2012;24(1):31-37. https://doi.org/10.7475/kjan.2012.24.1.31

    http://dx.doi.org/10.7475/kjan.2012.24.1.31