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Original Articles

Purpose
During the coronavirus disease 2019 (COVID-19) pandemic, anxiety and need satisfaction may predict turnover intention among emergency room nurses, with need satisfaction negatively influencing turnover intention. This study aimed to examine the mediating effect of need satisfaction on the relationship between COVID-19–induced anxiety and job turnover intention among emergency room nurses during the pandemic.
Methods
This descriptive cross-sectional study recruited 206 emergency room nurses from 11 hospitals in South Korea. Data were collected using a questionnaire from December 2022 to February 2023.
Results
High COVID-19–induced anxiety was associated with increased turnover intention among nurses. Physiological needs partially mediated the relationship between COVID-19–induced anxiety and turnover intention. However, safety and belongingness needs showed no mediating effect.
Conclusion
During the COVID-19 pandemic, if physiological needs were not satisfied, reducing anxiety and turnover intention among emergency room nurses proved challenging, even when other needs were met. Therefore, physiological needs should be prioritized and addressed before focusing on other types of needs.
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  • 31 Download
Purpose
According to the Ministry of Health and Welfare, the turnover rate of nurses working at regional trauma centers is 27.6%, which is almost double the turnover rate of 13.8% of all nurses in 2018. The turnover of nurses lowers the morale of the remaining nurses and increases their workload, negatively affecting hospital operation. This study aimed to investigate the mediation effect of grit on the relationship between the working environment and intention to stay at work among regional trauma center nurses, to reduce the turnover rate and improve their intention to stay at work.
Methods
The participants were 185 nurses with more than six months of clinical experience working at 16 regional trauma centers in South Korea. The data were collected using structured questionnaires from July 1, 2022 to July 31, 2022, and analysis was conducted using SPSS/WIN 25.0 programs.
Results
The intention to stay at work among regional trauma center nurses was different depending on age (F=6.32, p=.002), marital status (F=-3.66, p<.001), education level (F=5.29, p=.006), and total clinical experience (F=4.22, p=.007). Grit was found to have a complete mediating effect on the relationship between work environment and intention to stay at work (Z=4.49, p<.001).
Conclusion
To lower the turnover rate of trauma nurses and increase their intention to stay at work, it is necessary to subdivide the intervention program for various ages and clinical career, and to develop a mediation program that can improve nurses' grit by improving the working environment.

Citations

Citations to this article as recorded by  
  • Role of violence exposure on altruistic behavior and grit among emergency nurses in rural hospitals
    Mohamed Hussein Ramadan Atta, Shimmaa Mohamed Elsayed, Heba Emad El‐Gazar, Naglaa Gamal Eldien Abdelhafez, Mohamed Ali Zoromba
    International Nursing Review.2025;[Epub]     CrossRef
  • 438 View
  • 14 Download
  • 1 Crossref
  • 1 Scopus

Review Article

Related Factors of Turnover Intention among Korean Hospital Nurses: A Systematic Review and Meta-Analysis
Youngock Lee, Jiyeon Kang
Korean J Adult Nurs 2018;30(1):1-17.   Published online February 28, 2018
DOI: https://doi.org/10.7475/kjan.2018.30.1.1
PURPOSE
The purpose of this study was to conduct a systematically review of factors related to the reported intention of hospital nurses in Korea to leave their positions.
METHODS
Appropriate studies in the recent ten years were selected from databases. A total of 263 studies were selected for the systematic review on the basis of the PRISMA flow. The correlational effect size of 35 studies was analyzed through meta-analysis using CMA 3.0.
RESULTS
Through systematic review, 52 related factors were classified by ecological system: 18 individual, 12 microsystem, 11 mesosystem, 8 exosystem, and 3 macrosystem. The overall effect size of turnover intention was 3.26. The total correlational effect size of related factors was 0.28: 0.14 for individual, 0.50 for microsystem, 0.25 for mesosystem and 0.40 for exosystem. Among single factors with larger effect size, emotional labor, role conflict, and work-home conflict were classified into contributors whereas organizational commitment, job satisfaction, and internal marketing were classified as inhibitors.
CONCLUSION
Previous studies focused on the individual and the microsystem in the quantitative respect. In addition, the effect size was relatively greater for the microsystem and the exosystem. It is therefore necessary to conduct further research on the systems with larger effects.

Citations

Citations to this article as recorded by  
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    Chun Ha Kim, Mikyoung Lee
    Journal of Korean Academy of Nursing Administration.2025; 31(2): 155.     CrossRef
  • What is behind the high turnover intention among hospital nurses during the full liberalization of COVID-19 and the postpandemic era in China: a 2-wave multicentre cross-sectional comparison study
    Julan Xiao, Lili Liu, Yueming Peng, Xia Lyu, Chunfeng Xing, Yanling Tao, Shening Zhu, Aihuan Mai, Lijun Liang, Hongying Hu, Yi Fan, Weisi Peng, Haishan Xie, Jun Ren, Weixiang Luo
    BMC Nursing.2025;[Epub]     CrossRef
  • Influence of COVID-19–Induced Anxiety on Job Turnover Intention among Emergency Room Nurses during the COVID-19 Pandemic, the Mediating Effect of Needs Satisfaction: A Cross-Sectional Study
    YuJin Seo, Myung Kyung Lee
    Korean Journal of Adult Nursing.2025; 37(2): 104.     CrossRef
  • Mediating Effect of Leader-Member Exchange on the Ethical Leadership of Nursing Unit Managers and Turnover Intention of Clinical Nurses: A Nationwide Survey using Proportional Quota Sampling
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    Journal of Korean Academy of Nursing Administration.2024; 30(1): 42.     CrossRef
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    Yukyung Ko, Soyoung Yu, Bohyun Park
    Contemporary Nurse.2024; 60(4): 333.     CrossRef
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    Min Gyeong Jeong, So Young Choi
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    Applied Nursing Research.2024; 77: 151787.     CrossRef
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    Hyuna Kam, Chanhee Kim, Yeonok Yoon, Heeyoung Shin, Junghwa Lee, Myoungohk Kim
    Journal of Korean Critical Care Nursing.2024; 17(3): 25.     CrossRef
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    PLOS ONE.2024; 19(8): e0308065.     CrossRef
  • Structural Equation Modeling of Advanced Beginner-Stage Nurses' Intention to Continue Employment
    Seung-Hee Lee, Hwasoon Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(5): 517.     CrossRef
  • An Exploratory Study of Psychological Distress, Professional Quality of Life, Effort-Reward Imbalance, and Turnover Intention of Hospital Nurses during the COVID-19 Pandemic
    Suk-Jung Han, Soon-Youl Lee, Sie-Eun Kim
    Healthcare.2023; 11(19): 2695.     CrossRef
  • Comparative Study on Work-Life Balance, Nursing Work Environment, Nursing Organizational Culture, and Job Satisfaction before Turnover among Nurses Leaving Hospital: Current Clinical Nurses versus Non-clinical Nurses
    Yejin Seo, Mi Yu
    Journal of Korean Academy of Nursing Administration.2023; 29(4): 385.     CrossRef
  • Effects of Job Crafting, Burnout, and Job Satisfaction on Nurses' Turnover Intention: A Path Analysis
    Mihee Chung, Sujeong Han
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 281.     CrossRef
  • Effects of perceived spiritual management, work engagement, and organizational commitment on job satisfaction among clinical nurses: the mediating role of perceived spiritual management
    Eun-Hye Lee, Hea-Jin Yu
    BMC Nursing.2023;[Epub]     CrossRef
  • Effects of Nursing Work Environment on Intention to Stay of Hospital Nurses: A Two-Mediator Serial Mediation Effect of Career Motivation and Job-Esteem
    Yu Na Lee, Eungyung Kim
    Journal of Korean Academy of Nursing.2023; 53(6): 622.     CrossRef
  • Development of a Nurse Turnover Prediction Model in Korea Using Machine Learning
    Seong-Kwang Kim, Eun-Joo Kim, Hye-Kyeong Kim, Sung-Sook Song, Bit-Na Park, Kyoung-Won Jo
    Healthcare.2023; 11(11): 1583.     CrossRef
  • Factors Influencing Occupational Retention of Nurses in Their 20s and 30s
    Eunmi Lee, Yujeong Kim, Haeyoung Lee
    Sage Open.2023;[Epub]     CrossRef
  • Effect of the Nursing Work Environment on Turnover Intention: Serial Mediation Effects of Career Motivation and Job Satisfaction
    Young Deok Park, Sun Ju You
    Journal of Korean Academy of Nursing Administration.2023; 29(5): 529.     CrossRef
  • Safeguarding the retention of nurses: A systematic review on determinants of nurse's intentions to stay
    Charlene Pressley, Joanne Garside
    Nursing Open.2023; 10(5): 2842.     CrossRef
  • Technology-based interactive communication simulation for Korean nurses: A randomized controlled repeated-measures design
    Heeseung Choi, Yeseul Jeon, Ujin Lee, Junggeun Ahn, Hannah Kim
    Nurse Education Today.2023; 128: 105879.     CrossRef
  • Predicting Nurse Turnover for Highly Imbalanced Data Using the Synthetic Minority Over-Sampling Technique and Machine Learning Algorithms
    Yuan Xu, Yongshin Park, Ju Dong Park, Bora Sun
    Healthcare.2023; 11(24): 3173.     CrossRef
  • The Experiences of Overcoming Turnover Intention among Experienced Nurses
    Min Jeong Kwon, Kyung Mi Sung
    Journal of Korean Academy of Nursing Administration.2023; 29(1): 32.     CrossRef
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    Jung Lim Lee, Youngji Kim
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    Moonhee Gang, Donghyeon Gwak
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    International Journal of Environmental Research and Public Health.2023; 20(5): 4026.     CrossRef
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    Journal of Korean Academy of Nursing.2022; 52(5): 479.     CrossRef
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  • Trajectories of subjective health status among married postmenopausal women based on the ecological system theory: a longitudinal analysis using a latent growth model
    Eun Jin Kim, Ju-Hee Nho
    Korean Journal of Women Health Nursing.2022; 28(2): 123.     CrossRef
  • Verbal violence and turnover intention among new nurses in Korea: A time‐lagged survey
    Ae Kyung Chang, Ah Young Kim
    Journal of Nursing Management.2022; 30(6): 1823.     CrossRef
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    BMC Nursing.2022;[Epub]     CrossRef
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    Mingi Chang, Yujeong Kim
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  • Relationship of Job Stress to Turnover Intention in Hospital Nurses of Rural Areas: Job Embeddedness as a Mediator
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  • The Influence of Traumatic Events on Turnover Intention among Nurses Working in Intensive Care Units: The Moderating Effect of Emotional Intelligence
    Hyunmi Kim, Jiyoung Park
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  • Factors Influencing Turnover Intention among Male Nurses in Korea
    Su Ol Kim, Sun-Hee Moon
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    Myoung Yi Choi, Hyang Sook So, Eun Ko
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  • 444 View
  • 9 Download
  • 61 Crossref
  • 54 Scopus
Original Articles
A Prediction Model on the Male Nurses' Turnover Intention
Su Ol Kim, Younhee Kang
Korean J Adult Nurs 2016;28(5):585-594.   Published online October 31, 2016
DOI: https://doi.org/10.7475/kjan.2016.28.5.585
PURPOSE
The purpose of this study was to develop and test a predictive model on the male nurses' turnover intention.
METHODS
This study utilized the model-testing design based on the Price's causal model of turnover. This study collected data from 306 male nurses on a national scale with structured questionnaires measuring job opportunity, kinship responsibility, positive emotion, work autonomy, role conflict, work satisfaction, organizational commitment, and turnover intention. The data were analyzed using SPSS/WIN 22.0 program and AMOS 20.0 program.
RESULTS
As the outcomes satisfied the recommended level, the hypothetical model appeared to fit the data. Twenty-seven of the 38 hypotheses selected for the hypothetical model were statistically significant. 54.2% of turnover intention was explained by job opportunity, kinship responsibility, positive emotion, work autonomy, role conflict, work satisfaction and organizational commitment.
CONCLUSION
The hypothetical model of this study was confirmed to be adequate in explaining and predicting male nurses' turnover intention. Findings from this study can be used to design appropriate strategies to decrease the male nurse's turnover intention.

Citations

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  • Influence of the Nursing Work Environment on Job Satisfaction in Male Nurses: The Mediating Effect of Social Support
    DongHyun KIM, Hyunjin OH
    Journal of Nursing Research.2024; 32(6): e356.     CrossRef
  • Male nurses’ adaptation experiences after turnover to community institutions in Korea: A grounded theory methodology
    Ja-Sook Kim, Suhyun Kim, Hyang-In Cho Chung, Sally Mohammed Farghaly
    PLOS ONE.2024; 19(5): e0302819.     CrossRef
  • A Structural Equation Model for Turnover Intention of General Hospital Nurses: Focusing on Mediation Effect of Organizational Silence
    Mi-Hwan Kim, Myungja Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(2): 102.     CrossRef
  • Effects of External Employment Opportunities, Nursing Professionalism, and Nursing Work Environments on Korean Hospital Nurses’ Intent to Stay or Leave
    Mi-Aie Lee, So-Hee Lim
    International Journal of Environmental Research and Public Health.2023; 20(5): 4026.     CrossRef
  • The Influence of Role Conflict, Head Nurses' Super Leadership, and Nursing Organizational Culture on Organizational Commitment of Male Nurses
    Mingi Chang, Yujeong Kim
    Journal of Korean Academy of Nursing Administration.2022; 28(5): 558.     CrossRef
  • Factors Influencing Organizational Commitment Among Male Nurses in Korea
    Kwang-Min Choi, Mi-Kyeong Jeon
    Journal of Acute Care Surgery.2021; 11(2): 71.     CrossRef
  • Factors Influencing Turnover Intention among Male Nurses in Korea
    Su Ol Kim, Sun-Hee Moon
    International Journal of Environmental Research and Public Health.2021; 18(18): 9862.     CrossRef
  • Male Nurses' Experiences of Being Rejected in Nursing Practice
    Gyeong Hye Choi, Hyeon Ju Kim, Joo Hyun Kim, Eun Sook Nam, Hye Jin Hyun, Hyun Wook Kang, Sung Ja Yoon, Hyun Jeong Son, Hyun Jeong Kim, Ah Rm Whang, Won Hee Kim
    Journal of Korean Academic Society of Nursing Education.2018; 24(1): 16.     CrossRef
  • Relationship of Gender Role Conflict and Job Satisfaction to Turnover Intention for Men in Nursing
    Ha-Man Hwang, Myung Ja Kim
    Journal of Korean Academy of Nursing Administration.2017; 23(1): 32.     CrossRef
  • 106 View
  • 0 Download
  • 9 Crossref
Effect of Job Embeddedness and Job Satisfaction on Turnover Intention in Nurses
So Young Son, Jeong Sil Choi
Korean J Adult Nurs 2015;27(2):180-187.   Published online April 30, 2015
DOI: https://doi.org/10.7475/kjan.2015.27.2.180
PURPOSE
The purpose of this study was to analyze the effects of job embeddedness and job satisfaction on turnover intention in nurses.
METHODS
The study design was a descriptive survey and questionnaires were collected from May 1 to 31, 2014. Participants were 216 nurses. Data were analyzed using independent t-test, Scheffe test, one-way ANOVA, Pearson correlation coefficient and hierarchical multiple regression with the SPSS/WIN 21.0 program.
RESULTS
Job embeddedness was positively correlated with job satisfaction and negative correlations with turnover intention. Finally, job embeddedness and job satisfaction accounted for 33.1% of the variance in turnover intention.
CONCLUSION
Results indicate that job embeddedness and job satisfaction are factors influencing turnover intention. Therefore, it is necessary to develop and make available programs embracing factors in the prevention and reduction of turnover intention.

Citations

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    Sunghyun Ko, Yeonjung Lee
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    Journal of Korean Academy of Nursing Administration.2025; 31(2): 155.     CrossRef
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    Bruwsk Azad, Rahel Ghazi, Farhang Farhad
    OTS Canadian Journal.2024; 3(1): 19.     CrossRef
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    Xin Wang, Ming Liu, Angela Y.M. Leung, Xiaoyan Jin, Hongxia Dai, Shaomei Shang
    International Journal of Nursing Sciences.2024; 11(5): 563.     CrossRef
  • Impact of Role Conflict, Nursing Organizational Culture, and Nurse-Physician Collaboration on Job Embeddedness of Intensive Care Unit Nurses
    Young Eun Jin, Yun Mi Lee, Hyo Jin Park
    Journal of Korean Critical Care Nursing.2023; 16(1): 15.     CrossRef
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    Hee-jeong Kim, Dahye Park
    Heliyon.2023; 9(6): e16991.     CrossRef
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    Journal of Korean Critical Care Nursing.2023; 16(3): 62.     CrossRef
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    Management Research Review.2021; 44(8): 1139.     CrossRef
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    Kyounghee Kim, Jongeun Lee
    The Korean Journal of Rehabilitation Nursing.2019; 22(2): 124.     CrossRef
  • The Impact of Organizational Commitment and Positive Psychological Capital on Job Embeddedness of Nurses in Trauma Centers
    Eun Ji Choi, Eun Nam Lee, Moon Ja Kim
    Journal of Korean Academy of Nursing Administration.2019; 25(4): 292.     CrossRef
  • Effects of Job Embeddedness, Nursing Work Environment, and Nursing Professionalism on Turnover Intention in Nurses Working at Rehabilitation Hospitals
    Kyung Mi Kim, Sook Young Kim, Hyenam Hwang, Hye Min Hwang, Hyoeun Kim, Eun Sun Lim
    The Korean Journal of Rehabilitation Nursing.2019; 22(2): 134.     CrossRef
  • The relationship between intention to leave the hospital and coping methods of emergency nurses after workplace violence
    In‐Young Jeong, Ji‐Soo Kim
    Journal of Clinical Nursing.2018; 27(7-8): 1692.     CrossRef
  • Effects of Job Embeddedness and Nursing Professionalism on Intent to Stay in Hospital Nurses
    Sug Young Choi, Mi-Aie Lee
    Journal of Korean Academy of Nursing Administration.2018; 24(3): 234.     CrossRef
  • İşe Gömülmüşlük, İşe Adanmışlık ve İşten Ayrılma Niyeti İlişkisi: Bir Alan Çalışması
    Tuba Büyükbeşe, Mehmet Oktay Gökaslan
    Mukaddime.2018; 9(2): 135.     CrossRef
  • Influences of Fatigue, Emotional Labor and Job Embeddedness on Nurses Turnover Intention
    Yo-Na Kim
    The Korean Journal of Health Service Management.2017; 11(1): 67.     CrossRef
  • Relationships among Nursing Work Environment, Job Embeddedness, and Turnover Intention in Nurses
    Hae Jin Ko, Jeong-Hee Kim
    Journal of Korean Academy of Nursing Administration.2016; 22(3): 279.     CrossRef
  • 154 View
  • 4 Download
  • 18 Crossref
Turnover Experience of Hospital Nurses in Korea
Myungsun Yi, Won Ok Kim, Duck Hee Kim, Moon Hee Ko, Kyung Sook Lee, Zung Im Kim
J Korean Acad Adult Nurs 2003;15(4):531-541.   Published online December 31, 2003
PURPOSE
The purpose of the study was to explore how hospital nurses decide to quit working as professional nurses using the grounded theory method. METHOD: The data was collected by individual in-depth interviews with 12 hospital nurses who recently resigned from work and it was analyzed using 'constant comparative analysis.' RESULT: The core category that emerged was "in search of new balance with self, work, and family". Three stages were identified: 1) "unconditionally accepting the working situation of itself," 2) "weighing advantages and disadvantages of working as a hospital nurse", and 3) "redesigning a future". Each stage contains three major strategies. The major strategies of the first stage are "maintaining a learning attitude", "enduring physical burnout," and "enduring unfair interpersonal relationships". The second stage contains "identifying advantages of working", "identifying disadvantages of working", and "comparing the advantages with the disadvantages". Lastly, the third stage includes "reassessing the aim of life", "beginning to construct an alternative life", and "deciding to quit working at a certain point". CONCLUSION: The results of the study will help nursing administrators in designing and implementing an effective turnover prevention program for nurses by understanding more deeply the process of turnover phenomenon among hospital nurses.
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