1Department of Nursing, Sunchon National Universtiy, Suncheon
2Department of Nursing, Dankook University, Cheonan
3Department of Nursing, Changwon University, Changwon, Korea
Copyright © 2014 Korean Society of Adult Nursing
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Categories, Sub-categories, and Concepts related to Clinical Nurses' Intention to Stay in Hospital
| Categories | Sub-categories | Concept | |
|---|---|---|---|
| Causal condition | Lack of competitive alternatives | - No benefits after turnover or transfer | |
| - Salary adequate, salary increasing continuously | |||
| - Difficulty in finding another job, no alternatives | |||
| - Nursing offers a competitive advantage compared with other jobs, especially for middle-aged women. | |||
| - Patient care is a hard job, but it is bearable. | |||
| - Experiences fit nurses' aptitudes. | |||
| - Need to finance the cost of living | |||
| Core category | Prefer following stability as opposed to a challenge | - Pursue stability, avoid challenge. | |
| - Try to adapt to current workplace conditions rather than seek a new start/new workplace. | |||
| workplace. - Avoid fear, because it is negative. | |||
| - Terminate difficult relationships. | |||
| - Accept kindness from everyone. | |||
| - Build a good self-image. | |||
| - Stable path, find your way | |||
| Action/ interaction strategies | Seeing reality and finding power in yourself through learning and consensus | 1) Being encouraged via rapport with peers | - Make friends and socialize with nursing colleagues. |
| - Discuss work improvements with peers. | |||
| - Offer warm-hearted consolation and consideration. | |||
| - Provide mutual support in the nursing unit despite the hard work. | |||
| - Decision to stay in the same workplace because of peer relationships, reluctance to burden other nurses | |||
| - Enjoyment of nursing work | |||
| - Positive thinking | |||
| - Never worry about problems with difficult doctors. | |||
| - Repeatedly tell yourself “I am okay.” | |||
| - Don't try to change other people's minds. | |||
| - Let off steam. | |||
| - Unwind by engaging in conversation during work time. | |||
| - Recognize and accept challenging work conditions because they are common to every workplace. | |||
| - Accept that it is difficult to change other people's minds. | |||
| - Open your mind to understanding differences. | |||
| 2) Accept reality | - Invest in your career future by assessing other people's words and behaviors continuously. | ||
| - Be strong throughout the work period. | |||
| - Consider changing your work unit to keep your job. | |||
| - Quit only after providing excellent nursing work. | |||
| - Don't allow others to scold you. | |||
| - Take the initiative. | |||
| - Work with discretion. | |||
| - Compromise and compliance | |||
| - Be able to let go of a problem. | |||
| - Remember the beginning of your work in the hospital. | |||
| - Work hard. | |||
| 3) Find vitality in academic pursuits | - Build knowledge through graduate school studies. | ||
| - Maintain an interest in learning. | |||
| - Study with a supervisor. | |||
| Consequence | Familiarity with the applied nursing framework | 1) Familiarity with work and workplace | - Take pride in the hospital, remember self-esteem, self-reflection |
| - Familiarity with major events in the hospital | |||
| - Don't quit without having a confirmed reason | |||
| - When all is well, time passes quickly | |||
| - Less recognition about nursing work | |||
| - Narrow human relationships | |||
| - Less autonomy | |||
| - Repetition of daily life | |||
| - Doing non-professional work daily | |||
| - Consider living without goals | |||
| 2) Vague anxiety and conflict about intention stay or not | - No self-development | ||
| - Continuous worry about nursing work | |||
| - Worry about daily life | |||
| - Remnants of conflict to endure | |||
| Context | Find support amid ambivalence | 1) Favorable work conditions | - Good work environment; fewer night shifts (some nursing unit), end of an unusually busy period during hospital evaluation |
| - Flexible workplace environment | |||
| - No verbal violence on the job | |||
| - Personal benefits such as living in my hometown, with parents, and near friends | |||
| friends - Characteristics of seeking safety, avoiding challenges | |||
| - Passed up a potential for change | |||
| 2) Difficulty with child care | - Difficulty seeking child care helper | ||
| - Burdens of child care | |||
| 3) Difficulty with human relationships | - Difficult peer relationships in the nursing unit | ||
| - Ambivalence regarding whether to stay or leave | |||
| - Difficult psychologically | |||
| Mediating condition | Positive factors | 1) Consider a retirement strategy | - Pension plan |
| - Savings plan | |||
| 2) Support from a close person | - Encounters with good managers and patients' families | ||
| - Support and encouragement from family and peer groups | |||
| - Support from parents living nearby | |||
| 3) Nursing unit with comfort and support | - Don't like wages but enjoy nursing work | ||
| - Experience in medium-sized hospital | |||
| - Good working conditions | |||
| - Supportive hospital policy | |||
| - Parental leave system for child care | |||
| - Parental leave system for child care - Maternal leave system | |||
| Negative factors | 1) Job stress | - Severe job stress | |
| - Heavy work during night shifts | |||
| - Difficulty in using new work system | |||
| - Difficulty in using new work system - Stress regarding notifying doctors | |||
| - Starting intravenous lines in infants | |||
| - Busy workload prevents answering the phone | |||
| - Deficient equipment and materials | |||
| - Poor and adverse conditions (e.g.,dressing room) | |||
| - Too busy to have lunch or dinner at my workplace | |||
| 2) Confronting limitations of nursing organization | - Frustration about failure to relieve patients' pain | ||
| - Others ignore nursing professionals | |||
| - Unfair workplace | |||
| - No fair personnel system | |||
| - Less power for the nursing department | |||
| - Frequent turnover of new nurses | |||
| - No significant difference in salary between new and experienced nurses | |||
| - New-nurse-centered atmosphere | |||
| - Not easy to acquire parental leave | |||
| - Unfair treatment (e.g., violence) from patients and families | |||
| - Uncertainty | |||
| - Scolded without reason | |||
| - Harassment | |||
| - Difficult relationship issues, including with the boss | |||
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