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      A Predictive Model for Turnover Intentions of Emergency Room Nurses Using Structural Equation Modeling

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      https://www.riss.kr/link?id=A108572077

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      다국어 초록 (Multilingual Abstract)

      It is extremely important in the emergency room(ER) to secure the manpower with highly trained skills and specialized knowledge and to maintain the optimal number of nurses working. Hence this study aims to present the direction for establishing an efficient human resources management plan by exploring the direct/indirect paths to the turnover intention of ER nurses, and also constructing a structural model. This study were collected using a structured questionnaire from nurses working for ER departments of 13 general hospitals located in 8 provinces in Korea from August 2nd to September 20th, 2013. Two hundred fifty-five participants were recruited by convenient sampling and 236 were collected. Data was analyzed through the structural equation model. The direct factor that had a direct effect on ER nurses’ intention of turnover was job satisfaction and the hardiness proven by parameter appeared to have a positive effect on job satisfaction and quality of life of processionals. The only variable directly influencing turnover intention on ER nurses is job satisfaction, and hardiness and professional self-concept significantly affect job satisfaction. Hardiness and professional self-concept would reduce actual turnover of ER nurses through job satisfaction. Also various interventions increasing job satisfaction need to be developed based on the special context of ER.
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      It is extremely important in the emergency room(ER) to secure the manpower with highly trained skills and specialized knowledge and to maintain the optimal number of nurses working. Hence this study aims to present the direction for establishing an ef...

      It is extremely important in the emergency room(ER) to secure the manpower with highly trained skills and specialized knowledge and to maintain the optimal number of nurses working. Hence this study aims to present the direction for establishing an efficient human resources management plan by exploring the direct/indirect paths to the turnover intention of ER nurses, and also constructing a structural model. This study were collected using a structured questionnaire from nurses working for ER departments of 13 general hospitals located in 8 provinces in Korea from August 2nd to September 20th, 2013. Two hundred fifty-five participants were recruited by convenient sampling and 236 were collected. Data was analyzed through the structural equation model. The direct factor that had a direct effect on ER nurses’ intention of turnover was job satisfaction and the hardiness proven by parameter appeared to have a positive effect on job satisfaction and quality of life of processionals. The only variable directly influencing turnover intention on ER nurses is job satisfaction, and hardiness and professional self-concept significantly affect job satisfaction. Hardiness and professional self-concept would reduce actual turnover of ER nurses through job satisfaction. Also various interventions increasing job satisfaction need to be developed based on the special context of ER.

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      참고문헌 (Reference)

      1 조진영 ; 이영휘 ; 김화순 ; 김수현, "응급실 간호사의 폭력 경험에 대한 반응, 강인성 및 직무만족도와의 관계연구" 한국성인간호학회 23 (23): 494-502, 2011

      2 김현주 ; 최희정, "응급실 간호사의 전문직 삶의 질: 공감만족, 소진, 이차 외상성 스트레스" 간호행정학회 18 (18): 320-328, 2012

      3 김복자 ; 이은남 ; 강경희 ; 김성숙 ; 김순애 ; 성영희 ; 신덕신 ; 이광옥 ; 이희정, "응급실 간호사의 업무 규명을 위한 연구" 병원간호사회 12 (12): 81-95, 2006

      4 민아리 ; 김인숙, "간호사의 임상경력단계에 따른 경력개발제도 인식과 전문직 자아개념, 임파워먼트와의 관계" 간호행정학회 19 (19): 254-264, 2013

      5 김창희 ; 손연정 ; 유미애 ; 송주은 ; 양승순 ; 김연자, "간호사의 이직의도 구조모형" 간호행정학회 15 (15): 550-562, 2009

      6 D. Jackson, "Who would want to be a nurse? Violence in the workplace-a factor in recruitment and retention" 10 (10): 13-20, 2002

      7 B. H. Stamm, "The concise ProQOL manual"

      8 B. Y. Bae, "Structural equation modeling with amos 17" Chunglam 2009

      9 Gerald M Hampton, "Relationship of professionalism, rewards, market orientation and job satisfaction among medical professionals" Elsevier BV 57 (57): 1042-1053, 2004

      10 K. S. Robinson, "Nursing workforce issues and trends affecting emergency Departments" 36 : 46-53, 2005

      1 조진영 ; 이영휘 ; 김화순 ; 김수현, "응급실 간호사의 폭력 경험에 대한 반응, 강인성 및 직무만족도와의 관계연구" 한국성인간호학회 23 (23): 494-502, 2011

      2 김현주 ; 최희정, "응급실 간호사의 전문직 삶의 질: 공감만족, 소진, 이차 외상성 스트레스" 간호행정학회 18 (18): 320-328, 2012

      3 김복자 ; 이은남 ; 강경희 ; 김성숙 ; 김순애 ; 성영희 ; 신덕신 ; 이광옥 ; 이희정, "응급실 간호사의 업무 규명을 위한 연구" 병원간호사회 12 (12): 81-95, 2006

      4 민아리 ; 김인숙, "간호사의 임상경력단계에 따른 경력개발제도 인식과 전문직 자아개념, 임파워먼트와의 관계" 간호행정학회 19 (19): 254-264, 2013

      5 김창희 ; 손연정 ; 유미애 ; 송주은 ; 양승순 ; 김연자, "간호사의 이직의도 구조모형" 간호행정학회 15 (15): 550-562, 2009

      6 D. Jackson, "Who would want to be a nurse? Violence in the workplace-a factor in recruitment and retention" 10 (10): 13-20, 2002

      7 B. H. Stamm, "The concise ProQOL manual"

      8 B. Y. Bae, "Structural equation modeling with amos 17" Chunglam 2009

      9 Gerald M Hampton, "Relationship of professionalism, rewards, market orientation and job satisfaction among medical professionals" Elsevier BV 57 (57): 1042-1053, 2004

      10 K. S. Robinson, "Nursing workforce issues and trends affecting emergency Departments" 36 : 46-53, 2005

      11 S. R. Liou, "Nurses' intention to leave : critically analyse the theory of reasoned action and organizational commitment" 17 (17): 92-99, 2009

      12 L. Hayes, "Nurse turnover : A literature review" 43 (43): 237-263, 2006

      13 H. Lu, "Job satisfaction among hospital nurses revisited : a systematic review" 49 (49): 1017-1038, 2012

      14 B. Coomber, "Impact of job satisfaction components on intent to leave and turnover for hospital"basednurses : a review of the research literature" 44 (44): 297-314, 2007

      15 Hospital Nurses Association, "Hospital nurse staffing status survey, Business Report" Hospital Nurses Association

      16 Hospital Nurses Association, "Hospital nurse staffing status surve, Business Report" Hospital Nurses Association

      17 Peter Van Bogaert, "Hospital nurse practice environment, burnout, job outcomes and quality of care: test of a structural equation model" Wiley 65 (65): 2175-2185, 2009

      18 S. Judkins, "Hardiness training among nurse managers : building a healthy workplace" 37 (37): 202-207, 2006

      19 Sharon S. Cohen, "Field observations: Disaster Medical Assistance Team response for Hurricane Charley, Punta Gorda, Florida, August 2004" Elsevier BV 3 (3): 22-27, 2005

      20 J. A. Sawatzky, "Exploring the key predictors of retention in emergency nurses" 20 (20): 696-707, 2012

      21 L. H. Aiken, "Effects of hospital care environment on patient mortality and nurse outcomes" 38 (38): 223-229, 2008

      22 Howard M Weiss, "Deconstructing job satisfaction" Elsevier BV 12 (12): 173-194, 2002

      23 Crystal Hooper, "Compassion Satisfaction, Burnout, and Compassion Fatigue Among Emergency Nurses Compared With Nurses in Other Selected Inpatient Specialties" Elsevier BV 36 (36): 420-427, 2010

      24 B. A. Brooks, "Assessing the quality of nursing work life" 31 (31): 152-157, 2007

      25 L. S. Wissow, "Assessing provider-patient-parent communication in the pediatric emergency department" 2 (2): 323-329, 2002

      26 J. S. Yun, "A study of violence experience from patients an their families and job satisfaction of emergency department nurses" Ulsan University 2004

      27 S. D. Cheon, "A study about influence on job stress factors with leader member exchange, jobsatisfaction, organizational commitment and turnover inclination" 673-696, 2005

      28 J. L. Price, "A causal model for turnover for nurses" 24 : 543-565, 1981

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