Journal of Korean Academy of Nursing

Original Articles

Predictors of Turnover among New Nurses using Multilevel Survival Analysis: Suhee Kim, Kyongeun Lee; J Korean Acad Nurs 2016;46(5):733-743. Published online October 31, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.5.733

Purpose

The purpose of this study was to examine factors influencing new graduate nurse turnover.

Methods

This study was carried out as a secondary analysis of data from the 2010 Graduates Occupational Mobility Survey (GOMS). A total of 323 nurses were selected for analysis concerning reasons for turnover. Data were analyzed using descriptive statistics and multilevel survival analysis.

Results

About 24.5% of new nurses left their first job within 1 year of starting their jobs. Significant predictors of turnover among new nurse were job status, monthly income, job satisfaction, the number of hospitals in region, and the number of nurses per 100 beds.

Conclusion

New graduate nurses are vulnerable to turnover. In order to achieve the best health of the nation, policy approaches and further studies regarding reducing new graduate nurse turnover are needed.

Citations

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Prevalence and Moderating Factors of Turnover Rate and Turnover Intention Among Nurses Worldwide: A Meta-Analysis
Dluha Mafula, Hidayat Arifin, Ruey Chen, Chien-Mei Sung, Chiu-Kuei Lee, Kai-Jo Chiang, Kondwani Joseph Banda, Kuei-Ru Chou
Journal of Nursing Regulation.2025; 15(4): 20. CrossRef
Individual and environmental factors that influence longevity of newcomers to nursing and midwifery: a scoping review
Janie Alison Brown, Tanya Capper, Desley Hegney, Helen Donovan, Moira Williamson, Pauline Calleja, Terena Solomons, Sally Wilson
JBI Evidence Synthesis.2024; 22(5): 753. CrossRef
Assessing the impacts of nurse staffing and work schedules on nurse turnover: A systematic review
Sung‐Heui BAE
International Nursing Review.2024; 71(1): 168. CrossRef
Factors associated with practice readiness among newly qualified nurses in their first two years of practice
Siew Hoon Lim, Shin Yuh Ang, Fazila Aloweni, Kee Chen Elaine Siow, Sabrina Bee Leng Koh, Tracy Carol Ayre
Nurse Education Today.2024; 136: 106143. CrossRef
South Korean Nurse Residency Program for New Graduates: A Posttest Study
Jihye Song, Kyunghee Kim, Yunjung Jang
The Journal of Continuing Education in Nursing.2024; 55(8): 393. CrossRef
Socializing into a Profession with High Early Turnover: Nursing Students’ Expectations for Leader-Member Relationships
Jennifer K. Ptacek, Leah M. Omilion-Hodges
Health Communication.2024; 39(11): 2402. CrossRef
An examination of the career decision-making self-efficacy of final-year nursing students
Edah Anyango, Esther Adama, Janie Brown, Irene Ngune
Nurse Education Today.2024; 138: 106196. CrossRef
Association of Work Schedules With Nurse Turnover: A Cross-Sectional National Study
Sung-Heui Bae
International Journal of Public Health.2023;[Epub] CrossRef
Comprehensive assessment of factors contributing to the actual turnover of newly licensed registered nurses working in acute care hospitals: a systematic review
Sung-Heui Bae
BMC Nursing.2023;[Epub] CrossRef
Turnover intention and retention of newly licensed nurses in their first job: A longitudinal study
Hyoung Eun Chang, Sung‐Hyun Cho
International Nursing Review.2023; 70(3): 338. CrossRef
Factors Influencing RNs' Intention to Stay in Nursing Homes: Multilevel Modeling Approach
Sunyeob Choi, Jiyeon Lee
Journal of Gerontological Nursing.2023; 49(7): 40. CrossRef
Factors associated with difficulty in adapting and intent to leave among new graduate nurses in South Korea
Sun-young Park, Heejung Kim, Chenjuan Ma
Health Care Management Review.2022; 47(2): 168. CrossRef
Why Nurses Are Leaving Veterans Affairs Hospitals?
Dongjin Oh, Keon-Hyung Lee
Armed Forces & Society.2022; 48(4): 760. CrossRef
Re-employment Hospital Types of Early Career Nurses and Changes in Work-Life Balance
Eun-Young Kim, Yun-Kyung Oh
STRESS.2022; 30(3): 163. CrossRef
Factors Influencing Re-Employment of Newly Graduated Nurses: Longitudinal Study
Yun Kyung Oh, Eun-Young Kim
Journal of Korean Academy of Nursing.2021; 51(2): 162. CrossRef
Predictors of actual turnover among nurses working in Korean hospitals: A nationwide longitudinal survey study
Sung‐Heui Bae, Mijung Cho, Oksoo Kim, Yanghee Pang, Chiyoung Cha, Heeja Jung, Sue Kim, Hyunseon Jeong
Journal of Nursing Management.2021; 29(7): 2102. CrossRef
The Effect of Neighborhood Characteristics and Friends' Smoking Status on the Habitual Smoking Onset in Adolescents
You-Jung Choi, Gwang Suk Kim
Journal of Korean Academy of Nursing.2021; 51(1): 54. CrossRef
Nurse turnover: A longitudinal survival analysis of the Korea Nurses' Health Study
Young Taek Kim, Oksoo Kim, Chiyoung Cha, Yanghee Pang, Choa Sung
Journal of Advanced Nursing.2021; 77(10): 4089. CrossRef
Factors associated with the nurses’ intent to stay in China, Japan, and Korea: an integrative review
Ting Xue, Wen-Bin Jiang, Meng-Di Ma, Jie Zhang, Ming-Hui Lu, Yong-Mei Jiang
Frontiers of Nursing.2020; 7(3): 269. CrossRef
Exploring barriers and facilitators for successful transition in new graduate nurses: A mixed methods study
Ju Hee Kim, Hye Sook Shin
Journal of Professional Nursing.2020; 36(6): 560. CrossRef
Turnover Rates and Factors Influencing Turnover of Korean Acute Care Hospital Nurses: A Retrospective Study Based on Survival Analysis
Bohyun Park, Yukyung Ko
Asian Nursing Research.2020; 14(5): 293. CrossRef
Effects of Head Nurses' Authentic Leadership, Job Satisfaction and Organizational Commitment Perceived by Newly Licenced Nurses on Turnover Intention
Eun Min An, Ju Young Park
Journal of Korean Academy of Nursing Administration.2020; 26(4): 428. CrossRef
Relationships among demands at work, aggression, and verbal abuse among registered nurses in South Korea
Hyoung Eun Chang, Mi Youn Park, Haena Jang, Shinae Ahn, Hyo-Jeong Yoon
Nursing Outlook.2019; 67(5): 567. CrossRef
Survey on the Education System for New Graduate Nurses in Hospitals: Focusing on the Preceptorship
Sujin Shin, Young Woo Park, Mijung Kim, Jeonghyun Kim, Inyoung Lee
Korean Medical Education Review.2019; 21(2): 112. CrossRef
The effect of quality of work life and job control on organizational indifference and turnover intention of nurses: a cross-sectional questionnaire survey
Narjes Alsadat Nasabi, Peivand Bastani
Central European Journal of Nursing and Midwifery.2018; 9(4): 915. CrossRef
Predictors of Turnover Intention among Nurses in Small and Medium-sized Hospitals
Jeong Hye Park, Hye Young Hwang
Journal of Korean Academy of Nursing Administration.2017; 23(5): 471. CrossRef
Patterns and Influential Factors of Inter-Regional Migration of New and Experienced Nurses in 2011~2015
Bohyun Park, Se Young Kim
Journal of Korean Academy of Nursing.2017; 47(5): 676. CrossRef

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Ecological Correlates of Cardiovascular Disease Risk in Korean Blue-collar Workers: A Multi-level Study: Won Ju Hwang, Yunhee Park; J Korean Acad Nurs 2015;45(6):857-867. Published online December 15, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.6.857

Abstract PDF

Abstract Purpose

The purpose of this study was to investigate individual and organizational level of cardiovascular disease (CVD) risk factors associated with CVD risk in Korean blue-collar workers working in small sized companies.

Methods

Self-report questionnaires and blood sampling for lipid and glucose were collected from 492 workers in 31 small sized companies in Korea. Multilevel modeling was conducted to estimate effects of related factors at the individual and organizational level.

Results

Multilevel regression analysis showed that workers in the workplace having a cafeteria had 1.81 times higher CVD risk after adjusting for factors at the individual level (p=.022). The explanatory power of variables related to organizational level variances in CVD risk was 17.1%.

Conclusion

The results of this study indicate that differences in the CVD risk were related to organizational factors. It is necessary to consider not only individual factors but also organizational factors when planning a CVD risk reduction program. The factors caused by having cafeteria in the workplace can be reduced by improvement in the CVD-related risk environment, therefore an organizational-level intervention approach should be available to reduce CVD risk of workers in small sized companies in Korea.

Citations

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Multilevel Analysis of Factors Affecting Health-Related Quality of Life of the Elderly
Hyunjung Moon, Sunkyung Cha
Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(3): 391. CrossRef
Socioeconomic Disparities in Cardiovascular Health in South Korea
Chi-Young Lee, Eun-Ok Im
Journal of Cardiovascular Nursing.2021; 36(1): 8. CrossRef
Health promotion program for office workers with SEM based on the WHO’s healthy workplace framework
Hosihn Ryu, Jiyeon Jung, Jihyun Moon
Health Promotion International.2020; 35(6): 1369. CrossRef
Effects of a Yoga Program in Reducing Cardiovascular Disease Risk Factors in Workers of Small Workplaces: A Pilot Test
Won Ju Hwang, Jin Ah Kim, Ji Sun Ha
Sustainability.2020; 12(23): 10038. CrossRef
An Exploration of Contextual Aspects that Influence Cardiovascular Disease Risks Perceived by Workers in a Small–Medium-Sized Workplace
Jin Ah Kim, Won Ju Hwang, Juhye Jin
International Journal of Environmental Research and Public Health.2020; 17(14): 5155. CrossRef
Measurement of Socioeconomic Position in Research on Cardiovascular Health Disparities in Korea: A Systematic Review
Chi-Young Lee, Yong-Hwan Lee
Journal of Preventive Medicine and Public Health.2019; 52(5): 281. CrossRef
Developing a Health-Promotion Program Based on the Action Research Paradigm to Reduce Cardiovascular Disease Risk Factors among Blue Collar Workers
Won Ju Hwang, Jin Ah Kim
International Journal of Environmental Research and Public Health.2019; 16(24): 4958. CrossRef
Regional Factors on the Self-rated Health of Wage Workers
Minjung Kwon, Eunsuk Choi
Journal of Korean Academy of Community Health Nursing.2018; 29(1): 21. CrossRef
A Systematic Review of Interventions for Workers with Cardiovascular Disease Risk Factors: Using an Ecological Model
Won Ju Hwang, Yunhee Park, Jin Ah Kim
Korean Journal of Occupational Health Nursing.2016; 25(1): 41. CrossRef
CVD-related Knowledge, Perception, Belief and Prevention Behaviors of Korean Blue-collar Workers: Needs Assessment for Developing the Intervention Program through Qualitative Approach
Won Ju Hwang, Yunhee Park
Korean Journal of Occupational Health Nursing.2016; 25(4): 362. CrossRef

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Factors Influencing Changes in Quality of Life in Patients undergoing Hematopoietic Stem Cell Transplantation: A Longitudinal and Multilevel Analysis: Chi Eun Song, Hyang Sook So; J Korean Acad Nurs 2015;45(5):694-703. Published online October 30, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.5.694

Abstract PDF

Purpose

This study was a prospective longitudinal study to identify changes in quality of life in patients undergoing allogeneic hematopoietic stem cell transplantation (HSCT). It was based on Roy's adaptation model.

Methods

The questionnaires were administered before HSCT, 30 and 100 days after HSCT. Of the 48 potentially eligible patients, 44 (91.7%) participated in the study and 40 (90.9%) completed the questionnaires at 100 days after HSCT. Multilevel analysis was applied to analyze changes in quality of life.

Results

Overall, quality of life showed a decreasing tendency from pre-HSCT to 100 days after HSCT. The adaptation level of participants was compensatory. Type of conditioning was the significant factor influencing quality of life before HSCT (β₀₀=79.92, p <.001; β₀₁= - 12.64, p <.001) and the change rate of quality of life (β₁₀= - 1.66, p =.020; β₁₁=2.88, p =.014). Symptom severity (β₂₀= - 1.81, p =.004), depression (β₃₀= - 0.58, p =.001), social dependency (β₄₀= - 0.35, p =.165), and loneliness (β₅₀= - 0.23, p =.065) had a negative effect on changes in quality of life. Symptom severity and depression were statistically significant factors influencing changes in quality of life.

Conclusion

According to the results of this study, the development of nursing intervention is needed to improve quality of life in patients undergoing allogeneic hematopoietic stem cell transplantation in the early immune reconstruction period. The interventions should include programs to enhance coping capacity and programs to help control symptom severity and depression. Also these interventions need to be started from the beginning of HSCT and a multidisciplinary approach would be helpful.

Citations

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Estimating the Incidence-Based Cost of Illness Due to Hematopoietic Stem Cell Transplantation Using One-Year Insurance Claim Data in Korea
Sol Kwon, Hye-Young Kang
PharmacoEconomics - Open.2023; 7(2): 189. CrossRef
Determining the symptoms and coping methods of patients at home after hematopoietic stem cell transplantation
Kader Caliskan, Gulbeyaz Can
Supportive Care in Cancer.2022; 30(7): 5881. CrossRef
Effect of Acculturative Stress on Multicultural Adolescents’ Life Satisfaction: Sequential Multiple Mediating Effects of Bicultural Acceptance Attitude, Self-Esteem, and Social Withdrawal -Using the 2016 Multicultural Adolescents Panel Study-
Soo Mi Kim, Hyeon Ok Kim
Journal of Korean Academy of Nursing.2022; 52(3): 324. CrossRef
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Pok-Ja Oh, Jung-Ran Cho
Cancer Nursing.2020; 43(1): E54. CrossRef
Experiences of Unrelated Hematopoietic Stem-cell Donors and Experts of Relevant Institutions
Soyoung Yu, Miok Kim, Tai-Gyu Kim, Su-Hee Beom
Korean Journal of Adult Nursing.2019; 31(5): 522. CrossRef
Factors Influencing Health Related Quality of Life in Adult Survivors of Haematopoietic Stem Cell Transplantation
Hyunjin Kwon, Eunjung Ryu
Asian Oncology Nursing.2017; 17(4): 220. CrossRef
The Symptom Management of Myeloproliferative Neoplasms
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Health and Social Welfare Review.2016; 36(3): 34. CrossRef
Evaluation of Quality of Life and Care Needs of Turkish Patients Undergoing Hematopoietic Stem Cell Transplantation
Neslisah Yasar, Semiha Akin
Nursing Research and Practice.2016; 2016: 1. CrossRef

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Factors related to Nurses' Patient Identification Behavior and the Moderating Effect of Person-organization Value Congruence Climate within Nursing Units: Young Mee Kim, Seung-Wan Kang, Se Young Kim; J Korean Acad Nurs 2014;44(2):198-208. Published online April 30, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.2.198

Abstract PDF

Purpose

This research was an empirical study designed to identify precursors and interaction effects related to nurses' patient identification behavior. A multilevel analysis methodology was used.

Methods

A self-report survey was administered to registered nurses (RNs) of a university hospital in South Korea. Of the questionnaires, 1114 were analyzed.

Results

The individual-level factors that had a significantly positive association with patient identification behavior were person-organization value congruence, organizational commitment, occupational commitment, tenure at the hospital, and tenure at the unit. Significantly negative group-level precursors of patient identification behavior were burnout climate and the number of RNs. Two interaction effects of the person-organization value congruence climate were identified. The first was a group-level moderating effect in which the negative relationship between the number of RNs and patient identification behavior was weaker when the nursing unit's value congruence climate was high. The second was a cross-level moderating effect in which the positive relationship between tenure at the unit and patient identification behavior was weaker when value congruence climate was high.

Conclusion

This study simultaneously tested both individual-level and group-level factors that potentially influence patient identification behavior and identified the moderating role of person-organization value congruence climate. Implications of these results are discussed.

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Content Analysis of Patient Safety Incident Reports Using Text Mining: A Secondary Data Analysis
On-Jeon Baek, Ho Jin Moon, Hyosun Kim, Sun-Hwa Shin
Korean Journal of Adult Nursing.2024; 36(4): 298. CrossRef
Compare Value Congruence of Nurse-Patient Assignment with Work Performance in Neonatal Intensive Care Unit
Hye Min Kim, Dong Yeon Kim, Ji Young Kim, Ga Young Kim, Seol Hee Moon
Journal of Korean Academy of Nursing Administration.2021; 27(5): 355. CrossRef
Structural empowerment and nurses’ patient identification behaviors: a cross-sectional study
Young Mee Kim, Se Young Kim
International Journal of Health Care Quality Assurance.2019; 32(5): 832. CrossRef

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3 Crossref

Multilevel Analysis of Health Care Service Utilization among Medical Aid Beneficiaries in Korea: Yang Heui Ahn, Ok Kyung Ham, Soo Hyun Kim, Chang Gi Park; J Korean Acad Nurs 2012;42(7):928-935. Published online December 12, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.7.928

Abstract PDF

Abstract Purpose

The current study was done to identify individual- and group-level factors associated with health care service utilization among Korean medical aid beneficiaries by applying multilevel modeling.

Methods

Secondary data analysis was performed using data on health care service reimbursement and medical aid case management progress from 15,948 beneficiaries, and data from 229 regions were included in the analysis.

Results

Results of multilevel analysis showed an estimated intraclass correlation coefficient (ICC) of 18.1%, indicating that the group level accounted for 18.1% of the total variance in health care service utilization, and that beneficiaries within the region are more likely to share common features with regard to health care service utilization. At the individual level, existence of disability and types of medical aid beneficiaries showed a significant association, while, at the group level, social deprivation index, and the number of beneficiaries and case managers within the region showed a significant association with health care service utilization.

Conclusion

The significant influence of group level variables in health care service utilization found in this study indicate a need for group level approaches, such as policy change and/ or promotion of community awareness.

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Equity of access under Korean national long-term care insurance: implications for long-term care reform
Ju Moon Park
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Won Ju Hwang, Yunhee Park
Journal of Korean Academy of Nursing.2015; 45(6): 857. CrossRef
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PLoS ONE.2014; 9(6): e98043. CrossRef

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Identification of Factors related to Hospital Nurses' Organizational Citizenship Behavior using a Multilevel Analysis: Yu Kyung Ko; Journal of Korean Academy of Nursing 2008;38(2):287-297. Published online April 30, 2008; DOI: https://doi.org/10.4040/jkan.2008.38.2.287

Abstract PDF

Purpose

The purpose of this study was to identify factors related to nurses' organizational citizenship behavior using multilevel analysis which included both nurse characteristics at individual levels and nursing unit characteristics at group levels.

Methods

The sample was composed of 1,996 nurses who were selected from 182 nursing units in 28 hospitals in six metropolitan cities and seven provinces using cluster sampling. Data were collected using self-reported questionnaires from February to March 2006.

Results

The results of the study indicated that individual level variables related to organizational citizenship behavior were religion, job position, clinical career, self efficacy, positive affectivity, and supervisor support. The group level variables related to organizational citizenship behavior were collective efficacy, number of nurses in a nursing unit, and the average salary level of a nursing unit. 30.9% of individual level variances of organizational citizenship behavior were explained by the nurses' individual level variables. The explanatory power of group level variables, which is related to group level variances of organizational citizenship behavior, was 75.5%.

Conclusion

This research showed that it was necessary to develop appropriate strategies related to not only individual factors, but also higher-level organizational factors such as collective efficacy, to improve individual performances in the hospital.

Citations

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