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Health-Related Factors Influencing Nurse Turnover by Clinical Career: A Secondary Data Analysis of Clinical Nurses in South Korea

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  • Jiwon Kang

    (Research Institute of Nursing Science, Ajou University, Suwon 16499, Republic of Korea
    School of Nursing, University of Minnesota, Minneapolis, MN 55455, USA)

  • Youngjin Lee

    (College of Nursing, Ajou University, Suwon 16499, Republic of Korea)

Abstract

The increase in clinical nurse turnover is an important issue in human resource management worldwide. Factors influencing it include health-related risk factors such as sleep quality and presenteeism, which need further exploration. We examined differences in job survival time of clinical nurses in relation to nurses’ sleep quality and presenteeism. Participants were 857 Korean clinical nurses with more than three months’ experience providing direct patient care. Data were analyzed using a time-independent Cox proportional hazard regression analysis of factors affecting actual turnover of clinical nurses. Average job survival times of competent, proficient, and expert nurses were 33, 64, and 143 months, respectively. Sleep quality and presentism significantly affected turnover risk. For clinical nurses with less than three years of experience, sleep quality significantly influenced the risk of turnover. For clinical nurses with more than six years of experience, presenteeism significantly affected the risk of turnover. The findings of this study offer a clinical career-based approach to reduce the turnover rate of clinical nurses. A differentiated approach based on work experience is necessary to establish a turnover management strategy for clinical nurses.

Suggested Citation

  • Jiwon Kang & Youngjin Lee, 2022. "Health-Related Factors Influencing Nurse Turnover by Clinical Career: A Secondary Data Analysis of Clinical Nurses in South Korea," IJERPH, MDPI, vol. 19(22), pages 1-14, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15222-:d:976459
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    References listed on IDEAS

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    1. Ting Cao & Xiuxiu Huang & Limin Wang & Bei Li & Xu Dong & Han Lu & Qiaoqin Wan & Shaomei Shang, 2020. "Effects of organisational justice, work engagement and nurses' perception of care quality on turnover intention among newly licensed registered nurses: A structural equation modelling approach," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(13-14), pages 2626-2637, July.
    2. Yvonne ten Hoeve & Saskia Kunnen & Jasperina Brouwer & Petrie F Roodbol, 2018. "The voice of nurses: Novice nurses’ first experiences in a clinical setting. A longitudinal diary study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1612-1626, April.
    3. Jison Ki & Jaegeum Ryu & Jihyun Baek & Iksoo Huh & Smi Choi-Kwon, 2020. "Association between Health Problems and Turnover Intention in Shift Work Nurses: Health Problem Clustering," IJERPH, MDPI, vol. 17(12), pages 1-12, June.
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