Employee Well-being and Turnover Intention Among New Graduate Nurses in Hospitals of Dali, the People’s Republic of China
Keywords:
Employee well-being, Turnover intention, New graduate nursesAbstract
Employee well-being is an important factor in turnover intention among new graduate nurses. This descriptive correlational study aimed to describe employee well-being, determine the level of turnover intention, and examine the relationship between employee well-being and turnover intention of new graduate nurses in hospitals in Dali, the People’s Republic of China. The sample consisted of 260 new graduate nurses working in three Dali hospitals. The research instruments were the Chinese version of the Employee Well-being Scale (EWBS) and the Turnover Intention Questionnaire (TIQ). The Cronbach’s alpha of the EWBS and TIQ were 0.94 and 0.89, respectively. Descriptive statistics and Spearman’s rank-order correlation were used for data analysis.
Results revealed that the overall mean score of employee well-being of new graduate nurses was 3.97 (SD = .72). Turnover intention of new graduate nurses was at a moderate level ( = 3.77, SD = .96). There was a significant negative relationship between employee well-being and turnover intention (r = -.341, p < .01).
The findings of this study could provide baseline data for nurse administrators to design strategies to improve employee well-being and minimize the turnover intention of new graduate nurses.
References
Alexander, J. A., Lichtenstein, R., Oh, H. J., & Ullman, E. (1998). A causal model of voluntaryturnover among nursing personnel in long-term psychiatric settings. Research inNursing & Health, 21(5), 415-427.
Amin, Z., & Akbar, K. P. (2013). Analysis of psychological well-being and turnover intentions of hotel employees: An empirical study. International Journal of Innovation and Applied Studies, 3(3), 662-671.
Baidu Library. (2018). Hospital salary system. Retrieved from https://wenku.baidu.com/ view/4848dc9b767f5acfa0c7cd31.html?from=search
Beecroft, P. C., Dorey, F., & Wenten, M. (2008). Turnover intention in new graduate nurses: A multivariate analysis. Journal of Advanced Nursing, 62(1), 41-52.
Benner, P. (1984). From novice to expert. Menlo Park, CA: Addison-Wesley.
Boyd, A. (1997). Employee traps-corruption in the workplace. Management Review, 86(8), 9-10.
Brunetto, Y., Teo, S. T., Shacklock, K., & Farr-Wharton, R. (2012). Emotional intelligence, job satisfaction, well-being and engagement: Explaining organizational commitment and turnover intentions in policing. Human Resource Management Journal, 22(4), 428-441.
Brunetto, Y., Xerri, M., Shriberg, A., Farr-Wharton, R., Shacklock, K., Newman, S., & Dienger, J. (2013). The impact of workplace relationships on engagement, well-being, commitment and turnover for nurses in Australia and the USA. Journal of Advanced Nursing, 69(12), 2786-2799.
Buerhaus, P. I., Auerbach, D. I., & Staiger, D. O. (2009). The recent surge in nurse employment: Causes and implications. Health Affairs, 28(4), w657-w668.
Chen, H., Li, G., Li, M., Lv, L., & Zhang, T. (2018). A cross-sectional study on nurse turnover intention and influencing factors in Jiangsu Province, China. International Journal of Nursing Sciences, 5(4), 396-402. doi: 10.1016/j.ijnss.2018.09.012
Cheng, C. Y., Tsai, H. M., Chang, C. H., & Liou, S. R. (2014). New graduate nurses’ clinical competence, clinical stress, and intention to leave: A longitudinal study in Taiwan. The Scientific World Journal, 2014, Article ID 748389. doi: 10.1155/2014/748389
Chinese Public Medical Examination. (2018). Only the nurses understand the sadness, why are more and more nurses considering changing careers? Retrieved from http://dy.163.com/v2/article/detail/DHEJE9470516U8F3.html
Cho, S. H., Lee, J. Y., Mark, B. A., & Yun, S. C. (2012). Turnover of new graduate nurses in their first job using survival analysis. Journal of Nursing Scholarship, 44(1), 63-70.
De Gieter, S., Hofmans, J., & Pepermans, R. (2011). Revisiting the impact of job satisfaction and organizational commitment on nurse turnover intention: An individual differences analysis. International Journal of Nursing Studies, 48(12), 1562-1569.
Diener, E. D. (1984). Subjective well-being. Psychological Bulletin, 95(3), 542.
Duchscher, J. B. (2008). A process of becoming: The stages of new nursing graduate professional role transition. The Journal of Continuing Education in Nursing, 39(10), 441-450.
Duchscher, J. B. (2009). Transition shock: The initial stage of role adaptation for newly graduated registered nurses. Journal of Advanced Nursing, 65(5), 1103-1113.
Fallatah, F., Laschinger, H. K., & Read, E. A. (2017). The effects of authentic leadership, organizational identification, and occupational coping self-efficacy on new graduate nurses' job turnover intentions in Canada. Nursing Outlook, 65(2), 172-183.
Fishbein, M., & Ajzen, I. (1975). Belief, attitude, intention and behavior: An introduction to theory and research. Reading, MA: Addison-Wesley.
Gerrish, K. (2000). Still fumbling along? A comparative study of the newly qualified nurse’s perception of the transition from student to qualified nurse. Journal of Advanced Nursing, 32(2), 473-480.
Giallonardo, L. M., Wong, C. A., & Iwasiw, C. L. (2010). Authentic leadership of preceptors: Predictor of new graduate nurses’ work engagement and job satisfaction. Journal of Nursing Management, 18(8), 993-1003.
Hamilton, E. M., Murray, M. K., Lindholm, L. H., & Myers, R. E. (1989). Effects of mentoring on job satisfaction, leadership behaviors, and job retention of new graduate nurses. Journal of Nursing Staff Development, 5(4), 159-165.
Israel, G. D. (1992). Determining sample size. Hillsborough, FL: University of Florida Cooperative Extension Service, Institute of Food and Agriculture Sciences.
Jacobs, E. J., & Roodt, G. (2008). Organizational culture of hospitals to predict turnover intentions of professional nurses. Health SA Gesondheid (Online), 13(1), 63-78.
Kovner, C. T., Brewer, C. S., Yingrengreung, S., & Fairchild, S. (2010). New nurses’ views of quality improvement education. The Joint Commission Journal on Quality and Patient Safety, 36(1), 29-AP5.
Laschinger, H. K. S. (2012). Job and career satisfaction and turnover intentions of newly graduated nurses. Journal of Nursing Management, 20(4), 472-484.
Laschinger, H. K. S., Grau, A. L., Finegan, J., & Wilk, P. (2012). Predictors of new graduate nurses’ workplace well-being: Testing the job demands–resources model. Health Care Management Review, 37(2), 175-186.
Lee, H., Lim, Y., Jung, H. Y., & Shin, Y. W. (2012). Turnover intention of graduate nurses in South Korea. Japan Journal of Nursing Science, 9(1), 63-75.
Li, L., Akkadechanunt, T., & Chontawan, R. (2011). Professional practice environment and turnover intention among nurses in the general university hospitals, Yunnan Province, the people' s republic of China (Unpublished master’s thesis). Chiang Mai University, Thailand.
Lu, L., Kao, S. F., Siu, O. L., & Lu, C. Q. (2011). Work stress, Chinese work values, and work well-being in the greater China. Journal of Social Psychology, 151(6), 767–783.
Mark, G., & Smith, A. P. (2012). Occupational stress, job characteristics, coping, and the mental health of nurses. British Journal of Health Psychology, 17(3), 505-521.
Mai, L. H., Zhai, J. G., Liao, M. F., & Huang, M. L. (2016). Analysis and countermeasures of the current situation of the loss of contemporary human resources. International Journal of Nursing, 2.
Mobley, W. H. (1977). Intermediate linkages in the relationship between job satisfaction and employee turnover. Journal of Applied Psychology, 62(2), 237.
Modern Nursing. (2018). Chinese nurse, why are you so tired? Retrieved from https://www. jianshu.com/p/80755e641583
National Ministry of Health Statistics. (2016). China’s medical and health situation: Statistical bulletin on the development of health and family planning in China (2016). Retrieved from https://www.sohu.com/a/166601731_505926
Nurse Network. (2018). As a nurse, where are the advantages of undergraduate nurses? Retrieved from https://baijiahao.baidu.com/s?id=1609943086058049135& wfr=spider&for=pc
Nurses International. (2011). The hospital nursing shortage-Bullet points and statistics. (Consulted on February 1, 2011). Retrieved from http://www.nursesinternational.us/hospitalnursingshortage.html
Ortiz, J. (2016). New graduate nurses' experiences about lack of professional confidence. Nurse Education in Practice, 19, 19-24.
Oulton, J. A. (2006). The global nursing shortage: An overview of issues and actions. Policy, Politics, & Nursing Practice, 7(Suppl. 3), 34S-39S.
Pack, T. G., Roessler, R. T., Turner, R., & Robertson, J. (2007). Prediction of turnover intentions among employed adults with multiple sclerosis. Journal of Rehabilitation, 73(3), 26.
Parker, V., Giles, M., Lantry, G., & McMillan, M. (2014). New graduate nurses’ experiences in their first year of practice. Nurse Education Today, 34(1), 150-156.
People’s Health Network. (2018). The total number of registered nurses in China exceeds 3.8 million. The ratio of medical care reaches 1: 1.1. Retrieved from http://health.people.com.cn/n1/2018/0511/c14739-29980199.html
Ryu, G. (2016). Public employees’ well-being when having long working hours and low-salary working conditions. Public Personnel Management, 45(1), 70-89.
Spreitzer, G., & Porath, C. (2012). Creating sustainable performance. Harvard Business Review, 90(1), 92-99.
Sung, K., Seo, Y., & Kim, J. H. (2012). Relationships between compassion fatigue, burnout, and turnover intention in Korean hospital nurses. Journal of Korean Academy of Nursing, 42(7), 1087-1094.
Takase, M. (2010). A concept analysis of turnover intention: Implications for nursing management. Collegian, 17(1), 3-12.
Vogelpohl, D. A., Rice, S. K., Edwards, M. E., & Bork, C. E. (2013). New graduate nurses’ perception of the workplace: Have they experienced bullying? Journal of Professional Nursing, 29(6), 414-422.
Wang, H. L., Zhang X., & Liu C. F. (2003). Talking about the clinical advantages of on-the-job nurses with high education. China International Journal of Nursing, 3, 206-207.
Wang, J., & Wang, Y. (2016). The impact of character strengths on employee well-being: The mediating effect of work-family relationship. World Academy of Science, Engineering and Technology, International Journal of Social, Behavioral, Educational, Economic, Business and Industrial Engineering, 10(5), 1600-1608.
Warr, P. (2007). Searching for happiness at work. Psychologist Leicester, 20(12), 726.
Xu, A. Y., Ding, Y. L., Lv, L. M., Wen, H., & Li, H. J. (2016). Analysis of the status quo and reasons of nurses leaving in a top three hospital. International Journal of Nursing, 35(6).
Yamane, T. (1973). Statistics: An introductory analysis (3rd ed.). New York: Harper and Row.
Yang, H. Y., Yan, H., Zhou, X., Wang, Z. Y., & Lv, J. W. (2014). Investigation on the current situation of 721 clinical nurses' willingness to leave. Chinese Hospital Management, 34(2), 61-63.
Zheng, X., & Liu, X. (2016). The effect of interactional justice on employee well-being: The mediating role of psychological empowerment and the moderating role of power distance. Acta Psychological Sinica, 48(6), 693-709. doi: 10.3724/SP.J.1041.2016.00693
Zheng, X., Zhu, W., Zhao, H., & Zhang, C. (2015). Employee well-being in organizations: Theoretical model, scale development, and cross-cultural validation. Journal of Organizational Behavior, 36(5), 621-644.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Nursing Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว