Effects of Nurses' Practice Environment and Job Embeddedness on Turnover Intention in Medium-small sized Hospital

Abstract

The purpose of this study was to investigate the effects of turnover intention of nursing according to the nurses' practice environments and job embeddedness in medium-to-small sized hospital s. A total of 131 nurses working in a hospital with less than 200 beds, and 145 nurses in a hospital with 200 to 400 beds were included in this study. Data were collected from 10th to 24th of August, 2015 and analyzed using the SPSS/WIN 18.0 program. The results were as follows: (a) Nurses' practice environment and job embeddedness showed no significant differences between the two groups, but there were significant differences of turnover intention between the two groups; (b) turnover intention was negatively correlated with nurses' practice environment and job embeddedness in each group; and (c) in hospital of less than 200beds, the factors of influencing turnover intention were job embeddedness, age and nurses' practice environment. Conversely, in a hospital with 200 to 400 beds, the factors of influencing turnover intention were job embeddedness, pay, and nurses' practice environment. This study suggests that to reduce turnover intention, we have to improve the practice environment of nurses and to enhance job embeddedness for nurses in medium-to-small sized hospitals.