Structural Equation Model of Turnover Intention Among Integrated Nursing Care Service Wards Nurses in Small- and Medium-Sized Hospitals

Abstract

Background:

To manage the turnover intention of nurses working in integrated nursing care service wards in small- and medium-sized hospitals, it is essential to identify influencing factors by considering not only various environmental factors surrounding individuals, but also personal and structural factors.

Aim:

We aimed to construct and verify a structural equation model of the turnover intention of nurses working in integrated nursing care service wards in small- and medium-sized hospitals.

Methods:

Data were collected from 244 nurses working in integrated nursing care service wards of small- and medium-sized hospitals. We conducted confirmatory factor analysis, determining the goodness-of-fit of the hypothetical model, and verifying path significance. The verification results of the structural equation model indicated that the fit indices of the hypothetical model satisfied the thresholds, confirming its fit.

Results:

The results of the path analysis of major variables indicated the presence of direct and indirect effects of external employment opportunities, gratitude disposition, nursing work environment, job satisfaction, and organizational commitment on turnover intention, with an overall explanatory power of 60.8%.

Conclusion:

To reduce the turnover intention among nurses working in integrated nursing care service wards of small- and medium-sized hospitals, it is essential to enhance job satisfaction and organizational commitment by managing external employment opportunities, cultivating a gratitude disposition, and improving the nursing work environment.