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Effects on Turnover Intention due to Terminal Care Stress of Nurses Working in Long-term Care Hospitals

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KMID : 0895920180200030217
ÇϽſµ ( Ha Shin-Young ) - °í·Á´ëÇб³ °£È£´ëÇÐ

¼ÛÁؾƠ( Song Jun-Ah ) - °í·Á´ëÇб³ °£È£´ëÇÐ

Abstract

Purpose: This study was done to examine the effect on turnover intention (TI) of terminal care stress (TCS) on nurses working in long-term care hospitals (LCH).

Methods: Participants were 182 nurses from 6 Seoul LCH. Data were collected from October to December, 2017. Self-report questionnaires were used to collect data on general characteristics, TCS, and TI.

Results: Subjective satisfaction on the job (r=.52, p<.001), number of monthly terminal care elders (r=.16, p=.043), TCS (r=.16, p=.027), and sub-categories of TCS, ¡®difficulty for assigning timetable to care for terminally ill patients¡¯ (r=.17, p=.025), ¡®feeling a burden of caring for terminally ill patients¡¯ (r=.23, p=.002), and ¡®conflict with terminally patients¡¯ (r=.16, p=.034) showed statistically significant correlation with TI. Multiple regression analysis showed significant influence of subjective satisfaction with job (¥â=.52, p<.001) and TCS (¥â=.23, p=.001) with a 30.3% explanatory power. When sub-categories of TCS were entered, subjective satisfaction with the job (¥â=.50, p<.001) and ¡®feeling burden of terminally ill patients¡¯ (¥â=.28, p<.001) were factors significantly influencing TI with explanatory power of 32.8%.

Conclusion: Findings of this study suggest that it is needed to develop standardized practice guidelines and educational programs for terminal care in LCH as well as stress healing programs for nurses.
KeyWords
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Terminal care, Geriatric nursing, Stress, Personnel turnover, Intention
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