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상급종합병원 간호사의 일과 삶의 균형이 재직의도에 미치는 영향: 조직몰입의 매개효과를 중심으로

Influence of Work-life Balance on Intention to Stay among Tertiary Hospital Nurses: Focusing on the Mediating Effect of Organizational Commitment

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Purpose : To investigate the impact of work-life balance on intention to stay among tertiary hospital nurses, focusing on the mediating effect of organizational commitment. Methods : This descriptive study collected data from 171 nurses with at least 12 months of experience in a tertiary hospital between March 10 and April 30, 2023. Instruments included the Work-Life Balance Scale, Nurses’ Retention Index, and Organizational Commitment Questionnaire. Data were analyzed using descriptive and inferential statistics, including regression and bootstrapping, with SPSS Statistics 28.0 and PROCESS macro. Results : Intention to stay varied significantly by age (F=6.60, p<.001) and education level (F=16.00, p<.001). Work-life balance correlated positively with both intention to stay (r=.34, p<.001) and organizational commitment (r=.28, p<.001). Organizational commitment partially mediated the effect of work-life balance on intention to stay (indirect effect=0.31, boot SE=0.10, 95% boot CI=[0.13, 0.53]). Conclusion : Organizational commitment significantly mediates the relationship between work-life balance and intention to stay among tertiary hospital nurses. Enhancing work-life balance and fostering organizational commitment are essential for stabilizing the nursing workforce.

Abstract

Purpose : To investigate the impact of work-life balance on intention to stay among tertiary hospital nurses, focusing on the mediating effect of organizational commitment. Methods : This descriptive study collected data from 171 nurses with at least 12 months of experience in a tertiary hospital between March 10 and April 30, 2023. Instruments included the Work-Life Balance Scale, Nurses’ Retention Index, and Organizational Commitment Questionnaire. Data were analyzed using descriptive and inferential statistics, including regression and bootstrapping, with SPSS Statistics 28.0 and PROCESS macro. Results : Intention to stay varied significantly by age (F=6.60, p<.001) and education level (F=16.00, p<.001). Work-life balance correlated positively with both intention to stay (r=.34, p<.001) and organizational commitment (r=.28, p<.001). Organizational commitment partially mediated the effect of work-life balance on intention to stay (indirect effect=0.31, boot SE=0.10, 95% boot CI=[0.13, 0.53]). Conclusion : Organizational commitment significantly mediates the relationship between work-life balance and intention to stay among tertiary hospital nurses. Enhancing work-life balance and fostering organizational commitment are essential for stabilizing the nursing workforce.

참고문헌 (49)

  1. Kim JW, "Conceptual understanding and effectiveness of Work-Life Balance", Leisure Studies, 2(3), pp.29~48 (2005)
  2. Cho EY, "Factors affecting nurse retention intention : with a focus on shift nurses in South Korea", Healthcare, 11(8), pp.1167~ (2023)
  3. Min D, "Factors associated with retention intention of Registered Nurses in Korean nursing homes", International Nursing Review, 69(4), pp.459~469 (2022)
  4. "Statistics"[URL]
  5. Park HS, "Impact of self-leadership and organizational commitment on the intention of psychiatric mental health nurses to remain in the profession", Journal of Korean Academy of Psychiatric and Mental Health Nursing, 25(4), pp.409~417 (2016)
  6. Manurung RN, "The effect of work-life balance, job burnout, organizational commitment on turnover intention at XYZ Hospital in Bekasi", Management and Economics Journal, 8(1), pp.83~98 (2024)
  7. Yu HS, "The mediating effects of work–life balance(WLB)and ease of using WLB programs in the relationship between WLB organizational culture and turnover intention", International Journal of Environmental Research and Public Health, 19(6), pp.3482~ (2022)
  8. Rani C, "Work life balance and turnover intentions of nurses in private healthcare sector : the mediating role of organizational commitment", South Asian Journal of Management, 30(3), pp.100~118 (2023)
  9. Gautam PK, "Work-life balance, job satisfaction and turnover intentions among nurses", International Journal of Organizational Analysis (2024)
  10. Yoon JH, "The influence of leader-member exchange relationship, perceived organizational support, and work-life balance on tertiary hospital nurses’ retention intention", Journal of Korean Academy of Fundamentals of Nursing, 30(1), pp.13~23 (2023)
  11. Kim J, "Factors influencing nurses’ intention to stay : focusing on generation Y nurses", Journal of Korean Academy of Nursing Administration, 26(5), pp.442~452 (2020)
  12. Kim JK, "Effects of general hospital nurses’ work environment on job embeddedness and burnout", Journal of Korean Academy of Nursing Administration, 20(1), pp.69~81 (2014)
  13. Kim CW, "A study on the development of a ‘Work-Life Balance’ scale", Journal of Leisure Studies, 5(3), pp.53~69 (2008)
  14. Cowin L, "The effects of nurses’ job satisfaction retention : an Australian perspective", Journal of Nursing Administration, 32(5), pp.283~291 (2002)
  15. Kim MJ, "The effect of nursing organizational culture on the intention of nurse employment", master, pp.2006
  16. Mowday RT, "The measurement of organizational commitment", Journal of Vocational Behavior, 14(2), pp.224~247 (1979)
  17. Lee MH, "Relationship between organizational culture types and organizational effectiveness in hospitals", Journal of Korean Academy of Nursing Administration, 4(2), pp.363~385 (1998)
  18. Kim Y, "Effects of self-efficacy, career plateau, job embeddedness, and organizational commitment on the turnover intention of nurses", Journal of Korean Academy of Nursing Administration, 21(5), pp.530~541 (2015)
  19. Hayes AF, "Introduction to mediation, moderation, and conditional process analysis : a regression-based approach" (2017), Guilford Publications
  20. Baron RM, "The moderator–mediator variable distinction in social psychological research : conceptual, strategic, and statistical considerations", Journal of Personality and Social Psychology, 51(6), pp.1173~1182 (1986)
  21. Kim IO, "The relationship among work-family, work-leisure, work-growth, and turnover intention of nurses", Korean Society of Hospital Management, 26(4), pp.1~11 (2021)
  22. Jung MS, "Factors influencing work-life balance in Korean registered nurses", Korean Journal of Occupational Health Nursing, 26(2), pp.114~123 (2017)
  23. Choi EY, "The association between job quality profiles and work-life balance among female employees in Korea : a latent profile analysis", International Journal of Environmental Research and Public Health, 18(4), pp.1672~ (2021)
  24. Ko YK, "Examining the experiences of mid-career nurses in hospitals : a phenomenological study", Contemporary Nurse, 60(4), pp.333~345 (2024)
  25. Kim E, "Re-employment hospital types of early career nurses and changes in work-life balance", Stress, 30(3), pp.163~171 (2022)
  26. Le H, "Work–life balance in Asia : a systematic review", Human Resource Management Review, 30(4), pp.100766~ (2020)
  27. Kim YH, "Advanced practice nurses’ organization commitment : impact of job environment, job satisfaction, and person-organization fit", Asian Nursing Research, 17(2), pp.91~101 (2023)
  28. Chandni R, "Work life balance and turnover intentions of nurses in private healthcare sector : the mediating role of organizational commitment", South Asian Journal of Management, 30(3), pp.100~118 (2023)
  29. Nafiah T, "The influence of nursing organizational culture and job stress on turnover intention with nurses’ commitment in intervening variables in hospitals", Journal of Research in Social Science Economics and Management, 3(10), pp.1888~1899 (2024)
  30. Park HS, "Impact of self-leadership and organizational commitment on the intention of psychiatric mental health nurses to remain in the profession", Journal of Korean Academy of Psychiatric and Mental Health Nursing, 25(4), pp.409~417 (2016)
  31. Lee MH, "Mediating effect of organizational commitment on the relationship between nurses’ clinical characters and retention intention of the small and medium-sized hospital nurses", Journal of Korean Academy of Nursing Administration, 28(2), pp.110~120 (2022)
  32. Han SJ, "Effect of nursing organizational culture, organizational silence, and organizational commitment on the intention of retention among nurses : applying the PROCESS macro model 6", Korean Journal of Occupational Health Nursing, 31(1), pp.31~41 (2022)
  33. Kim SW, "The mediating effect of resilience on the relationship between nurse practice environment and organizational commitment in clinical nurses", Journal of Digital Convergence, 18(12), pp.435~444 (2020)
  34. Moon ME, "The effect of emotional labor and resilience on organizational commitment of general hospital nurses", Journal of Convergence for Information Technology, 11(7), pp.39~46 (2021)
  35. Choi SM, "Factors influencing nurses’ work retention in wards of small and medium-sized hospitals", The Korean Journal of Health Service Management, 18(1), pp.39~50 (2024)
  36. Park MH, "Relationships among grit, job satisfaction, and the intention to stay of clinical nurses in Korea", Journal of Korean Clinical Nursing Research, 25(3), pp.285~293 (2019)
  37. Kim YM, "Factors influencing the retention intention of nurses in general hospital nurses", Journal of Digital Convergence, 18(12), pp.377~383 (2020)
  38. Song HS, "Effect of nursing organizational culture, stress coping, and bullying on clinical nurses’ turnover intention", Korean Journal of Occupational Health Nursing, 32(1), pp.9~19 (2023)
  39. Hidayat T, "Influence of organizational fairness, organizational culture and job satisfaction on organizational commitment", Journal of Business and Management Review, 5(7), pp.536~552 (2024)
  40. Chang HE, "Male nurses’ experiences of workplace gender discrimination", Korean Journal of Occupational Health Nursing, 31(2), pp.43~56 (2022)
  41. Xue Y, "Factors influencing nurses’ intention to stay : a systematic review", International Nursing Review, 69(2), pp.182~194 (2022)
  42. Lee EH, "A study of hospital nurses’intention to keep nursing jobs", Journal of Korean Academy of Nursing Administration, 27(1), pp.1~11 (2021)
  43. Park S, "Factors influencing Korean nurses’ intention to stay : a systematic review and meta-analysis", Journal of Korean Academy of Nursing Administration, 24(2), pp.139~148 (2018)
  44. "Survival bias"[URL]
  45. Cho SH, "Geographic mobility of Korean new graduate nurses from their first to subsequent jobs and metropolitan-nonmetropolitan differences in their job satisfaction", Nursing Outlook, 62(1), pp.22~28 (2014)
  46. Kim Y, "The effect of work-life balance on organizational commitment and turnover intention of nurses in small and medium-sized hospitals", Journal of Korean Academy of Nursing Administration, 25(5), pp.409~420 (2019)
  47. Lee Y, "Related factors of turnover intention among Korean hospital nurses : a systematic review and meta-analysis", Journal of Korean Academy of Nursing Administration, 24(2), pp.139~148 (2018)
  48. Lee YJ, "The effect of transformational leadership, fair compensation system, and professional development opportunities on nurses’ organizational commitment : a structural equation modeling approach", Journal of Korean Academy of Nursing Administration, 28(2), pp.115~125 (2022)
  49. Park JH, "Relationships among organizational commitment, job satisfaction, and turnover intention of nurses in general hospitals", Journal of Korean Academy of Nursing Administration, 27(1), pp.16~24 (2021)

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