The Effect of New Nurse’s Reality Shock, Workplace Bullying, and Positive Psychological Capital on Turnover Intention

S. Kim, S. Kim
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Abstract

Purpose : The purpose of this study was to examine the levels of reality shock, workplace bullying, positive psychological capital, and turnover intention for new nurses, and to find out the effects of these factors on turnover intention. Methods : The study included 159 new nurses working at five general or high-level general hospitals in three locations. The survey was conducted from January 13 to February 7, 2021. The collected data were analyzed using the SPSS/WIN25.0 program. Results : The mean score for turnover intention was 3.42±0.75. The turnover intention was correlated with reality shock (r=0.28, p<.001) and workplace bullying (r=0.45, p <.001). The variables affecting turnover intention were the general ward (β=0.25, p=.049), nurse career spanning ≥ 6 months (β=0.16, p=.031), lack of experience in clinical practice at workplace institutions (β= 0.16, p=.026), and high workplace bullying (β=0.36, p<.001). The total amount of explanation for turnover intention was 25%. Conclusion : In order to reduce the turnover intention of newly graduated nurses, hospitals should implement systematic personnel management programs and actively participate in student internships. Additionally, at the government level, effective policies should be introduced to decrease excessive workload among nurses as a measure to reduce workplace bullying among new nurses.
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新护士现实冲击、职场欺凌、积极心理资本对离职倾向的影响
目的:本研究旨在考察新护士的现实冲击、职场欺凌、积极心理资本和离职倾向的水平,并探讨这些因素对离职倾向的影响。方法:对3个地区5家综合医院或高水平综合医院的159名新护士进行调查。该调查于2021年1月13日至2月7日进行。采用SPSS/WIN25.0软件对收集的数据进行分析。结果:离职意向平均得分为3.42±0.75分。离职意向与现实冲击(r=0.28, p<.001)和职场欺凌(r=0.45, p<.001)相关。影响离职意向的变量为普通病房(β=0.25, p= 0.049)、护士职业生涯≥6个月(β=0.16, p= 0.031)、缺乏职场机构临床实践经验(β=0.16, p= 0.026)和职场欺凌(β=0.36, p< 0.001)。离职意向的总解释量为25%。结论:为降低新毕业护士的离职意向,医院应实施系统的人事管理方案,积极参与学生实习。此外,在政府层面,应该出台有效的政策来减少护士的过度工作量,作为减少新护士工作场所欺凌的一项措施。
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