Hyerine Shin, Kyunghee Kim, Suk Jeong Lee, Park So Hyun, Changwon Lim, Hyun Jun Kim, Ji-Su Kim
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Factor analysis, model fit confirmation, and path significance were analyzed using SPSS/WIN 23.0 and AMOS 28.0. A two-step approach was employed to validate the hypothetical model.</p>\n <p><b>Results:</b> Group cohesion significantly impacted organizational commitment, empowerment, and job satisfaction. Adequate staffing and resources were crucial in influencing moral distress and organizational commitment. Both job satisfaction and organizational commitment directly affected the ITS, with group cohesion exerting an indirect effect. Path analysis demonstrated that adequate staffing and resources notably influenced organizational commitment, while adaptive leadership, adequate staffing, and disaster nursing competency significantly impacted job satisfaction. The model explained 71.4% of the variance in nurses’ intention to stay during disasters.</p>\n <p><b>Conclusion:</b> The study highlights that organizational commitment is the strongest predictor of clinical nurses’ intent to remain during disasters.</p>\n <p><b>Implications for Nursing and/or Health Policy:</b> To ensure a stable and skilled nursing workforce in disaster situations, it is essential to foster organizational commitment. Strategies should focus on enhancing group cohesion, providing adequate staffing and resources, and supporting organizational commitment among clinical nurses.</p>\n </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":4.4000,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/7776477","citationCount":"0","resultStr":"{\"title\":\"A Theoretical Model of Clinical Nurses’ Intentions to Stay During Disasters: A Structural Equation Modeling Approach\",\"authors\":\"Hyerine Shin, Kyunghee Kim, Suk Jeong Lee, Park So Hyun, Changwon Lim, Hyun Jun Kim, Ji-Su Kim\",\"doi\":\"10.1155/jonm/7776477\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n <p><b>Background:</b> With the increasing frequency and severity of disasters, retaining skilled nurses is essential for sustaining healthcare systems in times of crisis. Given that behavior is largely influenced by intention, a predictive model for nurses’ intent to stay (ITS) is needed.</p>\\n <p><b>Aim:</b> This study aimed to develop and validate a comprehensive structural model explaining clinical nurses’ ITS during disasters. This model addresses the critical need to understand and enhance nurse retention during crises.</p>\\n <p><b>Methods:</b> In this cross-sectional study, 549 nurses who worked during the COVID-19 pandemic participated. The data were collected through a web-based self-report survey from March 5 to 15, 2024. Factor analysis, model fit confirmation, and path significance were analyzed using SPSS/WIN 23.0 and AMOS 28.0. A two-step approach was employed to validate the hypothetical model.</p>\\n <p><b>Results:</b> Group cohesion significantly impacted organizational commitment, empowerment, and job satisfaction. Adequate staffing and resources were crucial in influencing moral distress and organizational commitment. Both job satisfaction and organizational commitment directly affected the ITS, with group cohesion exerting an indirect effect. Path analysis demonstrated that adequate staffing and resources notably influenced organizational commitment, while adaptive leadership, adequate staffing, and disaster nursing competency significantly impacted job satisfaction. The model explained 71.4% of the variance in nurses’ intention to stay during disasters.</p>\\n <p><b>Conclusion:</b> The study highlights that organizational commitment is the strongest predictor of clinical nurses’ intent to remain during disasters.</p>\\n <p><b>Implications for Nursing and/or Health Policy:</b> To ensure a stable and skilled nursing workforce in disaster situations, it is essential to foster organizational commitment. Strategies should focus on enhancing group cohesion, providing adequate staffing and resources, and supporting organizational commitment among clinical nurses.</p>\\n </div>\",\"PeriodicalId\":49297,\"journal\":{\"name\":\"Journal of Nursing Management\",\"volume\":\"2025 1\",\"pages\":\"\"},\"PeriodicalIF\":4.4000,\"publicationDate\":\"2025-01-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/7776477\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Nursing Management\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1155/jonm/7776477\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MANAGEMENT\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nursing Management","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1155/jonm/7776477","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MANAGEMENT","Score":null,"Total":0}
A Theoretical Model of Clinical Nurses’ Intentions to Stay During Disasters: A Structural Equation Modeling Approach
Background: With the increasing frequency and severity of disasters, retaining skilled nurses is essential for sustaining healthcare systems in times of crisis. Given that behavior is largely influenced by intention, a predictive model for nurses’ intent to stay (ITS) is needed.
Aim: This study aimed to develop and validate a comprehensive structural model explaining clinical nurses’ ITS during disasters. This model addresses the critical need to understand and enhance nurse retention during crises.
Methods: In this cross-sectional study, 549 nurses who worked during the COVID-19 pandemic participated. The data were collected through a web-based self-report survey from March 5 to 15, 2024. Factor analysis, model fit confirmation, and path significance were analyzed using SPSS/WIN 23.0 and AMOS 28.0. A two-step approach was employed to validate the hypothetical model.
Results: Group cohesion significantly impacted organizational commitment, empowerment, and job satisfaction. Adequate staffing and resources were crucial in influencing moral distress and organizational commitment. Both job satisfaction and organizational commitment directly affected the ITS, with group cohesion exerting an indirect effect. Path analysis demonstrated that adequate staffing and resources notably influenced organizational commitment, while adaptive leadership, adequate staffing, and disaster nursing competency significantly impacted job satisfaction. The model explained 71.4% of the variance in nurses’ intention to stay during disasters.
Conclusion: The study highlights that organizational commitment is the strongest predictor of clinical nurses’ intent to remain during disasters.
Implications for Nursing and/or Health Policy: To ensure a stable and skilled nursing workforce in disaster situations, it is essential to foster organizational commitment. Strategies should focus on enhancing group cohesion, providing adequate staffing and resources, and supporting organizational commitment among clinical nurses.
期刊介绍：
The Journal of Nursing Management is an international forum which informs and advances the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis resulting in a rich source of evidence which underpins and illuminates the practice of management, innovation and leadership in nursing and health care. It publishes current issues and developments in practice in the form of research papers, in-depth commentaries and analyses.
The complex and rapidly changing nature of global health care is constantly generating new challenges and questions. The Journal of Nursing Management welcomes papers from researchers, academics, practitioners, managers, and policy makers from a range of countries and backgrounds which examine these issues and contribute to the body of knowledge in international nursing management and leadership worldwide.
The Journal of Nursing Management aims to:
-Inform practitioners and researchers in nursing management and leadership
-Explore and debate current issues in nursing management and leadership
-Assess the evidence for current practice
-Develop best practice in nursing management and leadership
-Examine the impact of policy developments
-Address issues in governance, quality and safety
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