KMID : 1003020130140010023
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Qualitative Research 2013 Volume.14 No. 1 p.23 ~ p.33
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The Experience of Turnover Decision Making in New Graduate Nurses
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Kim Guen-Lyoung
Lee Hae-Jung Cho Young-Suk Kim Myung-Hee
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Abstract
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Purpose:The purpose of this study was to describe experience of turnover decision making in new graduate nurses (NGN).
Methods:This study used naturalistic inquiry approach. Data were collected from 15 NGNs who resigned from tertiary hospitals within 1 year after first hospital employment. Data were analyzed by constant comparison methods suggested by Lincoln and Guba (1985).
Results:The turnover experiences of NGNs derived 47 semantic units, 19 themes, and 6 categories. ¡®Limitation of job competence¡¯ derived from isolation, lack of nursing knowledge, lack of nursing skills ¡®Work related burden¡¯ derived from work overload and worries of making mistakes ¡®Dissatisfaction with work environment¡¯ derived from dissatisfied nursing management, dissatisfaction with overtime and salary, workplace bullying, and distress from inappropriate preceptorship; ¡®Loss of self-esteem¡¯derived from feelings of harassment, indifference, intimidation, exclusion, and humiliation; ¡®Stress-related psychosomatic reaction¡¯ derived from palpitation and sleep disturbance, dullness, neurologic hypersensitivity; ¡®Disappointment of the unsupportive reaction from nurse managers¡¯ characterized by inapprehension and careless.
Conclusion:The finding of this study suggest the needs ofinstitutional support systems, such as a ¡®self-esteem promotion program¡¯, ¡®counsel windows¡¯, and ¡®dating with a new graduate nurses¡¯, to prevent early turnover of NGNs.
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KEYWORD
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Nurses , Personnel Turnover , Decision making , Qualitative research
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