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KMID : 1003720220310010022
Korean Journal of Occupational Health Nursing
2022 Volume.31 No. 1 p.22 ~ p.30
Effect of Nursing Work Environment on Turnover Intention of Nurses in Long-Term Care Hospitals: The Mediating Effect of COVID-19 Stress
Lee Eun-Joo

Cheon Soo-Yeon
Lee Jung-Hwa
Abstract
Purpose: This study aimed to identify the mediating effect of Psychological stress of COVID-19 stress on the relationship between nursing work environment and turnover intention of nurses in long-term care hospitals.

Methods: The participants were 176 nurses working at three long-term care hospitals in Changwon City. Data were collected from August 11 to 14, 2021, using self-report questionnaires. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson¡¯s correlation coefficients, and hierarchical regression, using the SPSS 23.0 software. A mediation analysis was performed according to the Baron and Kenny¡¯s test, and Sobel test.

Results: Turnover intention was positively correlated with Psychological stress of COVID-19 stress (r=.23, p=.002) and negatively correlated with nursing work environment (r=-.44, p<.001). Psychological stress of COVID-19 stress had a significantly negative relationship with nursing work environment (r=-.15, p=.045).
Psychological stress of COVID-19 stress partially mediated the relationship between nursing work environment and turnover intention.

Conclusion: The findings of this study indicate that a positive nursing work environment can help nurses reduce their Psychological stress of COVID-19 stress and turnover intention. To reduce the turnover intention among nurses¡¯ in long-term care, it is necessary to promote better work environments suitable for COVID-19 and to establish detailed strategies for reducing their physiological stress.
KEYWORD
COVID-19, Stress, Nurse, Turnover, Work environment
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