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KMID : 1020220210210050655
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Journal of Korean Society of Dental Hygiene
2021 Volume.21 No. 5 p.655 ~ p.666
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Factors related to the turnover intention of Korea dental hygienists based on ecological systems model : a systematic review & meta analysis
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Lee Da-Som
Kim Dong-Hee
Han Gyeong-Soon
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Abstract
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Objectives: A systematic review and a meta-analysis were performed investigate the factors related to turnover intention of dental hygienists in Korea.
Methods: Literature between 2000 and January 2021 were used to support the meta-analysis, which focused on 21 factors extracted from 50 articles using a random effects model. The correlation coefficient, r, in the effect size was calculated.
Results: Substantial literature was published after 2011 (76%); in academic journals (74%); and targeted non?metropolitan areas (40%). Lawler’s turnover intention tool was used in several studies. The effect size for each ecosystem was in the order of microsystem (r=0.325), mesosystem (r=0.307), macrosystem (r=0.259), exosystem (r=0.176), and individuals (r=0.171). The random-effects model indicated an overall average of r=0.311. The factor that showed a large effect size in relation to turnover intention was organizational commitment of the microsystem (r=-0.594). Furthermore, mesosystem reward (r=- 0.416), microsystem burnout (r=0.464), job stress (r=0.408), and job satisfaction (r=-0.405) were identified as other major factors.
Conclusions: To lower the turnover rate of dental hygienists, it is important to focus on factors belonging to the microsystem, and mesosystem reward.
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KEYWORD
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Dental hygienist, Ecological systems model, Meta-analysis, Systematic review, Turnover intention
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