Examination of the Role of Self-Efficacy and Development of an Integrated Model to Overcome Nursing Staff Shortage CRISIS at Small and Medium Sized Hospitals in KOREA

The purpose of this study was to overcome the nursing staff shortage crisis at small and medium sized hospitals by examining the mediation effects of organizational commitment and job satisfaction on the relationship between job stress and turnover intention. To do so, this study used Price’s voluntary turnover model and suggested an integrated model by exploring the moderated mediation effects of changes in self–efficacy. Methods: The survey was conducted with 344 nurses working at small to medium sized hospitals in C city. Data collection was conducted for two weeks, from June 1 to 15, 2016, and the collected data were analyzed using Hayes’ macro process models 4 and 8 in SPSS 22.0. Results: The findings indicated that organizational commitment and job satisfaction have indirect effects on the relationship between job stress and turnover intention. Self-efficacy was found to have a moderation effect between job stress and mediating variable pathways and also have a mediation effect on job satisfaction pathways. Conclusion: In order to reduce the turnover intention of nurses in small to medium sized hospitals, it is necessary to develop a practical self-efficacy improvement program and action plan for the nursing work place.