요양병원 간호사의 도덕적 고뇌와 직무만족도가 이직의도에 영향을 미치는 요인: 횡단적 서술적 조사연구

Influential factors of moral distress and job satisfaction on turnover intention of long-term care hospital nurses: A cross-sectional descriptive study

Purpose: This study aimed to identify factors influencing long-term care hospital nurses’ moral distress and job satisfaction on turnover intention. Methods: Participants were 158 nurses working in one of 13 long-term care hospitals. Data were collected from July 22 to September 10, 2024, and analysed using two-stage multiple regression analysis with SPSS. Results: Turnover intention was a statistically significant positive correlation with moral distress. In the sub factors, there was correlation with futile care, nursing practice, institutional and situational factors, and physician practice. Turnover intention was a statistically significant negative correlation with job satisfaction and all sub factors. Factors influencing the turnover intention of long-term care hospital nurses were under the age of 40, male nurses, moral distress, futile care sub factors of moral distress, job satisfaction, and administration and professionalism sub factors of job satisfaction, showing 30.0% explanatory power. Conclusion: The significance of moral distress and job satisfaction was confirmed as a factor influencing the turnover intention of long-term care hospital nurses. Therefore, the organization must make active efforts to find and solve factors and problems that reduce job satisfaction and intensify moral distress of long-term care hospital nurses. In addition, at the organizational level, a management strategy will be needed to lower nurses’ intention to turnover by preparing and applying ethical standards and guidelines to systematically solve the moral distress of nurses in the organization.