Relationships among basic psychological needs, organizational commitment, perceived authentic leadership and turnover intention in Korean nurses: A cross-sectional study

J Nurs Manag. 2022 Oct;30(7):2176-2184. doi: 10.1111/jonm.13546. Epub 2022 Jan 30.

Abstract

Aim: This study determined the relationships of satisfaction and frustration with basic psychological needs, organizational commitment, perceived authentic leadership and turnover intention in nurses in South Korea.

Background: Minimizing nurse turnover is essential for improving the quality of nursing care and patient safety.

Methods: This was a cross-sectional, correlational pilot study of 216 nurses at a university hospital in South Korea. Data were collected with a self-report questionnaire, from 1 to 15 September 2020. Collected data were analysed using SPSS 24.0.

Results: Multiple regression analysis revealed that clinical experience (3 to 5 years, β = 2.35, p = .019; 5 to 10 years, β = 2.23, p = .026), subjective workload (severe, β = 2.10, p = .036; extreme, β = 2.84, p = .005), psychological needs frustration (β = 0.35, p < .001), organizational commitment (β = -0.17, p = .011) and perceived authentic nurse leadership (β = -0.14, p = .030) were found to have significant effects on nurses' turnover intention.

Conclusions: The results suggest that it is necessary to create a transparent work environment based on authentic leadership and consider individual frustrations with regard to basic psychological needs and organizational commitments.

Implications for nursing management: This study offers a new approach to reducing nurses' turnover. A strategy is needed for efficient nursing staffing management to assist with reduction of nurses' turnover intentions.

Keywords: frustration; leadership; personal satisfaction; personnel turnover; work engagement.

MeSH terms

  • Attitude of Health Personnel
  • Cross-Sectional Studies
  • Humans
  • Intention
  • Job Satisfaction
  • Leadership*
  • Nursing Staff, Hospital* / psychology
  • Organizational Culture
  • Personnel Turnover
  • Pilot Projects
  • Republic of Korea
  • Surveys and Questionnaires