Moderating Effect of Job Satisfaction in the Relationship Between Nursing Work Environment and Turnover Intention: A Perspective From Magnet Hospitals in South Korea

This study aimed to examine the mediating effect of job satisfaction on the impact of the nursing work environment on nurses’ turnover intention from the perspective of Magnet hospitals. Hospitals with Magnet accreditation have high nurse satisfaction, low nurse turnover, low vacancy rates, improved...

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Main Authors: Wonji Lee, Soyoung Yu
Format: Article
Language:English
Published: SAGE Publishing 2025-06-01
Series:SAGE Open
Online Access:https://doi.org/10.1177/21582440251344769
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author Wonji Lee
Soyoung Yu
author_facet Wonji Lee
Soyoung Yu
author_sort Wonji Lee
collection DOAJ
description This study aimed to examine the mediating effect of job satisfaction on the impact of the nursing work environment on nurses’ turnover intention from the perspective of Magnet hospitals. Hospitals with Magnet accreditation have high nurse satisfaction, low nurse turnover, low vacancy rates, improved clinical outcomes, and enhanced patient satisfaction. A cross-sectional survey was conducted with 432 nurses working in 6 hospitals, including tertiary and general hospitals, in Seoul’s metropolitan area and Jeollabuk-do Province. The survey, conducted in 2023, used a self-administered questionnaire design and included items on the nursing work environment, job satisfaction, and turnover intention. The study utilized a 5-point Likert scale, revealing an average score of 3.02 for the nursing work environment, 3.18 for job satisfaction, and 3.42 for turnover intention. Significant differences in the nursing work environment, according to general characteristics, were identified in age ( p  < .001), education level ( p  = .027), desired department placement ( p  < .001), presence of treated illness ( p  < .001), and availability of desired rest days ( p  < .001). Additionally, the nursing work environment significantly influenced job satisfaction ( p  < .001). The Nursing Work Environment (β = .893, p  < .000) positively affects Job Satisfaction. Furthermore, Job Satisfaction (β = −.409, p  < .000) has a negative impact on Tourism Intention. Lastly, the Nursing Work Environment negatively influences Turnover Intention (β = −.288, p  = .003). Therefore, job satisfaction increases as the nursing work environment improves, leading to a decrease in turnover intention. The results emphasize the need to enhance the nursing work environment and job satisfaction to reduce nurses’ turnover intentions.
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spelling doaj-art-bef1c44d4aea4a18b3b42a5a1954d01e2025-06-29T15:03:23ZengSAGE PublishingSAGE Open2158-24402025-06-011510.1177/21582440251344769Moderating Effect of Job Satisfaction in the Relationship Between Nursing Work Environment and Turnover Intention: A Perspective From Magnet Hospitals in South KoreaWonji Lee0Soyoung Yu1 Gangnam CHA Hospital, Gangnam-gu, Seoul, Republic of Korea College of Nursing, CHA University, Gyeonggi-do, Republic of KoreaThis study aimed to examine the mediating effect of job satisfaction on the impact of the nursing work environment on nurses’ turnover intention from the perspective of Magnet hospitals. Hospitals with Magnet accreditation have high nurse satisfaction, low nurse turnover, low vacancy rates, improved clinical outcomes, and enhanced patient satisfaction. A cross-sectional survey was conducted with 432 nurses working in 6 hospitals, including tertiary and general hospitals, in Seoul’s metropolitan area and Jeollabuk-do Province. The survey, conducted in 2023, used a self-administered questionnaire design and included items on the nursing work environment, job satisfaction, and turnover intention. The study utilized a 5-point Likert scale, revealing an average score of 3.02 for the nursing work environment, 3.18 for job satisfaction, and 3.42 for turnover intention. Significant differences in the nursing work environment, according to general characteristics, were identified in age ( p  < .001), education level ( p  = .027), desired department placement ( p  < .001), presence of treated illness ( p  < .001), and availability of desired rest days ( p  < .001). Additionally, the nursing work environment significantly influenced job satisfaction ( p  < .001). The Nursing Work Environment (β = .893, p  < .000) positively affects Job Satisfaction. Furthermore, Job Satisfaction (β = −.409, p  < .000) has a negative impact on Tourism Intention. Lastly, the Nursing Work Environment negatively influences Turnover Intention (β = −.288, p  = .003). Therefore, job satisfaction increases as the nursing work environment improves, leading to a decrease in turnover intention. The results emphasize the need to enhance the nursing work environment and job satisfaction to reduce nurses’ turnover intentions.https://doi.org/10.1177/21582440251344769
spellingShingle Wonji Lee
Soyoung Yu
Moderating Effect of Job Satisfaction in the Relationship Between Nursing Work Environment and Turnover Intention: A Perspective From Magnet Hospitals in South Korea
SAGE Open
title Moderating Effect of Job Satisfaction in the Relationship Between Nursing Work Environment and Turnover Intention: A Perspective From Magnet Hospitals in South Korea
title_full Moderating Effect of Job Satisfaction in the Relationship Between Nursing Work Environment and Turnover Intention: A Perspective From Magnet Hospitals in South Korea
title_fullStr Moderating Effect of Job Satisfaction in the Relationship Between Nursing Work Environment and Turnover Intention: A Perspective From Magnet Hospitals in South Korea
title_full_unstemmed Moderating Effect of Job Satisfaction in the Relationship Between Nursing Work Environment and Turnover Intention: A Perspective From Magnet Hospitals in South Korea
title_short Moderating Effect of Job Satisfaction in the Relationship Between Nursing Work Environment and Turnover Intention: A Perspective From Magnet Hospitals in South Korea
title_sort moderating effect of job satisfaction in the relationship between nursing work environment and turnover intention a perspective from magnet hospitals in south korea
url https://doi.org/10.1177/21582440251344769
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