Abstract

Purpose: This study investigated the direct and indirect effects of factors related to nurses' turnover intention.Methods: The study included 212 nurses working at three university hospitals in Korea. The collected data were subjected to descriptive statistical analysis, correlation analysis, and path analysis.Results: Promotion-focused job crafting had direct effects on burnout (β=-.32, <i>p</i>=.001) and job satisfaction (β=.18, <i>p</i>=.008). Promotion-focused job crafting had an indirect effect on job satisfaction via burnout (β=.13, <i>p</i><.001). For turnover intention, promotion-focused job crafting had an indirect effect (β=-.18, <i>p</i>=.001) mediated by burnout and job satisfaction. Job satisfaction had a direct effect on turnover intention (β=-.26, <i>p</i>=.001). Additionally, burnout affected turnover intention, both directly (β=.32, <i>p</i>=.001) and indirectly (β=.10, <i>p</i>=.001), mediated by job satisfaction. Finally, promotion-focused job crafting had a dual mediation effect on turnover intention through burnout and job satisfaction (effect=-0.02, <i>p</i><.001). Including the indirect effect of promotion job crafting, the explanatory power of job satisfaction and burnout on turnover intention was about 25%.Conclusion: Based on the results of this study, the strategy of reducing burnout by strengthening nurses' promotion-focused job crafting and lowering turnover intention by increasing job satisfaction can have a positive effect on organizational performance.

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