title: Influence of the nursing practice environment on job satisfaction and turnover intention.
abstract: OBJECTIVE
  To examine whether the nursing practice environment at the hospital-level affects the job satisfaction and turnover intention of hospital nurses.
  
  
  METHODS
  Among the 11 731 nurses who participated in the Korea Health and Medical Workers' Union's educational program, 5654 responded to our survey. Data from 3096 nurses working in 185 general inpatient wards at 60 hospitals were analyzed using multilevel logistic regression modeling.
  
  
  RESULTS
  Having a standardized nursing process (odds ratio [OR], 4.21; p<0.001), adequate nurse staffing (OR, 4.21; p<0.01), and good doctor-nurse relationship (OR, 4.15; p<0.01), which are hospital-level variables based on the Korean General Inpatients Unit Nursing Work Index (KGU-NWI), were significantly related to nurses' job satisfaction. However, no hospital-level variable from the KGU-NWI was significantly related to nurses' turnover intention.
  
  
  CONCLUSIONS
  Favorable nursing practice environments are associated with job satisfaction among nurses. In particular, having a standardized nursing process, adequate nurse staffing, and good doctor-nurse relationship were found to positively influence nurses' job satisfaction. However, the nursing practice environment was not related to nurses' turnover intention.
authors.affiliation: Department of Health Policy and Management, Jeju National University School of Medicine, Jeju, Korea.
authors.forename: Sang-Yi
authors.initials: SY
authors.lastname: Lee
authors.affiliation: Department of Preventive Medicine, Chungnam National University School of Medicine, Daejeon, Korea ; Research Institute for Medical Sciences, Chungnam National University School of Medicine, Daejeon, Korea.
authors.forename: Chul-Woung
authors.initials: CW
authors.lastname: Kim
authors.affiliation: Department of Nursing Science, Gyeongju University, Gyeongju, Korea.
authors.forename: Jeong-Hee
authors.initials: JH
authors.lastname: Kang
authors.affiliation: Department of Preventive Medicine & Occupational Medicine, Yangsan Campus of Pusan National University School of Medicine, Yangsan, Korea.
authors.forename: Tae-Ho
authors.initials: TH
authors.lastname: Yoon
authors.affiliation: Research Institute for Dental Care, Korean Dental Association, Seoul, Korea.
authors.forename: Cheoul Sin
authors.initials: CS
authors.lastname: Kim
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000523:psychology*; D016017:Odds Ratio; D010563:Personnel Turnover; D011795:Surveys and Questionnaires
keywords: Hierarchical generalized linear model; Job satisfaction; Multilevel analysis; Nursing practice environment; Turnover intention