Original Article

The relationship between leader-member exchange and intention to stay in Korean nurses: Focusing on the mediating role of compassion satisfaction

Abstract

Background & Aim: Recently, there has been a growing interest in the nursing shortage. Although the number of nursing school has been increased and refreshment programs for inactive nurses have been run, the lack of nurses is still a common problem in Korea. Considering the importance of nurses' role in hospitals, it is important to investigate how to reduce turnover rates. This study aimed to investigate the mediating role of compassion satisfaction on the relationship between leader-member exchange (LMX) and intention to stay in Korea.
Methods & Materials: A cross-sectional study design was used. Data were collected from 131 nurses from three university hospitals in South Korea. A demographic data form, LMX-7 scale, compassion satisfaction of the professional quality of life scale, and the nurses’ retention index were used to collect data.
Results: Our results indicate that LMX has a positive effect on compassion satisfaction and intention to stay and compassion satisfaction has a positive effect on the intention to stay. In addition, compassion satisfaction was found to mediate the impact of LMX on the intention to stay.
Conclusion: The present study is significant in that it confirms the relationship between LMX and intention to stay and the mediating role of compassion satisfaction. The nursing managers should pay attention to find ways to improve LMX and compassion satisfaction in hospitals in order to increase nurses’ intention to stay.

1. Work environment and treatment improvement measures for nurse. Available at: http://www.mohw.go.kr/react/ al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&COT_SEQ=344262&page=1. Published 2019. Accessed August 5, 2019.
2. Analysis of the survey of hospital nursing manpower (2018). Available at: http://khna.or.kr/home/pds/ utility ies.php. Published 2019. Accessed July 30, 2019.
3. Halfer D, Graf E. Graduate nurse perceptions of the work experience. Nursing Economics. 2006;24(3) :150-5.
4. Dansereau F, Graen G, Haga WJ. A vertical dyad linkage approach within formal organization: A longitudinal investigation of the role making process. Organizational Behavior and Human Performance, 1975 Feb; 13(1):46-78.
5. Hooper DT, Martin R. Beyond personal leader-member exchange (LMX) quality: The effects of perceived LMX variability on employee reactions. The Leadership Quarterly, 2008 Feb;19(1): 20-30.
6. Lunenburg FC. Leader-member exchange theory: another perspective on the leadership process. International Journal of Management, Business, and Administration. 2010;13(1):1-5.
7. Jeon J, Jo SJ. The impact of LMX on turnover intention of employees: through the mediating effect of psychological empowerment and the moderating effect of informal learning. The Korean Journal of Human Resource Development Quarterly. 2016;18(3):87-113.
8. Heo CG, Lee EK. The moderating role of leader-member exchange in the relationships between customer orientation and job engagement in nurses. Korean Journal of Health Communication. 2016;11(1):9-16.
9. Kim MH, Yi YJ. Impact of leader-member-exchange and team-member-exchange on nurses’ job satisfaction and turnover intention. International Nursing Review. 2019 Nov;66(2):242-9.
10. Han MR, Gu JA, Yoo IY. Influence of workplace bullying and leader-member exchange on turnover intention among nurses. Journal of Academy Nursing Administration. 2014 Sep;20(4):383-93.
11. Stamm B. The Concise ProQOL Manual. 2nd ed. Pocatello. https://nbpsa.org/im ages/PRP/ProQOL_ Concise_2ndEd_12-2010.pdf. Published 2010. Accessed at: Feb 2, 2018.
12. Dasan S, Gohil P, Cornelius V, Taylor C. Prevalence, causes and consequences of compassion satisfaction and compassion fatigue in emergency care: a mixed-methods study of UK NHS Consultants. Emergency Medicine Journal. 2015;32(8):588-94.
13. Lee SN, Kim JA. Analysis of research on compassion satisfaction among nurses. Journal of the Korea Academia-Industrial cooperation Society. 2016 Sep;17(9):599-609.
14. Yom YH, Yang IS, Han JH. Effects of workplace bullying, job stress, self-esteem, and burnout on the intention of university hospital nurses to keep nursing job. Journal of Korean Academy of Nursing. 2017 Jun; 23(3):259-69.
15. Back CY, Hyun DS, Chang SJ. Association between emotional labor, emotional dissonance, burnout and turnover intention in clinical nurses: a multi-group path analysis across job satisfaction. Journal of Korean Academy of Nursing. 2017 Dec;47(6):770-80.
16. Kim HJ, Yom YH. Structural equation modeling on burnout in clinical nurses based on CS-CF model. Journal of Korean Academy of Nursing. 2014 Jun;44(3):259-69.
17. Lee Y, Kang J. Related factors of turnover intention among Korean hospital nurses: a systematic review and meta-analysis. Korean Journal of Adult Nursing. 2018 Feb;30(1):1-17.
18. Scandura, TA, Graen GB. Moderating effects of initial leader–member exchange status on the effects of a leadership intervention. Journal of Applied Psychology. 1984;69(3):428-36.
19. Cowin L. The effects of nurses' job satisfaction on retention: An Australian perspective. Journal of Nursing Administration. 2002 May;32(5):283-91.
20. Baron RM, Kenny DA. The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology. 1986 Dec; 51(6):1173-82.
21. Sobel ME. Asymptotic confidence intervals for indirect effects in structural equation models. Sociological Methodology. 1982;13:290-312.
22. Dienesch RM, Liden RC. Leader-member exchange model of leadership: a critique and further development. Academy of Management Review. 1986 Jul;11(3), 618-34.
23. Monroe M, Morse E, Price JM. The relationship between critical care work environment and professional quality of life. American Journal of Critical Care. 2020 Mar;29(2):145-9.
24. Kong MH, Kim JH. Influence of nurse manager and peer group caring behaviors as perceived by nurses on intention to retention. Journal of Korean Academy of Nursing Administration. 2017 Mar;23(2):191-200.
25. Sacco TL, Copel LC. Compassion satisfaction: a concept analysis in nursing. Nursing Forum. 2018 Jan; 53(1):76-83.
26. Jung SY, Lee EK. Factors associated with compassion satisfaction of nurses in long-term care hospitals: focused on patient safety culture. Journal of Korean Public Health Nursing. 2019;33(3):379-89.
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IssueVol 8 No 2 (2021): Spring QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/npt.v8i2.5124
Keywords
empathy; intention; leadership; nurses

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How to Cite
1.
Park J-H, Lee E-K. The relationship between leader-member exchange and intention to stay in Korean nurses: Focusing on the mediating role of compassion satisfaction. NPT. 2020;8(2):132-138.