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This study aimed to explore the experience of nurses who work in small-medium sized psychiatric hospitals.
This study used a qualitative descriptive design. Using content analysis, face to face interview data from 10 nurses working in two small-medium sized psychiatric hospitals were analyzed.
Data analysis has been extracted into five domains (i.e., stress, crisis response, resource, support, and communication) and 11 subcategories (i.e., anxiety and tension, exposure to violence, workload, endure by myself, working in pairs principle is not followed, the replacement of a nurse’s vacancy with an assistant, lack of resources in emergencies, lack of compensation, lack of education for empowerment, lack of post-traumatic support, and non-cooperation).
Current research regarding night shift at private mental hospitals is insufficient. Prioritizing more nursing staff is required to improve the working environment. Nurses experienced anxiety, tension, exposure to violence, and excessive workload during the night shift, and endured these crises alone. In addition, an increasing number of nursing staff urgently felt the need to work in pairs and demanded more auxiliary staff for emergencies. Nurses also wanted sufficient compensation, education for empowerment, and post-traumatic support. Ultimately, cooperation with other departments is essential.
This study is a descriptive survey research that aims to provide basic data for efficient human resource management that can contribute to reducing turnover rate among nurses, by identifying the impact of sleep disorder and job stress on the turnover intention of shift working nurses and understanding the key factors influencing their turnover intention.
The subjects of this research were 188 nurses working 8-hour shifts in J-city, G-city and N-city, of which 13 respondents who produced unreliable answers were excluded from the analysis, making the total number of valid questionnaire 175. Collected data were analyzed with a SPSS 12.0 program using descriptive statistics, ANOVA, correlation and stepwise multiple regression.
As for correlation between domains, sleep disorder and turnover intention had positive correlation. Between job stress and turnover intention, the total job stress was positively correlated with turnover intention. Variables influencing turnover intention among the subjects were; the more clinically experienced, and in regards to job stress, the less adapted to workplace climate, the lower the level of payment and the more serious the sleep disorder.
In conclusion, as a nurse in shift work, the more clinical experience, the less the salary, the more sleeping obstacles, the less the job adaptation to the work culture, the more the degree of turnover is found to be high.
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