Does the Three-shift Work Change the Relationship between Work Environment and Turnover Intention?
Abstract
This study examines the relationship between work environment and turnover intention, with a specific focus on the impact of three-shift work. Using survey data from a large hospital in South Korea and the job demands-resources model, we investigate whether three-shift work exacerbates the negative association between work environment and turnover intention. The findings indicate that a positive work environment can mitigate turnover intention, whereas three-shift work is associated with increased turnover intention. Notably, we found no evidence to suggest that nurses working in three-shifts perceive a weaker relationship between work environment and turnover intention. These results have implications for addressing the global nursing shortage and high turnover rates, suggesting that three-shift work may be a viable flexible work pattern. Furthermore, our study provides empirical support for the impact of three-shift work on employee perception, highlighting the need for managers to redesign work types, including three-shift schedules, to improve performance.
Keywords: work environment, turnover intention, three-shift work rotation, the job demand-resource model, nursing industry.
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AIKEN, L. H., CLARKE, S. P., SLOANE, D., LAKE, E. T., & CHENEY, T. (2008). Effects of hospital care environment on patient mortality and nurse outcomes. Journal of Nursing Administration, 38(5), 223-229. https://doi.org/10.1097/01.nna.0000312773.42352.d7
AIKEN, L. H., SLOANE, D. M., BRUYNEEL, L., VAN DEN HEEDE, K., GRIFFITHS, P., … SERMEUS, W. (2014). Nurse staffing and education and hospitality in nine European countries: a retrospective observational study. The Lancet, 383(993), 1824-1830. https://doi.org/10.1016/s0140-6736(13)62631-8
AKUNDUZ, Y. & ERYILMAZ, G. (2018). Does turnover intention mediate the effects of job insecurity and co-worker support on social loafing? International Journal of Hospitality Management, 68, 41-49. https://doi.org/10.1016/j.ijhm.2017.09.010
AUERBACH, C., SCHUDRICH, W. Z., LAWRENCE, C. K., CLAIBORNE, N., & MCGOWAN, B. G. (2014). Predicting turnover: Validating the intent to leave child welfare scale. Research on Social Work Practice, 24(3), 349-355. http://doi.org/10.1177/1049731513494021
BAKKER, A. B. (2015). A job demands-resources approach to public service motivation. Public Administration Review, 75(5), 723-732. https://doi.org/10.1111/puar.12388
BAKKER, A. B. & DEMEROUTI, E. (2007). The job demands-resources model: State of the art. Journal of Management Psychology, 22(3), 309-328. https://doi.org/10.1108/02683940710733115
BAKKER, A. B., DEMEROUTI, E., & SCHAUFELI, W. B. (2003). Dual processes at work in a call center: An application of the job demands-resources model. European Journal of Work and Organizational Psychology, 12, 393-417. https://doi.org/10.1080/13594320344000165
BAKKER, A. B., DEMEROUTI, E., TARIS, T., SCHAUFELI, W. B., & SCHREURS, P. (2003). A multi-group analysis of the job demands-resources model in four home care organizations. International Journal of Stress Management, 10, 16-38. https://doi.org/10.1037/1072-5245.10.1.16
BALTES, B., BRIGGS, T., HUFF, J. & WRIGHT, J. (1999). Flexible and compressed workweek schedules: A meta-analysis of their effects on work-related criteria. Journal of Applied Psychology, 84, 496-513. https://doi.org/10.1037/0021-9010.84.4.496
BAMBRA, C. L., WHITEHEAD, M. M., SOWDEN, A. J. & AKERS, J. (2008). Shifting schedules: The health effects of reorganizing shift work. American Journal of Preventative Medicine, 34, 427-434. https://doi.org/10.1016/j.amepre.2007.12.023
BARNEY, C. & ELIAS, S. (2010). Flex-time as a moderator of the job stress-work motivation relationship: A three nation investigation. Personnel Review, 39(4), 487-502. https://doi.org/10.1108/00483481011045434
BARKER, L. M. & NUSSBAUM, M. A. (2011). Fatigue, performance and the work environment: A survey of registered nurses. Journal of Advanced Nursing, 67(6), 1370-1382. https://doi.org/10.1111/j.1365-2648.2010.05597.x
BERTHELSEN, H., WESTERLUND, H., HAKANEN, J. J., & KRISTENSEN, T. S. (2017). It is not just about occupation, but also about where you work. Community Dental Roal Epidemiol, 45, 372-379. https://doi.org/10.1111/cdoe.12300
BRAUCHLI, R., SCHAUFELI, W. B., JENNY, G. I., FULLEMANN, D. & BAUER, G. F. (2013). Disentangling stability and change in job resources, job demands, and employee well-being – A three-wave study on the job-demands resource model. Journal of Vocational Behavior, 83, 117-129. http://doi.org/10.1016/j.jvb.2013.03.003
CANTERELLI, P., BELARDINELLI, P., & BELLE, N. (2016). Do people make the place? An examination of the attraction-selection-attribution hypothesis. Personnel Psychology, 42, 561-581. https://doi.org/10.1111/J.1744-6570.1989.TB00669.X
CHANG, W. & CHANG, Y. (2019). Relationship between job satisfaction and sleep quality of female shift-working nurses: using shift type as moderator variable. Industrial Health, 57, 732-740. https://doi.org/10.2486/indhealth.2018-0258
COFFEY, L. C. (1998). Nurses and shift work: Effects on job performance and job-related stress. Journal of Advanced Nursing, 13, 245-254. https://doi.org/10.1111/j.1365-2648.1988.tb01414.x
DEMEROUTI, E. & BAKKER, A. B. (2011). The job demands-resources model: Challenges for future research. SA Journal of Industrial Psychology, 37(2), 1-9. https://doi.org/10.4102/sajip.v37i2.974
DUFFIELD, C., ROCHE, M. A., BLAY, N., & STASA, H. (2010). Nursing unit managers, staff retention and the work environment. Journal of Clinical Nursing, 20, 23-33. https://doi.org/10.1111/j.1365-2702.2010.03478.x
ELNAGA, A. (2013). Exploring the link between job motivation, work environment, and job satisfaction. European Journal of Business and Management, 5(24), 34-41.
ESTRYN-BEHAR, M., VAN DER HEIJDEN, B. I., FRY, C., & HASSELHOM, H. M. (2010). Longitudinal analysis of personal and work-related factors associated with turnover among nurses. Nursing Research, 59(3), 166-177. https://doi.org/10.1097/nnr.0b013e3181dbb29f
FISHBEIN, M. & AJZEN, L. (1975). Belief, attitude, intention, and behavior: An introduction to theory and research. Addison-Wesley, Reading, MA.
FLINKMAN, M., LEINO-KILPI, H., & SALANTERA, S. (2010). Nurses’ intention to leave the profession: Integrative review. Journal of Advanced Nursing, 66(7), 1422-1434. https://doi.org/10.1111/j.1365-2648.2010.05322.x
GAN, Y., YANG, C., TONG, X., SUNG, H., CONG, Y., YING, X., LI, L., CAO, S., DONG, X., GONG, Y., SHI, O., DENG, J., BI, H., & LU, Z. (2014). Shift work and diabetes mellitus: A meta-analysis of observational studies. Occupational & Environmental Medicine, 72(1), 72-78. https://doi.org/10.1136/oemed-2014-102150
GESS, E., MANOJLOVICH, M., & WARNER, S. (2008). An evidence-based protocol for nurse retention. Journal of Nursing Administration, 38(10), 441-447. https://doi.org/10.1097/01.nna.0000338152.17977.ca
GLASS, D. C., MCKNIGHT, J. D., & VALDIMARSDOTTIR, H. (1993). Depression, burnout, and perceptions of control in hospital nurses. Journal of Consulting and Clinical Psychology, 61, 147-155. https://doi.org/10.1037//0022-006x.61.1.147
GROSSWALD, B. (2003). Shift work and negative work-to-family spill-over. Journal of Sociology & Social Welfare, 30(4), 31-56. http://doi.org/10.15453/0191-5096.2937
HENDERSON, R. (2013). Industry employment and output projections to 2022. Monthly Labor Review.
HERZBERG, F. (2017). The motivation to work. John Wiley & Sons, New York. E-book. https://doi.org/10.4324/9781315124827
INGRE, M. & AKERSTEDT, T. (2004). Effect of accumulated work during the working lifetime, on subjective health and sleep in monozygotic twins. Journal of Sleep Research, 13, 45-48. https://doi.org/10.1111/j.1365-2869.2004.00390.x
INTERNATIONAL LABOR OFFICE. (1995). Conditions of work digest: Working time around the world. Routledge: Oxfordshire, UK.
ISKRA-GOLEC, I., SMITH, L., WILCZEK-RUZYCZKA, E., SIEMIGINOWSKA, P., & WATROBA, J. (2017). Shift schedule, work-family relationships, marital communication, job satisfaction and health among transport service shift workersю International Journal of Occupational Medicine, 30(1), 121-131. https://doi.org/10.13075/ijomeh.1896.00670
JAMES, S. M., HONN, K. A., GADDAMEEDHI, S., & VAN DONGEN, H. P. A. (2017). Shift work: disrupted circadian rhythms and sleep – Implications for health and well-being. Current Sleep Medicine Reports, 3, 104-112. https://doi.org/10.1007/s40675-017-0071-6
KAGAN, I., HENDEL, T., & SAVITSKY, B. (2021). Personal initiative and work environment as predictors of job satisfaction among nurses: cross-sectional study. BMC Nursing, 20(87), 1-10. https://doi.org/10.1186/s12912-021-00615-1
KARASEK, R. A. (1979). Job demands, job decision latitude, and mental strain: implications for job design. Administrative Science Quarterly, 24(2), 285-308. http://www.jstor.com/stable/2392498
KI, K. J. & CHOI-KWON, S, (2022). Health problems, turnover intention, and actual turnover among shift work female nurses: Analyzing data from a prospective longitudinal study. Plos One, 17(7), e0270958, https://doi.org/10.1371/journal.pone.0270958
KIKUCHI, Y., NAKAYA, M., IKEDA, M., NARITA, K., TAKEDA, M., & NISHI, M. (2010). Effort-reward imbalance and depressive state in nurses. Occupational Medicine, 60, 231-233. https://doi.org/10.1093/occmed/kqp167
KINGMA, M. (2001). Nursing migration: global treasure hunt or disaster-in-the-making? Nursing Inquiry, 8, 205-212. https://doi.org/10.1046/j.1440-1800.2001.00116.x
KITANA, A. & KARAN, A. A. (2017). The relationship between work environment into women’s career development and job satisfaction in the United Arab Emirates: A large scale sampling. International Journal of Business and Management Invention, 6(1), 22-28. https://www.researchgate.net/publication/312153819
LEONE, C., BRUYNEEL, L., ANDERSON, J. E., MURRELLS, T., DUSSAULT, G., HENRIQUES DE JESUS, É., SERMEUS, W., AIKEN, L., & RAFFERTY, A. M. (2015). Work environment issues and intention to leave in Portuguese nurses: A cross-sectional study. Health Policy, 119, 1584-1592. https://doi.org/10.1016/j.healthpol.2015.09.006
LETVAK, S., & BUCK, R. (2008). Factors influencing work productivity and intent to stay in nursing. Nursing Economics, 26(3), 159-165. https://pubmed.ncbi.nlm.nih.gov/18616053/
LI, Q. & SHI, B. (2023). Career choice motivations and turnover intention among Chinese social workers: A double-mediator model of job self-efficacy and job satisfaction. Human Service Organizations: Management, Leadership & Governance, 48(5), 1-15, https://doi.org/10.1080/23303131.2023.2288310.
LINDMARK, U., WAGMAN, P., WAHLIN, C., & ROLANDER, B. (2018). Workplace health in dental care – A salutogenic approach. International Journal of Dental Hygiene, 16(1), 103-113. https://doi.org/10.1111/idh.12257
LYNN, M. & REDMAN, R. (2005). Influence on staff nurses’ intention to leave their positions or nursing. Journal of Nursing Administration, 35(5), 264-270. https://doi.org/10.1097/00005110-200505000-00010
MCMENAMIN, T. M. (2007). A time to work: recent trends in shift work and flexible schedules. Monthly Labor Review, 130(12), 3-15. https://link.gale.com/apps/doc/A181758781/AONE?u=anon~5c8e63ea&sid=googleScholar&xid=91069ded.
MCNALL, L. A., MASUDA, A. D., & NICKLIN, J. M. (2009). Flexible work arrangements, job satisfaction, and turnover intentions: The mediating role of work-to-family enrichment. Journal of Psychology, 144(1), 61-81. https://doi.org/10.1080/00223980903356073
MILLS, M. & TAHT, K. (2010). Nonstandard work schedules and partnership quality: Quantitative and qualitative findings. Journal of Marriage and Family, 72, 860-875. https://doi.org/10.1111/j.1741-3737.2010.00735.x
MOLINO, R., BAKKER, A. B., & GHISLIERI, C. (2016). The role of workaholism in the job demands-resource model. Anxiety, Stress, & Coping, 29(4), 400-414. https://doi.org/10.1080/10615806.2015.1070833
NORHASNIAH, W., HUSIN, W., & REDZUAN, A. A. (2018). The influence of work environment and leadership on the job satisfaction of soldiers. Proceedings of the 5th ic-PSIRS 2018 International Conference on Political Science, International Relations and Sociology. https://doi.org/10.15405/epsbs.2018.03.02.7
O’BRIEN-PALLAS, L., MURPHY, G. T., SHAMIAN, J., LI, X. & HAYES, L. J. (2010). Impact and determinants of nurse turnover: A pan-Canadian study. Journal of Nursing Management, 18(8), 1073-1086. https://doi.org/10.1111/j.1365-2834.2010.01167.x
QURATULAIN, S. & KHAN, A.K. (2015). Red tape, resigned satisfaction, public service motivation, and negative employee attitudes and behaviors: Testing a model of moderated mediation. Review of Public Personnel Administration, 35(4), 307-332. https://doi.org/10.1177/0734371X13511646
PARK, J. & MIN, H. (2020). Turnover intention in the hospitality industry: A meta-analysis. International Journal of Hospitality Management, 90, Article ID: 102599. https://doi.org/10.1016/j.ijhm.2020.102599
PARKES, K. R. (2003). Shiftwork and environment as interactive predictions of work perceptions. Journal of Occupational Health, 8(4), 266-281. https://doi.org/10.1037/1076-8998.8.4.266
ROBINSON, R. N., KRALJ, A., SOLNET, D. J., GOH, E., & CALLAN, V. (2014). Thinking job embeddedness not turnover: towards a better understanding of frontline hotel workers retention. International Journal of Hospitality Management, 36, 101-109. https://doi.org/10.1016/j.ijhm.2013.08.008
SCHAUFELI, W. B. & TARIA, T. W. (2014). A critical review of the job demands-resources model: Implication for improving work and health. In BAUER, G., & HAMIMING, O. (Eds.), Bridging occupational, organizational and public health (pp. 43-68). Oxford University Press.
SELLGREN, S. F., KAJERMO, N. K., EKVALL, G., & TOMSON, G. (2009). Nursing staff turnover at a Swedish university hospital: An exploratory study. Journal of Clinical Nursing, 18(22), 3181-3189. https://doi.org/10.1111/j.1365-2702.2008.02770.x
STALPERS, D., DE BROUWER, B., KALJOUW, M. J., & SCHUURMANS, M. J. (2015). Association between characteristics of the nurse work environment and five nurse-sensitive patient outcomes in hospitals: A systematic review of literature. International Journal of Nursing Studies, 52(4), 817-835. https://doi.org/10.1016/j.ijnurstu.2015.01.005
STEVENS, J. (2009). Applied Multivariate Statistics for the social sciences. Mahwah, NJ: Lawrence Erlbaum.
TORQUATI, L., MIELKE, G. I., BROWN, W. J., BURTON, N. W., & KOLBE-ALEXANDER, T. L. (2019). Shift work and poor mental health: A meta-analysis of longitudinal studies. American Journal of Public Health, 109(11), e13-e20. https://doi.org/10.2105/ajph.2019.305278
VOYDANOFF, P. (2004). The effects of work demands and resources on work-to-family conflict and facilitation. Journal of Marriage and Family, 66, 398-412. https://doi.org/10.1111/j.1741-3737.2004.00028.x
WHALE, Z. (1993). Shift work and quality of care. Journal of Clinical Nursing, 2, 269-272. https://doi.org/10.1111/J.1365-2702.1993.TB00178.X
WILSON, J. L. (2002). The impact of shift patterns on healthcare professionals. Journal of Nursing Management, 10(4), 211-219. https://doi.org/10.1046/j.1365-2834.2002.00308.x
WRIGHT, B. E. & DAVIS, B. S. (2003). Job satisfaction in the public sector: The role of the work environment. American Review of Public Administration, 33, 70-90. https://doi.org/10.1177/0275074002250254
YOUSEF, E., MITWALLY, N., NOUFAL, N., & TAHIR, M. R. (2020). Shift work and risk of skin cancer. A systematic review and meta-analysis. Scientific Reports, 10(1), 2012. https://doi.org/10.1038/s41598-020-59035-x
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