Moderating Effects of Work-family Conflict between Job . Organizational . Career Characteristics and Turnover Intention among Nurses in Small and Medium-sized Hospitals / 간호행정학회지

PURPOSE: The purpose of this study was to identify moderating effects of work-family conflict in the relationship between job, organizational, career characteristics and turnover intention among nurses working in small and medium-sized hospitals. METHODS: A self report questionnaire survey was completed by 286 nurses working in five small or medium-sized hospitals in P city. Data were gathered during October, 2014 and analyzed using the SPSS 21.0 program. RESULTS: Work-family conflict had significant moderating effects between job, organizational, career characteristics and turnover intention of nurses working in small or medium-sized hospitals. Career commitment was the biggest factor in reducing turnover intention. CONCLUSION: The results of the study indicate that work-family conflict and career commitment are important factors in turnover intention among nurses working in small and medium-sized hospitals. Therefore, to understand job and organizational career characteristics of nurses in small and medium hospitals, consideration must be given to the role of conflict in the nurses' workplace and homes. Support from the organization focusing on career development, and provision of an innovative system for the environment of small hospitals are needed.

A qualitative analysis of characteristics and problems of residency programs in community hospitals in Japan / 医学教育

Introduction: Differences in residency programs between large and small hospitals have not been shown in Japan.<br>Method: We performed a qualitative analysis of focus-group interviews of residents in community hospitals to investigate characteristics and problems of their residency programs.<br>Results: We found that residents in community hospitals treated difficult patients with the help of the medical staff; this cooperation was one of the most important characteristics of residency programs. We also found that residents tended to have less experience in emergency medicine and several other specialties.<br>Discussion: We found that residents in community hospitals learned how to treat difficult patients with the help of medical staff by means of a biopsychosocial model.