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Yi and Yi: Influence of Leader-Member Exchange Quality of Head Nurses and Clinical Nurses on Organizational Commitment and Job Satisfaction in Clinical Nurses
Original Article

Journal of Korean Academy of Nursing Administration 2014; 20(2): 195-205.

Published online: 31 March 2014

DOI: https://doi.org/10.11111/jkana.2014.20.2.195

Influence of Leader-Member Exchange Quality of Head Nurses and Clinical Nurses on Organizational Commitment and Job Satisfaction in Clinical Nurses

Hyang-Hwa Yi1, Yeo-Jin Yi2

1Graduate School of Nursing, Gachon University, Korea.

2College of Nursing, Gachon University, Korea.

Corresponding author: Yi, Yeo-Jin. College of Nursing, Gachon University, 191 Hambakmeoi-ro, Yunsu-gu, Incheon 406-799, Korea. Tel: +82-32-820-4217, Fax: +82-32-820-4201, yjyi@gachon.ac.kr

Received 13 December 2013       Revised 21 January 2014       Accepted 19 February 2014

Copyright © 2014 Korean Academy of Nursing Administration

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose was to identify the influence the quality of head and clinical nurses' LMX (Leader-Member Exchange) on job satisfaction and organizational commitment.

Methods

The participants were 42 head nurses and 202 clinical nurses who worked in 7 hospitals with more than 300 beds in I-city. The data were collected from March 10 to April 10, 2013 using a self-report questionnaire. Data analysis was performed using hierarchical regression with the SPSS/WIN 20.0 program.

Results

The mean score for head nurses' LMX quality was 3.66 and for clinical nurses, 3.51. Clinical nurses' LMX quality and age had a positive impact on job satisfaction (F=8.00, p<.001). Clinical nurses' LMX quality and marriage (not single) had a positive impact on organizational commitment (F=6.76, p<.001).

Conclusion

The LMX quality of head nurse was higher than that of clinical nurses, but did not positively affect clinical nurses' job satisfaction or organizational commitment indicating that the LMX quality of clinical nurses is more important than that of head nurse. Thus head nurses should make efforts to lead their units or teams in a positive and friendly way. This positive recognition will promote greater job satisfaction and organizational commitment of clinical nurses.

Keywords: Nurse, Leadership, Job satisfaction, Organizational commitment

Figures and Tables

Table 1
General Characteristics (N=244)
jkana-20-195-i001

L-LMX=Leader-member exchange of leader (head nurses), M-LMX=Leader-member exchange of member (clinical nurses).

Table 2
Difference in Leader-Member Exchange of Head nurses and Clinical nurses, Job Satisfaction, and Organizational Commitment according to General Characteristics (N=202)
jkana-20-195-i002

a, b, c: Duncan's multiple comparison; L-LMX=Leader-member exchange of leader (head nurses), M-LMX=Leader-member exchange of member (clinical nurses).

†Mann-Whitney U-test; ‡Kruskal-Wallis test.

Table 3
Correlations among Variables (N=202)
jkana-20-195-i003

L-LMX=Leader-member exchange of leader (head nurses); M-LMX=Leader-member exchange of member (clinical nurses).

Table 4
Results of Hierarchical Regression Analysis: Job Satisfaction (N=202)
jkana-20-195-i004

L-LMX=Leader-member exchange of leader (head nurses), M-LMX=Leader-member exchange of member (clinical nurses).

*Dummy variables: marital status (single=0), department (psychiatric=0), Hospital Type (Long term care=0).

Table 5
Results of Hierarchical Regression Analysis: Organizational Commitment (N=202)
jkana-20-195-i005

L-LMX: Leader-member exchange of leader (head nurses), M-LMX: Leader-member exchange of member (clinical nurses).

*Dummy variables: marital status (single=0), department (psychiatric=0), Hospital Type (Long term care=0).

Notes

This article is a revision of the first author's master's thesis from Gachon University.

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