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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Korean Acad Nurs Adm</journal-id>
<journal-id journal-id-type="publisher-id">JKANA</journal-id>
<journal-title-group>
<journal-title>Journal of Korean Academy of Nursing Administration</journal-title>
</journal-title-group>
<issn pub-type="ppub">1225-9330</issn>
<issn pub-type="epub">2288-4955</issn>
<publisher>
<publisher-name>Korean Academy of Nursing Administration</publisher-name>
</publisher>
</journal-meta>

<article-meta>
<article-id pub-id-type="doi">10.11111/jkana.2016.22.5.507</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Self Efficacy, Organizational Commitment, Customer Orientation and Nursing Performance of Nurses in Local Public Hospitals</article-title>
</title-group>

<contrib-group>

<contrib contrib-type="author">
<name>
<surname>Oh</surname>
<given-names>Hee Sook</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author" corresp="yes">
<name>
<surname>Wee</surname>
<given-names>Hwee</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>

</contrib-group>
<aff id="A1"><label>1</label>Gunsan Medical Center, Korea.</aff>
<aff id="A2"><label>2</label>Department of Nursing, Kunsan National University, Korea.</aff>

<author-notes>
<corresp>Corresponding author: Wee, Hwee. Department of Nursing, Kunsan National University, 558 Daehak-ro, Gunsan 54150, Korea. Tel: +82-63-469-1993, Fax: +82-63-469-7429, <email>weehwee@kunsan.ac.kr</email></corresp>
</author-notes>

<pub-date pub-type="ppub">
<month>12</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>31</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>22</volume>
<issue>5</issue>
<fpage>507</fpage>
<lpage>517</lpage>

<history>
<date date-type="received">
<day>18</day>
<month>08</month>
<year>2016</year>
</date>
<date date-type="rev-recd">
<day>28</day>
<month>10</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>08</day>
<month>12</month>
<year>2016</year>
</date>
</history>

<permissions>
<copyright-statement>Copyright &#x00A9; 2016 Korean Academy of Nursing Administration</copyright-statement>
<copyright-year>2016</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
<license-p>This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>

<abstract>
<sec>
<title>Purpose</title>
<p>The local public hospitals in Korea are regarded as institutions that must consider the provision of good quality public health services, as well as profitability. Therefore it is important to improve nursing services to produce positive change in local public hospitals. This study was done to examine the relationships between self efficacy, organizational commitment, customer orientation and nursing performance for nurses in local public hospitals.</p>
</sec>
<sec>
<title>Methods</title>
<p>For this study, 5 of 34 institutions were selected through random sampling: and 134 nurses working in local public hospitals were selected. Data were collected from March 28 to April 8, 2016 using self-report questionnaires. Collected data were analyzed using independent t-test, one-way ANOVA, Scheff&#x00E9; test, Pearson correlation coefficient and multiple regression with SPSS/WIN 18.0.</p> </sec>
<sec>
<title>Results</title>
<p>The major findings are summarized as follows: (1) There were significant positive correlations between self efficacy, organizational commitment, customer orientation, and nursing performance. (2) The factors affecting nursing performance were self efficacy, organizational commitment, and customer orientation, in that order, and these variables explained 57% of nursing performance.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Administrators in local public hospitals should use the results of this study to develop a strategy for improving nursing performance.</p>
</sec>
</abstract>

<kwd-group>
<kwd>Public hospitals</kwd>
<kwd>Self efficacy</kwd>
<kwd>Organizational commitment</kwd>
<kwd>Customer orientation</kwd>
<kwd>Nursing performance</kwd>
</kwd-group>

</article-meta>
</front>

<back>

<fn-group>
<fn fn-type="other">
  <p>This article is a revision of the first author's master's thesis from Kunsan National University.</p>
</fn>
</fn-group>

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</back>

<floats-group>

<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption>
  <title>General Characteristics (<italic>N</italic>=134)</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jkana-22-507-i001"></graphic>
</table-wrap>

<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption>
  <title>Level of Self Efficacy, Organizational Commitment, Customer Orientation and Nursing Performance (<italic>N</italic>=134)</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jkana-22-507-i002"></graphic>
</table-wrap>

<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption>
  <title>Difference in Self Efficacy, Organizational Commitment, Customer Orientation and Nursing Performance according to General Characteristics (<italic>N</italic>=134)</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jkana-22-507-i003"></graphic>
</table-wrap>

<table-wrap position="float" id="T4">
<label>Table 4</label>
<caption>
  <title>Correlations of Self Efficacy, Organizational Commitment, Customer Orientation and Nursing Performance (<italic>N</italic>=134)</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jkana-22-507-i004"></graphic>
</table-wrap>

<table-wrap position="float" id="T5">
<label>Table 5</label>
<caption>
  <title>Factors Influencing Nursing Performance (<italic>N</italic>=134)</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jkana-22-507-i005"></graphic>
</table-wrap>

</floats-group>

</article>