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Kim, Kang, and Kim: Factors related to Nurses' Patient Identification Behavior and the Moderating Effect of Person-organization Value Congruence Climate within Nursing Units
Original Article

Journal of Korean Academy of Nursing 2014; 44(2): 198-208.

Published online: 30 April 2014

DOI: https://doi.org/10.4040/jkan.2014.44.2.198

Factors related to Nurses' Patient Identification Behavior and the Moderating Effect of Person-organization Value Congruence Climate within Nursing Units

Young Mee Kim1, Seung-Wan Kang2, Se Young Kim3

1Department of Nursing, Seoul National University Hospital, Seoul, Korea.

2College of Business and Economics, Korea University, Sejong, Korea.

3Department of Nursing, Changwon National University, Changwon, Korea.

Address reprint requests to: Kang, Seung-Wan. Department of Business Administration, College of Business and Economics, Korea University, 2511 Sejong-ro, Sejong 339-700, Korea. Tel: +82-44-860-1524, Fax: +82-44-860-1521, global7@korea.ac.kr

Received 23 October 2013       Revised 1 November 2013       Accepted 17 March 2014

© 2014 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

This research was an empirical study designed to identify precursors and interaction effects related to nurses' patient identification behavior. A multilevel analysis methodology was used.

Methods

A self-report survey was administered to registered nurses (RNs) of a university hospital in South Korea. Of the questionnaires, 1114 were analyzed.

Results

The individual-level factors that had a significantly positive association with patient identification behavior were person-organization value congruence, organizational commitment, occupational commitment, tenure at the hospital, and tenure at the unit. Significantly negative group-level precursors of patient identification behavior were burnout climate and the number of RNs. Two interaction effects of the person-organization value congruence climate were identified. The first was a group-level moderating effect in which the negative relationship between the number of RNs and patient identification behavior was weaker when the nursing unit's value congruence climate was high. The second was a cross-level moderating effect in which the positive relationship between tenure at the unit and patient identification behavior was weaker when value congruence climate was high.

Conclusion

This study simultaneously tested both individual-level and group-level factors that potentially influence patient identification behavior and identified the moderating role of person-organization value congruence climate. Implications of these results are discussed.

Keywords: Patient safety, Identification, Behavior, Social value, Multilevel analysis

Figures and Tables

Table 1
Aggregation Test Results for Group-Level Variables
jkan-44-198-i001

ICC=Intraclass correlation coefficient.

Table 2
General Characteristics of Participants (N=1,114)
jkan-44-198-i002

*Nursing departments that are supervised by different directors of nursing.

Table 3
Descriptive Statistics and Correlations (N=1,114)
jkan-44-198-i003
Table 4
Results of Multilevel Analyses on Patient Identification Behavior (N=1,114 individuals; 66 groups)
jkan-44-198-i004

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