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Noh and Jung: Path analysis of the Influence of Hospital Ethical Climate Perceived by Nurses on Supervisor Trust and Organizational Effectiveness
Original Article

Journal of Korean Academy of Nursing 2016; 46(6): 824-835.

Published online: 30 December 2016

DOI: https://doi.org/10.4040/jkan.2016.46.6.824

Path analysis of the Influence of Hospital Ethical Climate Perceived by Nurses on Supervisor Trust and Organizational Effectiveness

Yoon Goo Noh1, Myun Sook Jung2

1Department of Nursing, Changwon National University, Changwon, Korea.

2College of Nursing·Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.

Address reprint requests to: Jung, Myun Sook. College of Nursing, Gyeongsang National University, 15, Jinju-daero 816beon-gil, Jinju, Gyeongsangnam-do, 52727, Korea. Tel: +82-55-772-8256, Fax: +82-55-751-8711, msjung@gnu.ac.kr

Received 30 November 2015       Revised 17 August 2016       Accepted 7 September 2016

© 2016 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

The purpose of this study was to analyze the paths of influence that a hospital's ethical climate exerts on nurses' organizational commitment and organizational citizenship behavior, with supervisor trust as the mediating factor, and verify compatibility of the models in hospital nurses.

Methods

The sample consisted of 374 nurses recruited from four hospitals in 3 cities in Korea. The measurements included the Ethical Climate Questionnaire, Supervisor Trust Questionnaire, Organizational Commitment Questionnaire and Organizational Citizenship Behavior Questionnaire. Ethical Climate Questionnaire consisted of 6 factors; benevolence, personal morality, company rules and procedures, laws and professional codes, self-interest and efficiency. Data were analysed using SPSS version 18.0 and AMOS version 18.0.

Results

Supervisor trust was explained by benevolence and self-interest (29.8%). Organizational commitment was explained by benevolence, supervisor trust, personal morality, and rules and procedures (40.4%). Organizational citizenship behavior was explained by supervisor trust, laws and codes, and benevolence (21.8%).

Conclusion

Findings indicate that managers need to develop a positive hospital ethical climate in order to improve nurses' trust in supervisors, organizational commitment and organizational citizenship behavior.

Keywords: Ethics, Trust, Organizational Efficiency, Nurses

Figures and Tables

Fig. 1

Conceptual framework.

jkan-46-824-g001
Fig. 2

Path of modified model.

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Table 1

General Characteristics of Participans (N =374)

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Table 2

Comparison of Model Fit of Modified Model to Hypothetic Model

jkan-46-824-i002

GFI=Goodness-of Fit Index; AGFI=Adjusted Goodness-of Fit Index; CFI=Comparative Fit Index; TLI=Turker-Lewis index; RMR=Root Mean Square Residual; RMSEA=Root mean square error of approximation.

Table 3

Standardized Estimates, CR, SMC, Standardized Direct, Indirect, and Total Effect for Modified Model

jkan-46-824-i003

SE=Standard estimates; CR=Critical ratio; SMC=Squared multiple correlation.

Notes

This is manuscript is a condensed form of the first author's doctoral dissertation from Gyeongsang National University.

CONFLICTS OF INTEREST The authors declared no conflicts of interest.

References

1. Jeong JH, Kim KH, Kim JS. The risk factors influencing turnover intention of nurses. J Korean Acad Nurs Adm. 2008; 14(1):35–44.
2. Noh YG, Jung MS, Lee YS. Nurse's job satisfaction and organizational commitment according to hospital ethical climate types. J Korean Acad Nurs Adm. 2013; 19(4):513–524. DOI: 10.11111/jkana.2013.19.4.513.
3. Victor B, Cullen JB. A theory and measure of ethical climate in organizations. In : Frederick WC, editor. Research in corporate social performance and policy. Greenwich, CT: JAI Press;1987. p. 51–71.
4. Victor B, Cullen JB. The organizational bases of ethical work climates. Adm Sci Q. 1988; 33(1):101–125.
5. Nam MJ, Kwag SH. The effect of individual-organizational variable on ethical decision-making process in the organizational context. Manag Inf Syst Rev. 2011; 30(1):39–69.
6. Reilly BJ, Kyj MJ. Economics and ethics. J Bus Ethics. 1990; 9(9):691. DOI: 10.1007/BF00386351.
7. Yoo BA. The impact of employee's ethical climate perception on organizational citizenship behaviors: Focused on the moderating and mediating effect of trust [dissertation]. Incheon: Inha University;2007. 1–110.
8. Jung YM. A study on the effects of the perception of organizational members for the ethical climate on job satisfaction, organizational commitment and organizational citizenship behavior: Focused on the mediating role of trust in superior [master's thesis]. Gyeong-San: Yeungnam University;2006. 1–136.
9. Lee SS, Lee SY, Cheong IS. The effect of ethical climate on the job satisfaction and organizational commitment. J Organ Manage. 2008; 32(2):1–21.
10. Cullen JB, Parboteeah P, Victor B. The effects of ethical climates on organizational commitment: A two-study analysis. J Bus Ethics. 2003; 46(2):127–141. DOI: 10.1023/A:1025089819456.
11. Martin KD, Cullen JB. Continuities and extensions of ethical climate theory: A meta-analytic review. J Bus Ethics. 2006; 69(2):175–194. DOI: 10.1007/s10551-006-9084-7.
12. Tsai MT, Huang CC. The relationship among ethical climate types, facets of job satisfaction, and the three components of organizational commitment: A study of nurses in Taiwan. J Bus Ethics. 2008; 80(3):565–581. DOI: 10.1007/s10551-007-9455-8.
13. Huang CC, You CS, Tsai MT. A multidimensional analysis of ethical climate, job satisfaction, organizational commitment, and organizational citizenship behaviors. Nurs Ethics. 2012; 19(4):513–529. DOI: 10.1177/0969733011433923.
14. Dirks KT, Ferrin DL. Trust in leadership: Meta-analytic findings and implications for research and practice. J Appl Psychol. 2002; 87(4):611–628.
15. Laschinger HKS, Shamian J, Thomson D. Impact of magnet hospital characteristics on nurses' perceptions of trust, burnout, quality of care, and work satisfaction. Nurs Econ. 2001; 19(5):209–219.
16. Lee SY. The relationships of superior's leadership to supervisory trust and organizational commitment of nurses. J Korean Acad Nurs Adm. 2007; 13(2):208–218.
17. McCarthy J, Deady R. Moral distress reconsidered. Nurs Ethics. 2008; 15(2):254–262. DOI: 10.1177/0969733007086023.
18. Hart SE. Hospital ethical climates and registered nurses' turnover intentions. J Nurs Scholarsh. 2005; 37(2):173–177. DOI: 10.1111/j.1547-5069.2005.00030.x.
19. Chen CH, Wang SJ, Chang WC, Hu CS. The effect of leader-member exchange, trust, supervisor support on organizational citizenship behavior in nurses. J Nurs Res. 2008; 16(4):321–328.
20. Lee H. Related factor of organizational effectiveness in hospital: Self-efficacy, faith in supervisor [dissertation]. Seoul: Yonsei University;2003. 1–139.
21. Yu JP. The concept and understanding of structural equation modeling. Seoul: Hannare Publishing Co.;2012. p. 1–567.
22. Park J, Yun E, Han S. Factors influencing nurses' organizational citizenship behavior. J Korean Acad Nurs. 2009; 39(4):499–507. DOI: 10.4040/jkan.2009.39.4.499.
23. Cullen JB, Victor B, Bronson JW. The ethical climate questionnaire: An assessment of its development and validity. Psychol Rep. 1993; 73(2):667–674. DOI: 10.2466/pr0.1993.73.2.667.
24. Mowday RT, Steers RM. The measurement of organizational commitment. J Vocat Behav. 1979; 14(2):224–247. DOI: 10.1016/0001-8791(79)90072-1.
25. Williams LJ, Anderson SE. Job satisfaction and organizational commitment as predictors of organizational citizenship and in-role behaviors. J Manage. 1991; 17(3):601–617. DOI: 10.1177/014920639101700305.
26. Cook J, Wall T. New work attitude measures of trust, organizational commitment and personal need non-fulfilment. J Occup Psychol. 1980; 53(1):39–52. DOI: 10.1111/j.2044-8325.1980.tb00005.x.
27. Yu JP. A misunderstanding and fallacy of structural equation modeling. . Seoul: Hannarae Publishing Co.;2014. p. 1–318.
28. Kim JY, Park SE, Lee MR. An empirical study on the relationships among ethical leadership, trust and organizational citizenship behavior. Korean J Resour Dev. 2010; 13(2):1–19.
29. Woo CB, Yoon TI, Park HS. A study on the impacts of perceived ethical climate on the job satisfaction and organizational commitment. J Hum Resour Manag Res. 2010; 17(1):289–311.
30. Gu MO, Cho YA, Cho MS, Eun Y, Jeong JS, Jung IS, et al. Adaptation of intravenous infusion nursing practice guideline. J Korean Clin Nurs Res. 2013; 19(1):128–142.
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