Journal List > J Korean Acad Nurs Adm > v.17(3) > 1051603

Yu and Kim: Influence of Decentralization, Participation in Decision Making, Job Satisfaction on Nurse Managers' Organizational Commitment



The purpose of this study was to examine the influence of decentralization, participation in decision making, job satisfaction on organizational commitment among hospital nurse managers.


The data were derived from the self-reported questionnaire responses of 198 nurse managers from January to March, 2006 at four general hospitals over 900 beds in Seoul and Gyungi province and analyzed by frequency and percentage, t-test, ANOVA and Sheffe's test and stepwise multiple regression.


Mean of decentralization was 3.53±0.52, participation in decision making was 5.04±0.83, job satisfaction 3.54±0.48, and organizational commitment was 5.30±0.76. There were significant differences between participation in decision-making and career of manager, field of practice, span of control, especially in staffing decision. A significant correlation was found between organizational commitment and decentralization (r=.22, p<.001), participation in decision making (r=.40, p<.001), job satisfaction (r=.64, p<.001). The job satisfaction has the highest significant predictor of organizational commitment (R2=43%).


Nursing managers' job satisfaction and organizational commitment will be promoted by granting participation in decision-making.

Figures and Tables

Table 1
General characteristics (N=198)

ICU;Intensive Care Unit. OR;Operating Room, OPD;Out Patient Department.

Table 2
Decentralization, participation in decision-making, job satisfaction, organizational commitment
Table 3
Decentralization, participation in decision-making, job satisfaction, organizational commitment of demographic variables, span of control (N=198)

DP; Participation in Decision-Making, JS; Job Satisfaction OC; Organizational Commitment.

Table 4
Correlations among variables

X1; Age, X2; Career,hospital, X3; Career,total manager, X4; Career,current field manager, X5; Span of control, X6; Decentralization, X7; Job related issue, X8; Job condition related issue, X9; Staffing related issue, X10; Field related issue, X11; Participation in decision-making, X12; Job satisfaction, X13; Organizational commitment.

**p<.01, *p<.05

Table 5
Factors influencing organizational commitment in subjects

Adj R2=Adjusted R2.


1. Acorn S, Ratner P, Crawford M. Decentralization as a determinant of autonomy, job satisfaction and organizational commitment among nurse managers. Nurs Res. 1997. 46(1):52–58.
2. Bang YJ, Ha HW, Son TY. Factors affecting the organizational commitment of industrial accident hospital employees by job category. Korean J Hosp Manage. 2002. 7(4):24–56.
3. Blegen MA. Nurse's job satisfaction: A meta-analysis of related variables. Nurs Res. 1993. 42(1):36–41.
4. Cho MK, Jeong HS, Kim TS. Relationship between public health nurse's decentralization, participation of decision making and organizational commitment. J Korean Acad Nurs Adm. 1999. 5(1):99–111.
5. Cho MK. The relationship among structure, process, and outcome dimensions of nursing department in hospitals. 2000. Daejeon: Chungnam University of Korea;Unpublished doctoral dissertation.
6. Ha NS, Choi J. The relationship among leadership styles of nurse managers, job satisfaction, organizational commitment and turnover intention. J Korean Acad Nurs. 2002. 32(6):812–822.
7. Hage J, Aiken M. Relationships of centralization to other structural properties. Adm Sci Q. 1967. 12:72–92.
8. Hospital Nurses Association. Business report. 2002. Seoul: Author.
9. Kim CP. A study on the relation of employee's perception of organizational politics and their job satisfaction, intention to turnover-focusing on participation in decision making of employee as moderating variable. 2003. Seoul: Seoul National University of Korea;Unpublished master's thesis.
10. Kim HO, Lee BS. The influence of nursing organizational commitment and job satisfaction on the intention of resignation of clinical nurses. J Korean Acad Nurs Adm. 2001. 7(1):85–95.
11. Kim HS. Decentralization and its relationship to behavior properties in government organizations. Korean Public Adm Rev. 2001. 35(1):35–51.
12. Kim JH, Park SA. The relationship between coping strategies and nursing effectiveness in staff nurses. J Korean Acad Nurs Adm. 2002. 8(1):97–105.
13. Kim MH, Jung MS. The effect of head nurse's emotional leadership on nurse's job satisfaction & organizational commitment. J Korean Acad Nurs Adm. 2010. 16(3):336–347.
14. Kim MS. The effects of perceived organizational support on organizational commitment and career commitment of clinical nurses. J Korean Acad Nurs Adm. 2008. 14(4):458–466.
15. Kim WK, Chung KH. The relationship between professional self-concept, organizational commitment and job satisfaction in clinical nurses. J Korean Acad Nurs Adm. 2008. 14(3):287–296.
16. Lee EJ. Relationship between nursing organizational structure and nursing outcome. J Korean Acad Nurs Adm. 2004. 10(1):37–48.
17. Lee HS, Kim JK. Relationship among communication competence, communication types, and organizational commitment in hospital nurses. J Korean Acad Nurs Adm. 2010. 16(4):488–496.
18. Lee SK, Park JH. A study on the relationship between autonomy and group cohesiveness perceived by nurses and their job satisfaction, organizational commitment, motivation and intend to stay on jobs. J Korean Acad Nurs Adm. 1996. 2(1):5–15.
19. Locke EA, Schweiger DM. Participation in decision making one ore look. Res Organ Behav. 1979. 1:276.
20. Mowday RT, Steers RM, Porter lW. The measurement of organizational commitment. J Vocat Behav. 1979. 14:224–247.
21. Nam J. An analysis of decision making behaviors in school administration. 2002. Daejeon: Daejeon University of Korea;Unpublished doctoral dissertation.
22. Ostoff C. The relationship between satisfaction attitudes and performance: an organizational level analysis. J Appl Psychol. 1992. 77(6):963–974.
23. Park GJ, Kim YN. Factors influencing organizational commitment among hospital nurses. J Korean Acad Nurs Adm. 2010. 16(3):250–258.
24. Park SA, Jung MS, Kim JH, Kim JK, Joo MK, Park SH, Yu M. Nursing management. 2010. Seoul: Koonja.
25. Park WY, Yun SH. The mediating role of organizational citizenship behavior between organizational justice and organizational effectiveness in nursing organizations. J Korean Acad Nurs. 2009. 39(2):229–236.
26. Stevens JM, Beyer JM, Trice HM. Assessing personal, role, and organizational predictors of managerial commitment. Acad Manage J. 1978. 21(3):380–396.
27. Sylakowski Jones JM. Commitment, job satisfaction, and intention to turnover on registered professional nurses on medical-surgical hospital units. 2000. NY: State University of New York;Unpublished doctoral dissertation.
28. Yoo SJ, Choi YH. Predictive factors influencing turnover intention of nurses in small and medium-sized hospitals in Daegu city. J Korean Acad Nurs Adm. 2009. 15(1):16–25.
29. Yun SN. A study on relationships between environment, organizational structure, and organizational effectiveness of public health centers in Korea. 1991. Seoul: Seoul National University of Korea;Unpublished doctoral dissertation.
30. Van de Ven AH, Ferry DL. Measuring and assessing organizations. 1980. New York: Wily.
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