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Seo and Lee: Effect of Work Environment on Nursing Performance of Nurses in Hemodialysis Units: Focusing on the Effects of Job Satisfaction and Empowerment
Original Article

Journal of Korean Academy of Nursing Administration 2016; 22(2): 178-188.

Published online: 31 March 2016

DOI: https://doi.org/10.11111/jkana.2016.22.2.178

Effect of Work Environment on Nursing Performance of Nurses in Hemodialysis Units: Focusing on the Effects of Job Satisfaction and Empowerment

Jung Ae Seo1, Byoung Sook Lee2

1Dongsan Medical Center, Korea.

2College of Nursing, Keimyung University, Korea.

Corresponding author: Lee, Byoung Sook. College of Nursing, Keimyung University, 1095 Dalgubul-daero Dalseo-gu, Daegu 704-701, Korea. Tel: +82-53-580-3900, Fax: +82-53-580-3916, lbs@gw.kmu.ac.kr

Received 19 November 2015       Revised 5 January 2016       Accepted 26 January 2016

Copyright © 2016 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

This study was performed to investigate the effect of work environment on nursing performance and the effect of job satisfaction and empowerment on nurses performance in hemodialysis units.

Methods

Participants in this study were 206 nurses from 22 hemodialysis units in local clinics, general and university hospitals in two metropolitan areas. The work environment, nursing performance, job satisfaction and empowerment of the participants were measured using four self-report questionnaires. Data were analyzed using SPSS/WIN 18.0.

Results

Nursing performance correlated significantly with work environment, job satisfaction, and empowerment in the participants. Predictability of work environment for nursing performance was 28%. Job satisfaction and empowerment showed complete mediating effects, but not moderating effects in the relationship of work environment and nursing performance in the participants.

Conclusion

Findings indicate that work environment is an important variable affecting nursing performance in nurses in hemodialysis units and that job satisfaction and empowerment are mediating variables in the relationship of work environment and nursing performance in nurses in hemodialysis units. Improvements in the work environment are needed to induce the high job satisfaction and empowerment that can lead to improvement of nursing performance.

Keywords: Hemodialysis unit, Nurse, Work environment, Job satisfaction, Empowerment

Figures and Tables

Table 1

Characteristics of the Participants (N=206)

jkana-22-178-i001
Table 2

Work Environment, Job Satisfaction, Empowerment and Nursing Performance according to Participants' Characteristics (N=206)

jkana-22-178-i002
Table 3

Relationship among Work Environment, Job Satisfaction, Empowerment and Nursing Performance in Participants (N=206)

jkana-22-178-i003
Table 4

Mediating effects of Job Satisfaction and Empowerment on the relationship between Work Environment and Nursing Performance in Participants (N=206)

jkana-22-178-i004

JS=Job satisfaction; WE=Work environment; NP=Nursing performance; EP=Empowerment.

Table 5

Moderating effects of Job Satisfaction and Empowerment on the relationship between Work Environment and Nursing Performance in Participants (N=206)

jkana-22-178-i005

WE=Work environment; JS=Job satisfaction; EP=Empowerment; NP=Nursing performance.

Notes

This article is a condensed form of the first author's master's thesis from Keimyung University.

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