Journal List > J Korean Acad Nurs Adm > v.24(5) > 1111561

Kim and Kim: Relationship of Conflict Management Style, Professional Autonomy, Role Conflict and Organizational Commitment of Nurses in General Hospitals

Abstract

Purpose

The purpose of this research was to examine the relationship between types of conflict management style, role conflict, professional autonomy and organizational commitment of hospital nurses, and to identify factors influencing organizational commitment.

Methods

Participants were 165 conveniently selected nurses from one general hospital in Gangwon province. Data were collected from March 28 to April 6, 2018 using self-report questionnaires.

Results

There was a significant difference in the level of professional autonomy and organizational commitment depending on the nurses' styles of conflict management. A statistically significant positive correlation between professional autonomy and organizational commitment was found, and a negative correlation between environmental barriers in role conflict and organizational commitment. Participants' professional autonomy and environmental barriers in role conflict explained 17.9% of organizational commitment.

Conclusion

These finding indicate that professional autonomy and environmental barriers are both very important factors influencing organizational commitment. Accordingly, it is necessary to improve nurses' organizational commitment, enhance autonomy and reduce environmental barriers for nurses performing nursing roles.

Figures and Tables

Table 1

Cluster Analysis of Conflict Management Styles (N=165)

jkana-24-387-i001

Cluster 1=Integrating-obliging-compromising; Cluster 2=Dominating-avoiding; Cluster 3=Avoiding; Cluster 4=Obliging-avoiding, Cluster 5=Compromising-dominating-integrating.

Table 2

Level of Professional Autonomy, Role Conflict, Organizational Commitment (N=165)

jkana-24-387-i002
Table 3

Differences of Professional Autonomy, Role Conflict, Organizational Commitment to General Characteristics of the Participants and Conflict Management Styles (N=165)

jkana-24-387-i003

Cluster 1=Integrating-obliging-compromising; Cluster 2=Dominating-avoiding; Cluster 3=Avoiding; Cluster 4=Obliging-avoiding; Cluster 5=Compromising-dominating-integrating.

Table 4

Correlation among Valuables (N=165)

jkana-24-387-i004
Table 5

Factors Influencing to Organization Commitment (N=165)

jkana-24-387-i005

Notes

This article is a revision of the first author's master's thesis from Yonsei University.

References

1. Mowday RT, Steers RM, Porter LW. The measurement of organizational commitment. Journal of Vocational Behavior. 1979; 14(2):224–247. DOI: 10.1016/0001-8791(79)90072-1.
2. Lee MH, Moon HK. A critical review of organizational commitment literature in Korea: Challenges and future research directions. Journal of Management & Organization. 2014; 38(2):143–221.
3. Thomas KW, Kilmann RH. The social desirability variable in organizational research: An alternative explanation for reported findings. Academy of Management Journal. 1975; 18(4):741–752. DOI: 10.5465/255376.
4. Song MA. The impact of conflict management and role conflict on organizational effectiveness in nurses [master's thesis]. Seoul: The Catholic University of Korea;2018.
5. Yang CH, Kang YS. The impact of a supervisor's conflict resolution style on a nurse's organizational citizenship behavior and turnover intention in hospital: The moderating role of emotional intelligence. Korean Journal of Human Resources Development. 2017; 20(4):137–157. DOI: 10.24991/KJHRD.2017.12.20.4.137.
6. Lee YB, Lee HK. Role Conflict and Conflict Management Styles of Hospital Nurses. Korean Journal of Stress Research. 2015; 23(3):147–158. DOI: 10.17547/kjsr.2015.23.3.147.
7. Jeong YN. Job stress and organizational commitment of nurses according to conflict management styles of nurse manager [master's thesis]. Busan: Catholic University of Pusan;2016.
8. Rahim MA. A strategy for managing conflict in complex organizations. Human Relations. 1985; 38(1):81–89. DOI: 10.1177/001872678503800105.
9. Moon SJ, Han SS. The prediction factor on organizational commitment of the nurse. Journal of Korean Academic Society of Nursing Education. 2009; 15(1):72–80. DOI: 10.5977/JKASNE.2009.15.1.072.
10. Lee NY, Kim YS. Effects of relational bonds and professional authority in the organizational commitment of intensive care unit nurses. Journal of Korean Academy of Nursing Administration. 2017; 23(2):151–160. DOI: 10.11111/jkana.2017.23.2.151.
11. Batey MV, Lewis FM. Clarifying autonomy and accountability in nursing service: Part 1. Journal of Nursing Administration. 1982; 12(9):13–18.
12. Wade GH. Professional nurse autonomy: Concept analysis and application to nursing education. Journal of Advanced Nursing. 1999; 30(2):310–318. DOI: 10.1046/j.1365-2648.1999.01083.x.
13. Baykara ZG, Şahinoğlu S. An evaluation of nurses' professional autonomy in Turkey. Nursing Ethics. 2014; 21(4):447–460. DOI: 10.1177/0969733013505307.
14. Chi SA, Yoo HS. Concept analysis of professional nurse autonomy. Kanho Hakhoe Chi. 2001; 31(5):781–792.
15. Iranmanesh S, Razban F, Nejad AT, Ghazanfari Z. Nurses' professional autonomy and attitudes toward caring for dying patients in South-East Iran. International Journal of Palliative Nursing. 2014; 20(6):294–300. DOI: 10.12968/ijpn.2014.20.6.294.
16. Darbyshire C, Fleming VEM. Governmentality, student autonomy and nurse education. Journal of Advanced Nursing. 2008; 62(2):172–179. DOI: 10.1111/j.1365-2648.2007.04571.x.
17. Park JA, Yeo JH. Effect of professional autonomy and professional self-concept on job satisfaction of emergency nurses. Journal of Korean Critical Care Nursing. 2015; 8(1):62–70.
18. Rao AD, Kumar A, McHugh M. Better nurse autonomy decreases the odds of 30-day mortality and failure to rescue. Journal of Nursing Scholarship. 2017; 49(1):73–79. DOI: 10.1111/jnu.12267.
19. Hwang HJ, Lee YM. Effects of professional autonomy, organizational commitment, and perceived patient safety culture on patient safety management activities of nurses in medium and small-sized hospitals. Journal of Korean Critical Care Nursing. 2017; 10(1):63–74.
20. Son YL, Kim EH. Impacts of professional autonomy and role conflict clinical decision-making ability of nurses on comprehensive nursing care service wards. Journal of the Korea Academia-Industrial cooperation Society. 2018; 19(7):463–473. DOI: 10.5762/KAIS.2018.19.7.463.
21. Sung MH. A comparative study on role conflict and job satisfaction between nurses in ICU and nurses in general ward. Journal of Korean Academy of Nursing Administration. 2006; 12(1):104–112.
22. Marriner A. Conflict resolution. Supervisor Nurse. 1979; 10(5):46–54.
23. Lee JS, Kim JS. Professional role conflict experience of perioperative nurses through nursing performance. Korean Journal of Stress Research. 2012; 20(4):257–266.
24. Kim EJ. Autonomy, role conflict and professional self concept of advanced practice nurse. Busan: Pusan National University;2015.
25. Kim MS, Park SY. Development of a role conflict scale for clinical nurses. Kanho Hakhoe Chi. 1995; 25(4):741–750.
26. Dempster JS. Autonomy in practice: Conceptualization, construction, and psychometric evaluation of an empirical instrument [dissertation]. Ann Arbor, Mich.: University of San Diego;1990.
27. Lee HK. Nurses' perceptions of job-related empowerment, jib satisfaction and organizational commitment. Journal of Korean Academy of Nursing Administration. 2001; 7(1):65–84.
28. Park SH. Impact of nursing professional self-concept, clinical decision making ability, critical thinking disposition, professional autonomy of clinical nurse's. Journal of Korea Entertainment Industry Association. 2015; 9(4):325–334. DOI: 10.21184/jkeia.2015.12.9.4.325.
29. Kim KK, Kjervik DK, Foster B. Quality indicators for initial licensure and discipline in nursing laws in South Korea and North Carolina. International Nursing Review. 2014; 61(1):35–43. DOI: 10.1111/inr.12069.
30. Koo HR. The Socioeconomic origin of professional autonomy: A theoretical consideration. Korean Journal of Sociology. 2003; 37(2):231–248.