Factors affecting Organizational Commitment of General Hospital Nurses in Small and Medium Sized Cities

Jin Hee Kim; Min Young Kim

doi:10.11111/jkana.2019.25.1.14

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Kim and Kim: Factors affecting Organizational Commitment of General Hospital Nurses in Small and Medium Sized Cities

Original Article

Journal of Korean Academy of Nursing Administration 2019; 25(1): 14-24.

Published online: 31 January 2019

DOI: https://doi.org/10.11111/jkana.2019.25.1.14

Factors affecting Organizational Commitment of General Hospital Nurses in Small and Medium Sized Cities

Jin Hee Kim¹

, Min Young Kim²

¹Jeju Center for Infection Control, Korea.

²College of Nursing, Jeju National University, Korea.

Corresponding author: Kim, Min Young. College of Nursing, Jeju National University, 102 Jejudaehak-ro, Jeju 63243, Korea. Tel: +82-64-754-3750, Fax: +82-64-702-2686, musemy2@jejunu.ac.kr

Received 4 October 2018 Revised 14 November 2018 Accepted 4 December 2018

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 done to investigate the relationships between nursing work environment, leader-member exchange(LMX), peer support, and organizational commitment in one city with a severe nurse shortage.

Methods

Participants were 198 nurses who had worked for more than 6 months with the same head nurse. They worked in five general hospitals located in one city. In April 2016 participants completed a survey questionnaire about their nursing work environment, LMX, peer support, and organizational commitment. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multiple regression.

Results

There was a significant difference in nursing work environment by experience of turnover (t=−2.58, p=.010). LMX showed significant difference by department (F=3.81, p=.011). Factors influencing nurses' organizational commitment were nurse participation in hospital affairs (β=.23, p=.028) and nurse manager ability, leadership and support (β=.18, p=.022). Explanatory power was 18.2% in the regression model.

Conclusion

The results suggest that it is necessary to improve the nursing work environment in order to increase organizational commitment. Improvement of the nursing system should be considered along with supplementation of nurses particularly during a severe nurse shortage.

Keywords: Nurses, Organizational commitment, Nursing work environment, Leader-member exchange, Peer influence

Figures and Tables

Table 1

General Characteristic of the Participants (N=198)

Special unit: emergency room, intensive care unit, or operating room; Others=rehabilitation unit, artificial kidney unit, or obstetric gynecologic unit.

Table 2

Mean, Standard Deviation of Study Variables

K-PES-NWI=Korean version of the practice environment scale of the nursing work index.

Table 3

Differences in Nursing Work Environment, Leader-Member Exchange, Peer Support, and Organizational Commitment by General Characteristics

Special unit: emergency room, intensive care unit, or operating room; Others=rehabilitation unit, artificial kidney unit, or obstetric gynecologic unit. K-PES-NWI=Korean version of the practice environment scale of the nursing work index; LMX=leader-member exchange; OC=organizational commitment. ^*Scheffé test was done. a,b,c,d=Scheffé test.

Table 4

Correlations among Nursing Work Environment, Leader-Member Exchange, Peer Support, and Organizational Commitment

X1=Nurse participation in hospital affairs; X2=Nursing foundations for quality of care; X3=Nurse manager ability, leadership and support; X4=Staffing and resource adequacy; X5=Collegial nurse-physician relations; X6=Affect; X7=Loyalty; X8=Contribution; X9=Professional respect; X10=Emotional support; X11=Informative support; X12=Material support; X13=Appraisal support; X14=Organizational commitment.

Table 5

Factors influencing Organizational Commitment

K-PES-NWI=Korean version of the practice environment scale of the nursing work index.

Notes

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

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ORCID iDs

Jin Hee Kim
https://orcid.org/0000-0003-1629-9812

Min Young Kim
https://orcid.org/0000-0001-6024-1111

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