Journal List > J Korean Acad Nurs Adm > v.25(3) > 1129539

Kim, Park, and Lee: Effect of a Nursing Practice Environment on Nursing Job Performance and Organizational Commitment: Focused on the Mediating Effects of Job Embeddedness

Abstract

Purpose:

The purpose of this study was to test the mediating effect of job embeddedness in the relationship between nursing practice environment on nursing job performance and organizational commitment.

Methods:

For this study a descriptive design with survey method was utilized. Participants were 192 clinical nurses recruited from 2 hospitals in A, B city and J province in Korea. From June, 6 to 24, 2018, a questionnaire scale was used to collect the data. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation analysis, and liner regression analysis.

Results:

There were significant positive relationships for nursing job performance and organizational commitment with nursing practice environment. In addition, job embeddedness had a full mediating role in the relationship between nursing practice environment and nursing job performance, and a partial mediation effect in nursing practice environment and organizational commitment.

Conclusion:

The purpose of this study was to identify the mediating effects of job embeddedness and to find ways to improve organizational commitment, which is a useful variable to predict performance outcomes, nurse job performance and job behavior of organizational members. Also, the study results can be used as basic data for nursing manpower management strategies.

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Figure 1.
Conceptual framework.
jkana-25-208f1.tif
Table 1.
Differences in Variance to General Characteristics of Participants (N=192)
Characteristics Categories n (%) Nursing practice environment
Nursing job performance
Organizational commitment
Job Embeddedness
M±SD t or F (p) Scheffé M±SD t or F (p) Scheffé ) M±SD t or F (p) Scheffé M±SD t or F (p) Scheffé
Age (year) 23~29a 30~39b 89 (46.4) 69 (35.9) 2.43±0.31 3.32±0.39 3.16 (.045) 3.60±0.42 3.73±0.32 14.93 (<.001) ) 3.66±0.67 3.81±0.71 15.11 (<.001) 2.91±0.43 3.09±0.37 13.26 (<.001)
≥40c 34 (17.7) 2.47±0.29 4.02±0.40 a, b<c 4.45±0.86 a, b<c 3.31±0.37 a<b<c
Marital status Single 114 (59.4) 2.39±0.56 -0.33 3.64±0.43 -3.42 3.69±0.71 -3.30 3.95±0.43 -3.58
Married 78 (40.6) 3.40±0.32 (.741) 3.94±0.35 (.001) 4.09±0.80 (<.001) 3.17±0.38 (<.001)
Religion No 107 (55.7) 2.41±0.31 0.53 3.68±0.46 -1.47 3.74±0.76 -2.24 3.00±0.41 -1.59
Yes 85 (44.3) 2.38±0.38 (.601) 3.77±0.33 (.143) 3.99±0.76 (.026) 3.10±0.44 (.113)
Educational background Collegea Universityb 39 (20.3) 144 (75.0) 2.37±0.39 2.40±0.33 0.15 (.864) 3.75±0.47 3.69±0.38 3.01 (.052) 3.77±0.68 3.83±0.76 5.10 (.007) 2.94±0.44 3.04±0.40 8.12 (<.001)
≥Graduate schoolc 9 (4.7) 2.40±0.39 4.03±0.43 4.63±0.93 a, b<c 3.55±0.35 a, b<c
Position Staff nurse 179 (93.2) 2.38±0.34 -2.15 3.69±0.41 -3.39 3.77±0.70 -6.18 3.00±0.40 -5.28
≥Charge nurse 13 (6.8) 2.59±0.22 (.033) 4.08±0.24 (.001) 5.02±0.82 (<.001) 3.61±0.29 (<.001)
Nursing unit Medicala Surgicalb Special unitsc OPD & other unitsd 36 (18.8) 64 (33.3) 62 (32.3) 30 (15.6) 2.25±0.37 2.45±0.32 2.45±0.31 2.33±0.37 3.76 (.012) a<b 3.63±0.43 3.70±0.41 3.76±0.39 3.77±0.42 0.98 (.405) 3.55±0.69 3.88±0.79 3.96±0.71 3.95±0.88 2.48 (.062) 2.90±0.35 3.07±0.46 3.11±0.44 3.01±0.38 2.11 (.100)
Clinical career 1~<5a 72 (37.5) 2.46±0.29 2.89 3.56±0.43 11.26 3.66±0.70 11.22 2.90±0.44 11.67
(year) 5~<10b 52 (24.5) 2.31±0.34 (.058) 3.73±0.31 (<.001) ) 3.65±0.67 (<.001) 3.00±0.40 (<.001)
≥10c 65 (38.0) 2.38±0.38 3.87±0.39 a<c 4.17±0.79 a, b<c 3.22±0.37 a, b<c
Career in 1~<5a 75 (39.0) 2.45±0.30 2.77 3.57±0.42 11.04 3.66±0.72 8.60 2.90±0.44 11.36
current 5~<10b 52 (27.1) 2.31±0.37 (.065) 3.74±0.33 (<.001) ) 3.75±0.70 (<.001) 3.03±0.39 (<.001)
hospital (year) ≥10c 65 (33.9) 2.40±0.34 3.88±0.39 a<c 4.16±0.80 a, b<c 3.22±0.37 a, b<c
Career in current unit 1~<3a 3~<5b 93 (48.4) 56 (29.2) 2.41±0.36 2.36±0.34 0.38 (.684) 3.68±0.41 3.73±0.44 1.06 (.349) 3.89±0.82 3.73±0.77 1.05 (.353) 3.04±0.41 2.95±0.48 3.30 (.039)
(year) ≥5c 43 (22.4) 2.39±0.31 3.79±0.37 3.93±0.66 3.14±0.43 b<c
Work shift 3-shift 155 (80.7) 2.39±0.34 -0.20 3.68±0.40 -2.82 3.73±0.66 -4.02 3.99±0.41 -3.30
Day shift 37 (19.3) 2.40±0.34 (.839) 3.89±0.41 (.005) 4.39±0.95 (<.001) 3.25±0.43 (.001)
Monthly salary 200~249a 78 (40.6) 2.41±0.32 1.44 3.61±0.42 7.99 3.66±0.73 9.34 2.91±0.47 11.32
(10,000 won) 250~299b 60 (31.3) 2.33±0.39 (.233) 3.71±0.35 (<.001) ) 3.76±0.65 (<.001) 3.00±0.35 (<.001)
300~349c 35 (18.2) 2.39±0.32 3.78±0.39 a, b, c<d d 4.04±0.61 a<c, d 3.19±0.26 a, b<c, d
≥350d 19 (9.9) 2.51±0.27 4.09±0.34 4.58±1.04 b<d 3.44±0.39
Turnover No 156 (80.7) 2.41±0.33 1.51 3.71±0.42 -0.94 3.85±0.75 -0.17 3.05±0.43 0.41
Yes 37 (19.3) 2.32±0.40 (.132) 3.78±0.35 (.348) 3.87±0.88 (.864) 3.02±0.39 (.685)
Table 2.
Descriptive Statistics for Variables (N=192)
Variables M±SD Possible range Skewness Kurtosis
Nursing practice environment 2.39±0.30 1~4 0.68 0.63
Nursing job performance 3.72±0.41 1~5 0.52 1.89
Organizational commitment 3.85±0.77 1~7 0.03 1.15
Job embeddedness 3.04±0.43 1~5 0.12 0.15
Table 3.
Correlation Relationships among Variables (N=192)
Variables Nursing practice environment
Nursing job performance
Organizational commitment
r (p) r (p) r (p)
Nursing job performance .35 (<.001)
Organizational commitment .50 (<.001) .41 (<.001)
Job embeddedness .54 (<.001) .54 (<.001) .69 (<.001)
Table 4.
Mediating Effect of Job Embeddedeness in the Relationship to Nursing Practice Environment, Job Performance, and Organizational Commitment (N=192)
Variables B β t p Adj. R2 F p
1. PE → JE 0.68 .54 8.90 <.001 .29 79.16 <.001
2. PE → JP 0.41 .35 5.09 <.001 .16 25.87 <.001
3. PE, JE → JP .29 39.02 <.001
1) PE → JP 0.09 .08 1.07 .284
2) JE → JP 0.48 .49 6.78 <.001
Sobel test (Z=5.40, p<.001)
1. PE → JE 0.68 .54 8.90 <.001 .29 79.16 <.001
2. PE → OC 1.12 .50 7.90 <.001 .24 62.42 <.001
3. PE, JE → OC .49 92.60 <.001
1) PE → OC 0.40 .14 2.86 .005
2) JE → OC 1.07 .11 9.63 <.001
Sobel test (Z=6.55, p<.001)

PE=Practice environment; JE=Job embeddedeness; JP=Job performance; OC=Organizational commitment.

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