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Jung and Lee: Mediating Effect of Nursing Professionalism on the Relationship between Nurses’ Character and Organizational Commitment of the Nurse
Original Article

J Korean Acad Nurs Adm 2019;25(3):239-247.

Published online: 17 January 2019

DOI: https://doi.org/10.11111/jkana.2019.25.3.239

Mediating Effect of Nursing Professionalism on the Relationship between Nurses’ Character and Organizational Commitment of the Nurse

Sun Young Jung1, Hyun Deuk Lee2,

1College of Nursing · The Research Institute of Nursing Science, Daegu Catholic University

2College of Nursing, Daegu Catholic University

Corresponding author: Lee, Hyun Deuk, College of Nursing, Daegu Catholic University, 33 Duryugongwon-ro, 17-gil, Nam-gu, Daegu 42472, Korea. Tel: +82-53-650-4977, Fax: +82-53-650-4392, E-mail: hd811210@naver.com

Received 20 February 2019       Revised 26 March 2019       Accepted 26 March 2019

Copyright © 2019 Korean Academy of Nursing Administration

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 mediating effect of nursing professionalism on the relationship between nurse’s character and organizational commitment of the nurse.

Methods:

The participants in this study were 170 nurses who had over 3 months of work experience in hospitals in 2 regions of South Korea. Data were collected using self-report questionnaires. Data collection period was from December 15, 2018 to January 15, 2019, Data were analyzed using the IBM SPSS/WIN 25.0 program.

Results:

The significant predictors for organizational commitment of nurses were nursing professionalism (β=.42), total clinical career (β=-.30), monthly income (β=-.27) and clinical career in current hospital (β=-.24). These variables explained 36.0% of the variance in the organizational commitment of nurses. Nursing professionalism was found to have a mediating effect on the relationship between nurses’ character and organizational commitment.

Conclusion:

These results highlight the importance of nurses’ organizational commitment and can be used as meaningful data for intervention research to promote the character of nurses and nursing professionalism.

Keywords: Nurse, Character, Professionalism, Organizational commitment

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Figure 1.
Mediating effect of nursing professionalism on the relationship between nurse’s character and organizational commitment.
jkana-25-239f1.tif
Table 1.
Differences in Organizational Commitment according to General Characteristics (N=17
Characteristics Categories Organizational commitment
n (%) or M±SD M±SD t or F (p) Scheffé
Age (year) ＜25a 25~＜30b 33 (19.4) 75 (44.1) 3.14±0.51 2.74±0.67 5.31 (.002) a＞b, c
30~＜35c 28 (16.5) 2.56±0.52
≥35d 34 (20.0) 29.27±5.77 2.95±0.69
Marital status Unmarried Married 115 (67.6) 55 (32.4) 2.85±0.66 2.81±0.64 0.37 (.710)
Education level Collegea Universityb 30 (17.6) 123 (72.4) 2.52±0.65 2.86±0.62 5.71 (.004) a＜b, c
Graduate schoolc 17 (10.0) 3.14±0.71
Total clinical career ＜5a 83 (48.8) 3.01±0.58 12.91 (＜.001) b＜a, c
(year) 5~＜10b 47 (27.7) 2.46±0.62
≥10c 40 (23.5) 2.90±0.64
6.85±5.96
Clinical career in current hospital (year) ＜5a 5~＜10b ≥10c 96 (56.5) 45 (26.5) 29 (17.0) 3.00±0.61 2.51±0.66 2.80±0.59 9.63 (＜.001) a＞b
5.66±5.14
Monthly income ＜200 7 (4.1) 3.32±0.97 3.73 (.013)
(10,000 won) 200~＜300 125 (73.5) 2.76±0.62
300~＜400 30 (17.7) 2.88±0.60
≥400 8 (4.7) 3.34±0.68
Work department General ward Special unit* 100 (58.8) 57 (33.5) 2.93±0.60 2.74±0.67 3.85 (.023)
OPD 13 (7.7) 2.47±0.73

*Intensive care unit, emergency room; OPD=Out patient department.

Table 2.
Degree of Nurse’s Character, Nursing Professionalism and Organizational Commitment (N=170)
Variables M±SD Range
Nurse's character (total) 3.71±0.34 1~5
  Self related 3.52±0.41
    Responsibility 3.82±0.51
    Enthusiasm 3.48±0.49
    Industriousness 3.46±0.59
    Composure 3.13±0.56
  Interpersonal related 3.75±0.35
    Integrity 3.93±0.49
    Reliability 3.90±0.58
    Kindness 3.72±0.51
    Listening 3.75±0.46
    Empathy 3.80±0.49
    Teamwork 3.56±0.48
    Etiquette 3.90±0.53
    Civility 3.44±0.52
    Interactional justice 3.81±0.67
  Nursing professionalism (total) 3.49±0.44 1~5
    Self-concept of the profession 3.59±0.47
    Social awareness 3.15±0.63
    Professionalism of nursing 3.74±0.63
    Roles of nursing service 3.65±0.45
    Originality of nursing 3.43±0.65
  Organizational commitment (total) 2.83±0.65 1~5
Table 3.
Factors related to Organizational Commitment (N=170)
Variables B SE β t p
Nursing professionalism 0.32 0.05 .42 6.51 ＜.001
Total clinical career d1* -6.60 1.44 -.30 -4.58 ＜.001
Monthly income d1* -5.84 1.60 -.27 -3.65 ＜.001
Clinical career in current hospital d2* -6.25 1.92 -.24 -3.26 .001
R2=.36 (Adj. R2=.34), F=22.71, p＜.001

*Dummy variables: Total clinical career (＜5=0, 5~＜10=d1, ≥10=d2); Monthly income (＜200=0, 200~＜300=d1, 300~＜400=d2, ≥400=d3); Clinical career in current hospital (＜5=0, 5~＜10=d1, ≥10=d2).

Table 4.
Mediating Effect of Nursing Professionalism on the Relationship between Nurse’s Character and Organizational Commitment (N=170)
Variables B β t p R2 F p
1. NC → NP 0.34 .49 7.29 ＜.001 .24 53.16 ＜.001
2. NC → OC 0.18 .34 4.63 ＜.001 .11 21.44 ＜.001
3. NC, NP → OC .23 24.54 ＜.001
NC → OC 0.08 .15 1.88 .062
NP → OC 0.30 .39 4.96 ＜.001
Sobel test: Z=4.09, p＜.001

NC=Nurse's character; NP=Nursing professionalism; OC=Organizational commitment.

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