DOI QR코드

DOI QR Code

Effect of Nurse Practice Environment and Organizational Justice on Job Embeddedness in the Small and Medium Sized Hospital Nurses

지방 중소병원 간호사의 간호업무환경과 조직공정성이 직무배태성에 미치는 영향

  • Received : 2017.10.16
  • Accepted : 2017.12.20
  • Published : 2017.12.28

Abstract

Purpose: This study was conducted to examine how nurse practice environment and organizational justice affected job embeddedness in the Small and Medium Sized Hospital Nurses. Methods: The data were collected from 233 nurses by means of self-reported questionnaires on August 23th to September 8th, 2017. Results: The model explained 49.7% of the total variance in job embeddedness scores. Hierarchical regression analysis showed that hospital nurses that had higher perceived nurse practice environment, higher organizational justice, and were older were more likely to have higher job embeddedness scores. Conclusion: To enhance nurses' job embeddedness, hospital and nurse leaders should improve nurse practice environment, particularly in relation to staffing and resource adequacy and collegial nurse-physician relations. Additionally, the nurse leaders can facilitate nurses' job embeddedness by creating and maintaining an organizational culture of fairness and justice.

Keywords

Job embeddedness;Nurse practice environment;Organizational justice;Nurse;Hospital

References

  1. Y. M. Kim, & Y. S. Kang, "The Relationship among Career Plateau, Self-efficacy, Job Embeddedness and Turnover Intention of Nurses in Small and Medium Sized Hospitals". Journal of the Korea Academia-Industrial cooperation Society, Vol. 14, No. 10, pp.5078-5090, 2013. https://doi.org/10.5762/KAIS.2013.14.10.5078
  2. Y. M. Kim, J. Y. Lee, & H. C. Kang, "Impact of Nurse, Nurses' Aid Staffing and Turnover Rate on Inpatient Health Outcomes in Long Term Care Hospitals". Journal of Korean Academy of Nursing, Vol. 44, No. 1, pp.21-30, 2014. https://doi.org/10.4040/jkan.2014.44.1.21
  3. J. R. Han, & S. H. Ahn, "The Effects of Nurses' Satisfaction on Hospital Performance-Focused on the Patient Satisfaction and Revisit Intention, Recommendation Intention-". Journal of Digital Convergence, Vol. 13, No. 9, pp.419-430, 2015.
  4. Y. M. Kim, J. Y. Lee, & H. C. Kang, "Impact of Nurse, Nurses' Aid Staffing and Turnover Rate on Inpatient Health Outcomes in Long Term Care Hospitals". Journal of Korean Academy of Nursing, Vol. 44, No. 1, pp.21-30, 2014. https://doi.org/10.4040/jkan.2014.44.1.21
  5. S. J. You, "Comparisons of the Nursing Workforce with Japan, and the U.S.". The Journal of Digital Policy & Management, Vol. 11, No. 6, pp.275-287, 2013.
  6. Korea Health Industry Development Institute, "A Investigation of Nurse Activity". Korea Health Industry Development Institute, 2014.
  7. K. H. Kang, & Y. J. Lim, "Influence of Professionalism, Role Conflict and Work Environment in Clinical Nurses with Expanded Role on Job Enbeddedness". Journal of Korean Academy of Nursing Administration, Vol. 22, No. 5, pp.424-436, 2016. https://doi.org/10.11111/jkana.2016.22.5.424
  8. T. R. Mitchell, B. C. Holtom, T. W. Lee, & M. Erez, "Why people stay: Using job embeddedness to predict voluntary turnover". The Academy of Management Journal, Vol. 44, No. 6, pp.1102-1121, 2001. https://doi.org/10.2307/3069391
  9. S. J. Lee, & H. J. Woo, "Structural Relationships among Job Embeddedness, Emotional Intelligence, Social Support and Turnover Intention of Nurses". Journal of Korean Academy of Nursing Administration, Vol. 21, No. 1, pp.32-42, 2015. https://doi.org/10.11111/jkana.2015.21.1.32
  10. H. J. Ko, & J. H. Kim, "Relationships among Nursing Work Environment, Job Embeddedness, an-d Turnover Intention in Nurses". Journal of Korean Academy of Nursing Administration, Vol. 22, No. 3, pp.279-291, 2016. https://doi.org/10.11111/jkana.2016.22.3.279
  11. J. H. Lee, K. H. Shin, S. G. Baeck, & C. G. Heo, "The effectiveness of job embeddedness in turnover studies: A meta-analysis". The Korean Journal of Industrial and Oraganizational Psychology, Vol. 27, No. 4, pp.743-782, 2014. https://doi.org/10.24230/ksiop.27.4.201411.743
  12. H. S. Lee, & Y. H. Yom, "Role of Self-leadership and Social Support in the Relationship between Job Embeddedness and Job Performance among General Hospital Nurses". Journal of Korean Academy of Nursing Administration, Vol. 21, No. 4, pp.375-385, 2015. https://doi.org/10.11111/jkana.2015.21.4.375
  13. S. Y. Son, & J. S. Choi, "Effect of Job Embeddedness and Job Satisfaction on Turnover Intention in Nurses". Korean Journal of Adult Nursing, Vol. 27, No. 2, pp.180-187, 2015. https://doi.org/10.7475/kjan.2015.27.2.180
  14. E. H. Cho, M. N. Choi, E. Y. Kim, I. Y. Yoo, & N. J. Lee, "Construct Validity and Reliability of the Korean Version of the Practice Environment Scale of Nursing Work Index for Korean Nurses". Journal of Korean Academy of Nursing, Vol. 41, No. 3, pp.325-332, 2011. https://doi.org/10.4040/jkan.2011.41.3.325
  15. L. H. Aiken, S. P. Clarke, D. M. Sloane, E. T. Lake, & T. Cheney, "Effect of hospital care environment patient mortality and nurse outcomes". Journal of Nursing Administration, Vol. 38, No. 5, pp.223-229, 2008. https://doi.org/10.1097/01.NNA.0000312773.42352.d7
  16. J. O. Kwon, & E. Y. Kim, "Impact of Unit-level Nurse Practice Environment on Nurse Turnover Intention in the Small and Medium Sized Hospitals". Journal of Korean Academy of Nursing Administration, Vol. 18, No. 4, pp.414-423, 2012. https://doi.org/10.11111/jkana.2012.18.4.414
  17. J. K. Kim, M. J. Kim, S. Y. Kim, M. Yu, & K. A. Lee, "Effects of General Hospital Nurses' Work Environment on Job Embeddedness and Burnout". Journal of Korean Academy of Nursing Administration, Vol. 20, No. 1, pp.69-81, 2014. https://doi.org/10.11111/jkana.2014.20.1.69
  18. E. J. Ju, Y. C. Kwon, & M. H. Nam, "Influence of Clinical Nurses' Work Environment and Emotional Labor on Happiness Index". Journal of Korean Academy of Nursing Administration, Vol. 21, No. 2, pp.212-222, 2015. https://doi.org/10.11111/jkana.2015.21.2.212
  19. Y. G. Lee, & G. A. Seomun, "Impact of Unit-level Nurse Practice Environment on Nurse Turnover Intention". Journal of Digital Convergence, Vol. 14, No. 6, pp.355-362, 2016.
  20. M. S. Kim, & Y. B. Park, "The Influence of Organizational Justice on Job Involvement and Organizational Commitment Perceived by Nurses". Journal of Korean Academy of Nursing Administration, Vol. 12, No. 1, pp.32-40, 2006.
  21. H. S. Park, "The Influence of Compensation Justice on Job Satisfaction and Organizational Commitment Perceived by Hospital Personnels". Journal of Korean Academy of Nursing Administration, Vol. 13, No. 4, pp.492-500, 2007.
  22. O. S. Jeon, "A Study on The Effect Corporate Performance of Organization Justice". Journal of Digital Convergence, Vol. 12, No. 10, pp.169-178, 2014.
  23. Y. S. Lee, S. H. Park, & J. K. Kim, "A study on Relationship among Organizational Fairness, Motivation, Job Satisfaction, Intention to stay of Nurses". Journal of the Korea Contents Association, Vol. 14, No. 10, pp.596-609, 2014. https://doi.org/10.5392/JKCA.2014.14.10.596
  24. K. W. Kwon, "Turnover Intention of High-Performers and Low-Performers: The Roles of Overall Organizational Justice Perception". Korean Corporation Management Review, Vol. 22, No. 2, pp.109-129, 2015.
  25. E. H. Kim, E. J. Lee, & Hyo Jin Choi, "Mediation Effect of Organizational Citizenship Behavior between Job Embeddedness and Turnover Intention in Hospital Nurses". Journal of Korean Academy of Nursing Administration, Vol. 18, No. 4, pp.394-401, 2012. https://doi.org/10.11111/jkana.2012.18.4.394
  26. M. Y. Mun, & S. Y. Hwang, "Impact of Nursing Organizational Culture Types on Innovative Behavior and Job Embeddedness Perceived by Nurses". Journal of Korean Academy of Nursing Administration, Vol. 22, No. 4, pp.313-322, 2016. https://doi.org/10.11111/jkana.2016.22.4.313
  27. R. H. Moorman, "The relationship between organizational justice and organizational citizenship: Do fairness perceptions influence employee citizenship". Journal of Applied Psychology, Vol. 76, No. 6, pp.845-855, 1991. https://doi.org/10.1037/0021-9010.76.6.845
  28. Y. J. Ji, "The Relationship among Organizational Justice, Social Identity and Organizational Citizenship Behavior Perceived by Male Nurses at General Hospitals". master's thesis, p.14-90, Yonsei University, 2014.
  29. E. T. Lake, & C. R. Friese, "Variations in nursing practice environments relation to staffing and hospital characteristics". Nursing Research, Vol. 55, No. 1, pp.1-9, 2006. https://doi.org/10.1097/00006199-200601000-00001
  30. J. Kim, & T. W. Lee, "The Influence of Nursing Practice Environment, Compassion Fatigue and Compassion Satisfaction on Burnout among Clinical Nurses". Journal of Korean Clinical Nursing Research, Vol. 22, No. 2, pp.109-117, 2016.
  31. M. K. Cho, & C. G. Kim, "The Relationship among Practice Environment, Organizational Justice, and Job Satisfaction of Male Nurses". Korean Journal of Occupational Health Nursing, Vol. 25, No. 3, pp.177-187, 2016. https://doi.org/10.5807/kjohn.2016.25.3.177
  32. M. S. Kim, & Y. B. Park, "The Influence of Organizational Justice on Job Involvement and Organizational Commitment Perceived by Nurses". Journal of Korean Academy of Nursing Administration, Vol. 12, No. 1, pp.32-40, 2006.
  33. H. S. Park, "The Influence of Compensation Justice on Job Satisfaction and Organizational Commitment Perceived by Hospital Personnels". Journal of Korean Academy of Nursing Administration, Vol. 13, No. 4, pp.492-500, 2007.
  34. J. H. Yang, Y. J. Kwon, Y. S. Baek, & E. S. Lee, "The Study of Turnover Intention of Nurses". General Research of Inje, Vol. 20, No. 1, pp.609-628, 2005.
  35. J. S. Lee, "Lack of Health Care Workers in the Small and Medium-sized Private Hospitals : Mismatch and Policy Measures". Labor Research, Vol. 32, No. 1, pp.53-102, 2016.
  36. M. J. Kim, J. W. Lee, & J. S. Park, "Effects of Nurses' Practice Environment and Job Embeddedness on Turnover Intention in Medium-small sized Hospital". Journal of the Korea Academia-Industrial cooperation Society, Vol. 18, No. 1, pp.222-230, 2017. https://doi.org/10.5762/KAIS.2017.18.1.222
  37. Y. M. Kim, & Y. S. Kang, "The Relationship among Career Plateau, Self-efficacy, Job Embeddedness and Turnover Intention of Nurses in Small and Medium Sized Hospitals". Journal of the Korea Academia-Industrial cooperation Society, Vol. 14, No. 10, pp.5078-5090, 2013. https://doi.org/10.5762/KAIS.2013.14.10.5078
  38. Y. S. Kim, & S. Ryu, "Influence of Job Embeddedness Factors on Turnover Intention of Nurses in Small and Medium Sized General Hospitals". Journal of Korean Academy of Nursing Administration, Vol. 22, No. 2, pp.158-166, 2016. https://doi.org/10.11111/jkana.2016.22.2.158

Acknowledgement

Supported by : 한국연구재단