전문간호실무를 위한 조직환경과 간호사의 근무의욕간의 관계

A Professional Nursing Practice Environment and Its Impact on Nurses' Task Motivation

  • 강소영 (부산카톨릭대학 간호대학) ;
  • 엄영란 (순천향대학교 의과대학 간호학과) ;
  • 한성숙 (카톨릭대학교 간호대학)
  • Kang So-Young (College of Nursing, Catholic University of Pusan) ;
  • Um Young Rhan (Department of Nursing, College of Medicine, Soonchunhyang University) ;
  • Han Sung Suk (College of Nursing, The Catholic University)
  • 발행 : 2005.04.01

초록

Purpose: This study was aimed at (a) describing professional nursing practice environments embedded in nursing care units and (b) examining its relationships to nurses' task motivation. Method: Using the Nursing Work Index Revised (NWI-R) and the Work Preference Inventory (WPI), a descriptive study was conducted with a sample of 320 registered nurses on 26 nursing care units in one University hospital in Korea. Result: Mean scores were 12.9 on a 5-20 score range of an autonomous environment scale, 7.3 on a 3-12 score range of a collaborative environment, and 15.8 on a 7-28 score range of control over nursing practice. Nurses' age, educational level, job position, working period at the hospital and employment status were significantly related to the degree of a professional practice environment. The extent to which a professional practice environment accounted for task motivation was $19.5\%$. Conclusion: There is a certain degree of professionalism in the workplace environment that nurses perceived within the nursing care units. When nurses care for patients, the degree of task motivation depends on the work environment supporting the professional nursing practice.

키워드

참고문헌

  1. Aiken, L., Havens, D., & Sloane, D. (2000). The magnet nursing services recognition program: A comparison of two groups of magnet hospitals. AM J NURS, 100(3), 26-36
  2. Aiken, L., Sloane, D., Lake, E., Sochalski, J., & Weber, A. (1999). Organization and outcomes of inpatient AIDS care. MED CARE, 37(8), 760-772 https://doi.org/10.1097/00005650-199908000-00006
  3. Aiken, L., Smith,H., & Lake, E. (1994). Lower mortality among a set of hospitals known for good nursing care. MED CARE, 32(5), 771-787 https://doi.org/10.1097/00005650-199408000-00002
  4. Aiken, L. H., & Patrician, P. A. (2000). Measuring organizational traits of hospitals: The revised nursing work index. Nursing Research, 49(3), 146-153 https://doi.org/10.1097/00006199-200005000-00006
  5. Amabile, T. M., Hill, K. G., Hennessey, B. A., & Tighe, E. M. (1994). The work preference inventory: Assessing intrinsic and extrinsic motivational orientations. J Pers Soc Psychol, 66(5), 950-967 https://doi.org/10.1037/0022-3514.66.5.950
  6. Choi, K. (2000). The relationships between organizational climate at nursing units and nurses' job satisfaction, Keimyung University, Daegu
  7. Foley, B., Kee, C., Minick, P., Harvey, S., & Jennings, B. (2002). Characteristics of nurses and hospital work environments that foster satisfaction and clinical expertise. J Nurs Adm, 32(5), 273-282 https://doi.org/10.1097/00005110-200205000-00007
  8. Grindel, C., Peterson, K., Kinnenman, M., & Turner, T.(1996). The practice environment project: A process for outcome evaluation. J Nurs Adm, 26(5), 43-5l
  9. Hellriegel, D., & Slocum, J. W. (1974). Organizational climate: Measures, research and contingencies. Academy of Management Journal, 17(2), 255-280 https://doi.org/10.2307/254979
  10. Kim, I., Lee, M., Ha, N., Jang, K., Hong, Y., & Lee, T. (2003), Updated Nursing Management, Seoul: Hyun Mun Sa
  11. Kopelman, R. E., Brief, A. P., & Guzzo, R. A. (1990). The role of climate and culture in productivity. In B. Schneider(Eds). Organizational climate and culture. San Francisco: Jossey-Bass
  12. Kramer, M., & Schmalenberg, C. (1988). Magnet Hospitals: Part I Institutions of Excellence. J Nurs Adm, 18(1), 13-24
  13. Laschinger, H., & Almost, J, & Tuer-Hodes, D. (2003). Workplace empowerment and Magnet Hospital characteristics: Making the link. J Nurs Adm, 33(7/8), 410-42 https://doi.org/10.1097/00005110-200307000-00011
  14. McClure, M., & Hinshaw, A. (2002), Magnet hospitals revisited: Attraction and retention of professional nurses, Washington D.C.: American Academy of Nursing
  15. Park, Y. (1984). A study of the relationships of work climate at hospitals to job satisfaction for nurses, Yonsei University, Seoul
  16. Robinson, K., Eck, C., Keck, B., & Wells, N. (2003). The Vanderbilt Professional Practice Program: Part 1 , Growing and supporting professional nursing practice. J Nurs Adm, 33(9), 441-450 https://doi.org/10.1097/00005110-200309000-00004
  17. Snow, J. I. (2002). Enhancing work climate to improve performance and retain valued employees. J Nurs Adm, 32(7/8), 393-397 https://doi.org/10.1097/00005110-200207000-00007