Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지
DOI QR코드

DOI QR Code

Structural Equation Modeling on Nursing Productivity of Nurses in Korea

간호생산성 영향요인 구조모형 분석

  • Kim, Se Young (College of Nursing, Eulji University) ;
  • Kim, Eun-Kyung (Department of Nursing, Chungbuk National University) ;
  • Lim, Heon Man (Appenzeller School of Public Administration, Paichai University) ;
  • Lee, Mi Young (Nursing Department, Eulji University Hospital) ;
  • Park, Kwang-Ok (Department of Nursing, Sunchon National University, College of Life Science and Natural Resources) ;
  • Lee, Kyoung A (The Research Institute of Nursing Science, Seoul National University)
  • Received : 2012.04.20
  • Accepted : 2012.09.18
  • Published : 2013.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to propose and test a predictive model that could explain and predict nursing productivity. Methods: A survey using a structured questionnaire was conducted with 360 nurses in Korea. The data were analyzed using SPSS Windows 18.0 and AMOS 19.0 program. Results: Based on the constructed model, burnout and organizational commitment were found to have direct effects on nurses' turnover intention and nursing productivity. While nursing work environment was found to have indirect effects on nurses' turnover intention and nursing productivity. Conclusion: This structural equational model is a comprehensive theoretical model that explains the related factors and their relationship with nursing productivity. Comprehensive organizational interventions to improve nursing productivity should focus on improving the nursing work environment. Findings from this study can be used to design appropriate strategies to decrease nurse turnover in Korea. Further studies are needed to prospectively verify these causal relationships with larger samples.

Keywords

References

  1. Aiken, L. H., Clarke, S. P., Sloane, D. M., Lake, E. T., &Cheney, T. (2008). Effects of hospital care environment on patient mortality and nurse outcomes. Journal of Nursing Administration, 38(5), 223-229. http://dx.doi. org/10.1097/01.NNA.0000312773.42352.d7
  2. Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Journal of the American Medical Association, 288(16), 1987-1993. http://dx.doi.org/10.1001/jama.288.16.1987
  3. Baernholdt, M., &Mark, B. A. (2009). The nurse work environment, job satisfaction and turnover rates in rural and urban nursing units. Journal of Nursing Management, 17(8), 994-1001. http://dx.doi.org/10.11 11/j.1365-2834.2009.01027.x https://doi.org/10.1111/j.1365-2834.2009.01027.x
  4. Bain, D. L. (1982). The productivity prescription: the manager's guide to improving productivity and profits. New York: McGraw-Hill.
  5. Cho, E., Choi, M., Kim, E. Y., Yoo, I. Y., & Lee, N. J. (2011). 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, 41(3), 325-332. http://dx.doi.org/10.4040/jkan.2011. 41.3.325
  6. Coomber, B., & Barriball, K. L. (2007). Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: A review of the research literature. International Journal of Nursing Studies, 44(2), 297-314. http://dx.doi.org/10.1016/j.ijnurstu.2006.02.004
  7. Eaton-Spiva, L., Buitrago, P., Trotter, L., Macy, A., Lariscy, M., & Johnson, D. (2010). Assessing and redesigning the nursing practice environment. Journal of Nursing Administration, 40(1), 36-42. http://dx.doi.org/10.1097/NNA.0b013e3181c47d04
  8. Ha, N. S., & Choi, J. (2002). The relationship among leadership styles of nurse managers, job satisfaction, organizational commitment, and turnover intention. Journal of Korean Academy of Nursing, 32(6), 812- 822. https://doi.org/10.4040/jkan.2002.32.6.812
  9. Ha, N. S., & Park, H. M. (2007). The effects of perception of internal marketing on performance of nursing organization. Clinical Nursing Research, 13(2), 7-16.
  10. Hair, J. F., Black, B., Babin, B., Anderson, R. E., & Tatham, R. L. (2006). Multivariate data analysis (6th ed.). New York: Prentice Hall.
  11. Ingersoll, G. L., Olsan, T., Drew-Cates, J., DeVinney, B. C., & Davies, J. (2002). Nurses' job satisfaction, organizational commitment, and career intent. Journal of Nursing Administration, 32(5), 250-263. http://dx.doi.org/10.1097/00005110-200205000-00005
  12. Jeong, J. H. (2008). Structural equation modeling on nursing productivity of nurses in a hospital. Unpublished doctoral dissertation, Chung-Ang University, Seoul.
  13. Jeong, Y. M., & Kang, Y. S. (2010). The effect of job stress and burnout by job environment of care-givers on job satisfaction. Journal of the Korea Academia- Industrial Cooperation Society, 11(10), 3688-3699. http://dx.doi.org/10.5762/KAIS.2010.11.10.3688
  14. June, K. J., & Byun, S. W. (2009). Nurse's burnout research throughout the past 10 years in Korea. Journal of Korean Academy of Nursing Administration, 15(3), 305-313.
  15. Kim, H. K., Ji, H. S., Ryu, E. K., Lee, H. J., Yun, S. E., Jeon, M. K., et al. (2005). Factors influencing on burnout of the nurses in hospitals. Clinical Nursing Research, 10(2), 7-18. https://doi.org/10.1177/136140960501000109
  16. Kramer, M., & Schalenberg, C. (2004). Essentials of a magnetic work environment, part 1. Nursing, 34(6), 50-54.
  17. Lake, E. T. (2002). Development of the practice environment scale of the Nursing Work Index. Research in Nursing and Health, 25(3), 176-188. http://dx.doi.org/10.1002/nur.10032
  18. Lee, H. J. (2001). Predictors of job performance, work satisfaction, and productivity among Korean hospital nurses. Journal of Korean Academy of Nursing Administration, 31(4), 571-583. https://doi.org/10.4040/jkan.2001.31.4.571
  19. Lee, M. H. (1998). Relationship between organizational culture types and organizational effectiveness in hospitals. Unpublished doctoral dissertation, Chungnam National University, Daejeon.
  20. Lee, Y. J., & Kim, K. B. (2008). Experiences of nurse turnover. Journal of Korean Academy of Nursing, 38(2), 248-257. http://dx.doi.org/10.4040/ jkan.2008.38, 248
  21. McNeese-Smith, D. (1995). Job satisfaction, productivity, and organizational commitment. The result of leadership. Journal of Nursing Administration, 25(9), 17-26. http://dx.doi.org/10.1097/00005110-199509000- 00006
  22. McNeese-Smith, D. K. (2001). A nursing shortage: Building organizational commitment among nurses. Journal of Healthcare Management, 46(3), 173-186. https://doi.org/10.1097/00115514-200105000-00008
  23. Moody, R. C. (2004). Nurse productivity measures for the 21st century. Health Care Management Review, 29(2), 98-106. http://dx.doi.org/10.1097/00004010-200404000-00003
  24. Moon, S. J., & Han, S. S. (2011). A predictive model on turnover intention of nurses in Korea. Journal of Korean Academy of Nursing, 41(5), 633- 641. http://dx.doi.org/10.4040/jkan.2011.41, 633
  25. Oh, Y. H., Jo, J. G., Kim, J. H., & Ji, Y. G. (2010). Mid-to long-term supply and demand projection of healthcare workforce. Seoul: National Health Personnel Licensing Examination Board.
  26. Park, G. J., & Kim, Y. N. (2010). Factors influencing organizational commitment among hospital nurses. Journal of Korean Academy of Nursing Administration, 16(3), 250-258. https://doi.org/10.11111/jkana.2010.16.3.250
  27. Park, H. S. (2002). Relationship between perceived nursing care role orientation, job characteristics, and turnover among nurses. Unpublished master's thesis, Yonsei University, Seoul.
  28. Park, J. S., & Park, B. N. (2008). The influence of empowerment on job satisfaction, task performance and turnover intention by hospital nurses. Journal of Korean Academy of Nursing Administration, 14(2), 150-158.
  29. Park, K. O. (1994). A study of variables related to nursing productivity. The Journal of Nurses Academic Society, 24(4), 584-596. https://doi.org/10.4040/jnas.1994.24.4.584
  30. Peltier, J., Nill, A., & Schibrowsky, J. A. (2004). Internal marketing, nurse loyalty and relationship marketing: An exploratory study of German nurses. Health Marketing Quarterly, 20(4), 63-82. http://dx.doi.org/10.1300/J026v20n04_05
  31. Shields, M. A., & Ward, M. (2001). Improving nurse retention in the National Health Service in England: The impact of job satisfaction on intentions to quit. Journal of Health Economics, 20(5), 677-701. http://dx.doi.org/10.1016/S0167-6296(01)00092-3

Cited by

  1. Factors Affecting Intensive Care Units Nursing Workload vol.16, pp.8, 2013, https://doi.org/10.5812/ircmj.20072
  2. 병원의 간호팀제운영에 따른 간호사의 인식과 효과 비교 vol.20, pp.4, 2013, https://doi.org/10.11111/jkana.2014.20.4.414
  3. 임상간호사가 경험한 긍정적인 간호조직문화 vol.20, pp.5, 2013, https://doi.org/10.11111/jkana.2014.20.5.469
  4. 일개 종합병원 간호사의 조직몰입, 간호업무환경, 사회적 지지 vol.21, pp.1, 2013, https://doi.org/10.11111/jkana.2015.21.1.1
  5. 융합시대의 병원간호사 고객지향성 경로모형 vol.14, pp.1, 2013, https://doi.org/10.14400/jdc.2016.14.1.275
  6. 병원간호사의 변혁적 리더십과 조직몰입의 관계에서 미치는 사회적 자본의 매개효과 vol.17, pp.2, 2016, https://doi.org/10.5762/kais.2016.17.2.282
  7. 치과위생사의 수행업무, 직무만족, 조직기여도의 관계 vol.16, pp.4, 2013, https://doi.org/10.17135/jdhs.2016.16.4.302
  8. 병원간호사의 사회적 자본과 직무열의가 간호업무성과에 미치는 영향: 조직시민행동의 매개효과를 중심으로 vol.23, pp.1, 2013, https://doi.org/10.11111/jkana.2017.23.1.42
  9. Role of transformational leadership on employee productivity of teaching hospitals: using structural equation modeling vol.9, pp.8, 2013, https://doi.org/10.19082/4978
  10. Impact of Burnout on Organizational Outcomes, the Influence of Legal Demands: The Case of Ecuadorian Physicians vol.9, pp.None, 2018, https://doi.org/10.3389/fpsyg.2018.00662
  11. Influence of Emotional Intelligence, Communication, and Organizational Commitment on Nursing Productivity among Korean Nurses vol.30, pp.2, 2013, https://doi.org/10.12799/jkachn.2019.30.2.226
  12. Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture vol.14, pp.12, 2019, https://doi.org/10.1371/journal.pone.0226742
  13. 간호단위 관리자의 변혁적 리더십 결과변인에 관한 메타경로분석 vol.50, pp.6, 2013, https://doi.org/10.4040/jkan.20205
  14. 교대근무 여자간호사 이직의도 구조모형: 상급종합병원을 중심으로 vol.22, pp.3, 2013, https://doi.org/10.5762/kais.2021.22.3.181