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Nurses' Perceived Organizational Culture, Verbal Abuse and Job Stress

간호사가 인지하는 조직문화 유형과 언어폭력, 직무스트레스

  • Received : 2015.09.09
  • Accepted : 2015.09.23
  • Published : 2015.10.28

Abstract

The purpose of this study was to investigates the relationship among nurses' organizational culture, verbal abuse by doctor and nurse, job stress. A survey using a structured questionnaire was conducted with 235 nurses of 4 hospitals. Collected data were analyzed with mean, standard deviation, t-test, correlation analysis, stepwise multiple regression. This study reported the culture is different depending on the hospitals. And relation-oriented culture had a significant positive correlation to verbal abuse by doctor and nurse and innovation for verbal abuse by doctor. Respectively showing explanatory power job stress score serving as the major predictor variable for relation-oriented culture and verbal abuse by nurse 6.5%. The results of this study suggest that type of organizational culture should be regarded as important factors of job stress and verbal abuse. The results imply that hospital administrators should pay attention to the organizational culture to decrease their job stress through effective communication programs.

본 연구는 건강관리조직에서 간호서비스의 생산성과 효율성을 높이고자 간호조직문화의 중요성이 강조되고 있는 현실에서 간호사를 대상으로 그들이 인지하는 조직문화유형과 언어폭력, 직무스트레스와의 관련성에 대해 살펴보고자 하였다. 이를 위해 서울시, 경기도, 충청도에 소재하는 4개 종합병원에서 근무하고 있는 간호사를 대상으로 설문지를 배포하였고 총 235부를 분석하였다. 수집된 자료는 SPSS 22.0으로 분석하였다. 연구 결과 병원별로 조직문화유형 간에 차이를 보였으며 이중 관계지향문화는 의사에 의한 언어폭력, 간호사에 의한 언어폭력과 정적상관관계가 있는 것으로 나타났으며, 혁신지향문화는 의사에 의한 언어폭력과 정적 상관관계가 있는 것으로 나타났다. 또한 직무스트레스는 조직문화 유형 중 위계지향적 조직문화를 제외하고 모두 유의한 정적 상관관계가 있는 것으로 나타났다. 직무스트레스에 영향을 미치는 주요변인은 관계지향적 조직문화, 간호사에 의한 언어폭력으로 나타났으며 이 변수들은 간호사들의 직무스트레스에 대해 14.9%의 설명력을 보이는 것으로 나타났다. 따라서 간호사들이 소속된 병원 또는 조직별 문화에 대한 다차원적인 연구와 문화유형 별 직무스트레스를 줄여주기 위한 프로그램 개발이 필요하다.

Keywords

References

  1. T. S. Kim and J. I. Kim, "Violence episodes and turnover among clinical nurses", Journal of Korean Academy Nursing Administration, Vol.10, No.4, pp.427-34, 2004.
  2. S. H. Yoon, "The effects of organizational managerial characteristics and job characteristics on job stress and job effectiveness: A survey on clinical nurses", Korean Journal of Industrial and Organization Psychology, Vol.17, No.3, pp.451-466, 2004.
  3. S. I. Kim and J. A. Kim, "A study on nursing unit culture, efficiency on nursing performance, job satisfaction and turnover intention", Journal of Korean Academy of Nursing Administration, Vol.3, No.2, pp.17-40, 1997.
  4. H. G. An and I. S. Kang, "A study on the job stress, job satisfaction and impulsed unemployment of clinical nurses", Journal of the Korean Data Analysis Society, Vol.10, No.1, pp.149-167, 2008.
  5. J. C. Campbell, J. T. Messing, J. Kub, J. Agnew, S. Fitzgerald, B. Fowler, and R. Bolyard, "Workplace violence prevalence and risk factors in the safe at work study", Journal of Occupational and Environmental Medicine, Vol.53, No.1, pp.82-89, 2011. https://doi.org/10.1097/JOM.0b013e3182028d55
  6. S. B. Hong and J. C. Park, "Organization culture and organization effectiveness of tax officials", Journal of the Korea Contents Association, Vol.9, No.11, pp.318-325, 2009. https://doi.org/10.5392/JKCA.2009.9.2.318
  7. S. J. Han, A study on the relationship between nursing organizational culture and organizational performance. Unpublished doctoral dissertation, Ewha Womans University, Seoul, Korea. 2000.
  8. J. H. Lee and J. K. Lee, "The role of communication in producing creative outcomes in organizational collectivism", Korea Journal of Business Administration, Vol.78, No.23, pp.183-203, 2010.
  9. H. S. Kim, H. W. Yim, S. H. Jeong, and S. J. Jo, "An Association among Verbal Abuse, Social Support and Turnover Intention for Special Unit Nurses in a Hospital", Korean Journal of Occupational Environmental Medicine, Vol.21, No.4, pp.388-395, 2009.
  10. Y. H. Yom, S. M. Noh, and K. H. Kim, "Clinical nurses' experience of positive organizational culture", Journal of Korean Academy of Nursing Administration, Vol.20, No.5, pp.469-480, 2014. https://doi.org/10.11111/jkana.2014.20.5.469
  11. E. H. Schein, Organizational culture and leadership, San Francisco, CA :Jossey-Bass Publishers, 1985.
  12. S. M. Shortell, R. R. Gillies, D. A. Anderson, K. M.Erikson, and J. B. Mitchell, Remaking bealth care in America: Building organized delivery systems, San Francisco:Jossey-Bass Publishers, 1996.
  13. J. S. Park, "The relationship of organizational and job characteristics, empowerment, job satisfaction and organizational commitment perceived by hospital administrative staffs", Korean Jouranl of Health policy & Administration, Vol.10, No.1, pp.1-324. 2004.
  14. T. E. Deal and A. A. Kennedy, Corporate cultures, The rites and rituals of corporate life. Addison-Wesley, Reading, MA, 1982.
  15. R. E. Quinn and M. R. McGrath, The transformation of organizational culture: A competing value perspectives, in P.J. Frost et al.(Eds.), Organizational Culture, Beverly Hills: Sage, 1985.
  16. S. J. Han, "A study on the relationship between nursing organizational culture and organizational performance", Journal of Korean Academy of Nursing Administration, Vol.8, pp.441-456, 2002.
  17. H. Cox, "Verbal abuse in nursing: Report of a study", Nursing Management, Vol.18, No.11, pp.47-50, 1991
  18. www.samsungsdi.com
  19. M. M. Rowe and H. Sherlock, "Stress and verbal abuse in nursing: do burned out nurses eat their young?", Journal of Nursing Management, Vol.13, No.3, pp.242-248, 2005. https://doi.org/10.1111/j.1365-2834.2004.00533.x
  20. S. Hahn, M. Muller, I. Needham, T. Dassen, G. Kok, and R. J. Halfens, "Factors associated with patient and visitor violence experienced by nurses in general hospitals in Switzerland: a cross-sectional survey", Journal of Clinical Nursing, Vol.19, pp.3535-3546, 2010. https://doi.org/10.1111/j.1365-2702.2010.03361.x
  21. T. G. Lee and I. H. Kim, "The effects of organizational climates on the organizational commitment-focusing on mediating effect of job stress & moderating effect of LMX", The Journal of Human Resources Management, Vol.3, pp.151-179, 2009
  22. Y. N. Cho, Y. E. Choi, and S. H. Kang, "The kindergarten teacher's job stress and job satisfaction depending on the organizational culture of kindergarten", The Journal of Korea Open Association for Early Childhood Education, Vol.17, No.5, pp.505-523, 2012.
  23. Y. R. Yeun, "Job stress, burnout, organizational culture and turnover intention amog nurses", Journal of the Korea Academia-Industrial cooperation Society, Vol.15, No.8, pp.4981-4986, 2014. https://doi.org/10.5762/KAIS.2014.15.8.4981
  24. K. D. Nam, K. S. Yoon, H. S. Chung, S. A. Park, B. Y. Jang, H. R. Kim, H. S. Eom, and Y. H. Sung, "A study on the development of verbal abuse scale for operating room nurses", The Journal of Korean Nursing Administration Academic Society, Vol.11, No.2, pp.159-172, 2005.
  25. M. H. Lee, "Relationship between organizational culture types and organizational effectiveness in hospital", Journal of Korean Academy of Nursing Administration, Vol.4, No.2, pp.363-385, 1998.
  26. J. Y. Han, "Effects of the nursing organizational culture and head nurse's leadership on the job satisfaction", Korean Journal of Hospital Management, Vol.14, No.3, pp.1-22, 2009.
  27. H. J. Jung and Y. S. Lee, "Nurses's experiences of verbal abuse in hospital setting", Korean Journal of Health Communication, Vol.6, No.2, pp.118-126, 2011.
  28. Y. H. Roh and Y. S. Yoo, "Workplace violence, stress, and turnover intention among perioperative nurses", Korean Journal of Adult Nursing, Vol.24, No.5, pp.489-498, 2012. https://doi.org/10.7475/kjan.2012.24.5.489
  29. H. N. Lee and C. H. Lim, "Effect of organizational culture and self-leadership on organizational effectiveness in radio-technologist", Journal of the Korea Contents Association, Vol.13, No.8, pp.292-299, 2013. https://doi.org/10.5392/JKCA.2013.13.08.292
  30. Y. J. Kim, Field research on the nursing organizational culture in hospital setting, Unpublished doctoral dissertation, Ewha Womans University, Seoul, 2013.
  31. K. H. Lee, "Examination of organizational communication and culture as a moderator of the relationship between job satisfaction and organizational performance", Journal of the Korea Contents Association, Vol.13, No.4, pp.377-388, 2013. https://doi.org/10.5392/JKCA.2013.13.05.377
  32. M. J. Song, I. S. Kang, and D. H. Kim, "Path analysis of the effects of organizational managerial characteristics, job characteristics, job stress, job involvement, and group coherence", Journal of the Korean Data Analysis Society, Vol.11, No.4, pp.1953-1965, 2009.
  33. S. Yun and J. Kang, "Factors affecting workplace bullying in Korean hospital nurses", Korean Journal of Adult Nursing, Vol.26, No.5, pp.553-562, 2013. https://doi.org/10.7475/kjan.2014.26.5.553
  34. M. S. Kim, S. J. Han, and J. H. Kim, "The development of the nursing organization culture measurement tool", Journal of Korean Academy of Nursing Administration, Vol.10, pp.175-184, 2004.
  35. G. S. Yoon and S. Y. Kim, "Influence of job stress and burnout on turnover intention of nurses", Journal of Korean Academy of Nursing Administration, Vol.16, No.4, pp.507-516, 2010. https://doi.org/10.11111/jkana.2010.16.4.507
  36. W. C. Budin, C. S. Brewer, Y. Y. Chao, and C. Kovne, "Verbal abuse from nurse colleagues and work environment of early career registered nurses", Journal of Nursing Scholarship, Vol.45, No.3, pp.308-316, 2013. https://doi.org/10.1111/jnu.12033
  37. S. U. Ji and T. S. Kim, "The influence of self-efficacy on organization culture through marine sports activities", Journal of the Korean Data Analysis Society, Vol.16, No.4, pp.2131-2141, 2014.
  38. J. S. Park, "The causal relationship between public hospital nurses' perception of organizational culture types and turnover intention", Health and Social Science, Vol.19, pp.97-118, 2006.