Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
권호 표지
DOI QR코드

DOI QR Code

The effect of Nursing Work Environment of Hospital Nurses on Nursing Job Performance and Job Satisfaction : The mediating effect of Self-Leadership

병원간호사의 간호근무환경이 간호업무성과, 직무만족에 미치는 영향: 셀프리더십의 매개효과

  • Kim, Shin-Hee (Department of Nursing, Wonkwang Health Science University) ;
  • Kwak, Yun-Bok (College of Nursing, Jeonbuk National University) ;
  • Lee, Eun-Hee (College of Nursing, Hanil University)
  • Received : 2021.07.27
  • Accepted : 2021.10.28
  • Published : 2021.10.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study is to understand the mediating effect of self-leadership in the process of understanding the effects of nursing job performance and job satisfaction in the nursing work environment perceived by nurses. In this study, nurses who worked for more than one year at three general hospitals located in Province A. Total of 225 data were used for the final analysis. Date analyzed using the SPSS 22.0 program by t-test, ANOVA, Pearson's correlation coefficient and hierarchical regression analysis. Self-leadership was found to play a partial mediating role in the relationship between nursing work environment and nursing job performance(z=4.30, p<.001) and between nursing work environment and job satisfaction(z=3.70, p<.001). Therefore, in order to improve nursing job performance and job satisfaction, it will be necessary to establish a management plan that can improve the nursing work environment and improve self-leadership.

연구의 목적은 간호사가 지각하는 간호업무환경에서 간호업무성과와 직무만족이 미치는 영향을 이해하는 과정에서 셀프리더십의 매개효과를 파악하기 위함이다. 본 연구에서는 A도에 소재한 종합병원 3곳에서 1년 이상 근무한 간호사를 대상으로 하였고, 총 225개의 자료를 최종분석에 사용하였다. 자료분석은 SPSS 22.0 프로그램을 사용하여 t-검정, ANOVA, Pearson의 상관계수 및 위계적 회귀 분석을 사용하였다. 간호업무환경과 간호업무성과의 관계에서 셀프리더십은 부분 매개역할(z=4.30, p<.001)을 하고 있으며, 간호업무환경과 직무만족의 관계에서 셀프리더십은 부분 매개역할(z=3.70, p<.001)을 하는 것으로 나타났다. 따라서 간호업무성과와 직무만족을 증진시키기 위해 간호근무환경의 개선과 셀프리더십을 향상시킬수 있는 관리방안의 수립이 필요할 것이다.

Keywords

References

  1. S. K. Park, K. M. Cho, Y. G. Jwa, D. W. Kang & Y. J. Lee. (2014). Survey of nurse activity status. Korea Health Industry Development Institute, 8-29.
  2. S. J. You, H. S. Chang, M. K. Kim, Y. K. Choi, Y. H. Sung, E. S. Kim et al. (2007). A study on the utilization strategy of nursing personnel by types of medical institutions. Journal of Korean Clinical Nursing Research, 13(1), 157-172.
  3. L. H. Aiken, S. P. Clarke, D. M. Sloane, J. Sochalski & J. H. Silber. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA, 288(16), 1987-1993. https://doi.org/10.1001/jama.288.16.1987
  4. A. J. Yoon. (1995). A study on organizational characteristics and efficiency on work performance: especially hospital nursing organization. Doctoral dissertation. Taegu University, Gyeongsan.
  5. K. H. Cho. (2003). The Influence of self-leadership about job-satisfaction and outcome of nursing practice. Master's thesis. Korea University, Seoul.
  6. M. E. Altier & C. A. Krsek. (2006). Effects of a 1-year residency program on job satisfaction and retention of new graduate nurses. Journal for Nurses in Professional Development, 22(2), 70-77.
  7. J. Y. Choi, E. K. Kim & S. Y. Kim. (2014). Effects of empowerment and job satisfaction on nursing performance of clinical nurses. Korean Academy of Nursing Administration, 20(4), 426-436. DOI: 10.11111/jkana.2014.20.4.426
  8. G. Y. Yu, S. Min, Y. J. Ha, S. S. Na & H. S. Kim. (2009). The influence of nurses' perceived organizational culture type on organization efficiency at the public health center.Korean Journal of Business Administration, 22(1), 525-550.
  9. J. H. Kim, J. E. Song, S. K. Lee, S. K. Heo, Y. H. Sung & J. E. Lee. (2011). The effect of emotional intelligence on organizational performance in clinical nurses- a preliminary study for an education program of organizational Performance. The Journal of Korean Academic Society of Nursing Education, 17(1), 80-89. https://doi.org/10.5977/JKASNE.2011.17.1.080
  10. J. I. Kim & T. W. Lee. (2016). The influence of nursing practice environment, compassion fatigue and compassion satisfaction on burnout among clinical nurses. Journal of Korean Clinical Research, 22(2), 109-117.
  11. J. Y. Lee & S. Y. Pak. (2014). Relationship between the practice environment of nursing and critical thinking disposition of nurses in local general hospitals. Journal of Korean Academy of Nursing Administration, 20(2), 145-153. DOI: 10.11111/jkana.2014.20.2.145
  12. M. K. Cho & C. G. Kim. (2016). The relationship among practice environment, organizational justice, and job satisfaction of male nurses. Korean Journal of Occupation Health Nursing, 25(3),177-187. DOI: 10.5807/kjohn.2016.25.3.177
  13. M. H. Lee & J. K. Kim. (2013). A comparative study on nursing practice environment, professionalism, and job satisfaction according to hospital size. Journal of Korean Academy of Nursing Administration, 19(4), 470-479. https://doi.org/10.11111/jkana.2013.19.4.470
  14. E. S. Lee & S. W. Ryu. (2017). Effect of supportive work environment on the job satisfaction of registered nurses: resonant leadership and structural empowerment. The Korean Journal of Health Service Management, 11(2), 43-53.
  15. G. A. Seomun, S. O. Chang, K. H. Cho, I. A. Kim & S. J. Lee. (2006).The relation between self-leadership and outcome of nursing practice. Journal of Korean Academy of Nursing Administration, 12(1), 151-158.
  16. S. J. Lee. (2015). The effects of self-leadership, emotional intelligence, oganizational commitment, and job satisfaction on the nursing performance of clinical nurses. Doctoral dissertation, University of Brain Education, Cheonan.
  17. S. M. Kim. (2021). Antecedents factor of transformational leadership in nursing unit managers perceived by hospital nurses: systematic review and meta-analysis. Journal of Digital Convergence, 19(4), 443-455. DOI: 10.14400/JDC.2021.19.4.443
  18. S. Min, Y. J. Jeong, H. S. Kim, S. Y. Ha. Y. J. Ha & E. A. Kim. (2009). The moderating effect of self-leadership in relationship between self-image and work performance of nurses. Journal of Korean Academy of Nursing Administration, 15(3), 355-364.
  19. J. Trofino. (1995). Transformational leadership in health care. Nursing Management. 26(8), 42. https://doi.org/10.1097/00006247-199508000-00015
  20. J. D. Houghton & C. P. Neck. (2002). The revised self- leadership questionnaire: testing a hierarchical factor structure for self-leadership. Journal of Managerial Psychology, 17(8),672-691. DOI: 10.1108/02683940210450484
  21. S. I. Im, J. Park & H. S. Kim. (2012). The effects of nurse's communication and self-leadership on nursing performance. Korean Journal of Occupational Health Nursing, 21(3), 274-282. https://doi.org/10.5807/KJOHN.2012.21.3.274
  22. H. S. Lee & Y. H. Yom. (2015). 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, 21(4), 375-385. DOI: 10.11111/jkana.2015.21.4.375
  23. C. C. Manz. (1986). Self-leadership: toward an expanded theory of self-influence processes in organizations. Academy of Management reviewmanagement as a substitute for leadership. The Academy of Management Review, 5(3), 361-367. DOI: 10.5465/amr.1986.4306232
  24. K. S. Jang. (2000). A study on establishment of clinical career development model of nurses. Doctoral dissertation. Yonsei University, Seoul.
  25. F. Faul, E. Erdfelder, A-G. Lang & A. Buchner. (2007). G* Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191. DOI: 10.3758/BF03193146
  26. E. T. Lake. (2002). Development of the practice environment scale of the nursing work index. Research in Nursing & Health, 25(3), 176-188. https://doi.org/10.1002/nur.10032
  27. E. H. Cho, M. N. Choi, E. Y. Kim, I. Y. Yoo & N. J. Lee. (2011). Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. Korean Society of Nursing Science, 41(3), 325-332. DOI: 10.4040/jkan.2011.41.3.325.
  28. H. S. Kim. (2003). The relation of middle school teachers' self-leadership and job satisfaction. Master's thesis. Soongsil University, Seoul.
  29. S. A. Park. (1989). An exploratory study on the relationship between leadership style and performance in Korean nursing units. Doctoral dissertation, Seoul national University, Seoul.
  30. J. Taylor & D. G. Bowers. (1972). The survey of organizations: a machine-scored standardized questionnaire instrument. Ann Arbor, MI: Institute for Social Research.
  31. M. H. Lee. (1998). Relationship between organizational culture types and organizational effectiveness in hospitals. Journal of Korean Academy of Nursing Administration, 4(2), 363-385.
  32. R. M. Baron & D. A. Kenny. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173. https://doi.org/10.1037/0022-3514.51.6.1173
  33. M. R. Jung & E. Jeong. (2018). Effects of nursing practice environment and positive psychological capital in clinical nurses on turnover intention. Journal of Digital Convergence, 16(2), 277-285. DOI: 10.14400/JDC.2018.16.2.277
  34. S. B. Im, M. Y. Lee & S. Y. Kim. (2015). Nurses' perception of organizational commitment, nursing work environment, and social support in a general hospital. Journal of Korean Academy of Nursing Administration, 21(1), 1-9. DOI: 10.11111/jkana.2015.21.1.1
  35. J. Y. Lee & H. R. Nam. (2016). Effects of work environment, organizational culture and demands at work on emotional labor in nurses. Journal of Korean Academy of Nursing Administration, 22(2), 119-128. https://doi.org/10.11111/jkana.2016.22.2.119
  36. J. O. Kwon & E. Y. Kim. (2012). 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, 18(4), 414-423. DOI: 10.11111/jkana.2012.18.4.414
  37. S. I. Lee & E. J. Lee. (2016). Effect of nursing work environment, emotional labor and ego-resilience on nursing performance of clinical nurses. Korea Society for Wellness, 11(4), 267-276. DOI : 10.21097/ksw.2016.11.11.4.267
  38. Y. K. Ko & B. H. Park. (2020. The relationship of the nursing work environment and nursing outcome among it's nurses and content analysis of nurses' workload. The Korean Society of Hospital Administration, 19(1), 54-67.
  39. H. J. Song & S. M. Lee. (2016). The effects of hospital nurses' self-esteem and communication skill on self-leadership and the quality of nursing service. Journal of Korean Academy of Nursing Administration, 22(3), 220-229. DOI: 10.11111/jkana.2016.22.3.220
  40. H. J. Won & S. H. Cho. (2013). A review of research on self-leadership in nurses'. The Korean Society of Hospital Administration, 19(3), 382-393. DOI: 10.11111/jkana.2013.19.3.382.
  41. S. M. Wi & Y. J. Yi. (2012). Influence of emotional labor on job satisfaction, intent to leave, and nursing performance of clinical nurses. Journal of Korean Academy of Nursing Administration, 18(3), 310-319. https://doi.org/10.11111/jkana.2012.18.3.310
  42. Y. S. Kim & J. S. Park. (2013). The relationship between nursing professionalism, clinical decision making abilities, and job performance in advanced practice nurses. Journal of Korean Academy of Nursing Administration, 19(5). 613-621. DOI: 10.11111/jkana.2013.19.5.613.
  43. H. S. Oh & H. Wee. (2016). Self efficacy, organizational commitment, customer orientation and nursing performance of nurses in local public hospitals. Journal of Korean Academy of Nursing Administration, 22(5), 507-517. DOI: 10.11111/jkana.2016.22.5.507
  44. Y. M. Cho & M. S. Choi. (2016). Effect of clinical nurses's basic psychological need, self-leadership and job stress on nursing performance. Journal of Digital Convergence, 14(8), 343-353. DOI: 10.14400/JDC.2016.14.8.343
  45. G. M. Noh & M. S. Yoo. (2016). Effects of workplace spirituality and organizational citizenship behavior on nursing performance. Journal of Korean Academy of Nursing Administration, 22(3), 251-259. DOI: 10.11111/jkana.2016.22.3.251
  46. J. H. Seo & B. S. Lee. (2016). Effect of work environment on nursing performance of nurses in hemodialysis units: focusing on the effects of job satisfaction and empowerment. Journal of Korean Academy of Nursing Administration, 22(2), 178-188. DOI: 10.11111/jkana.2016.22.2.178
  47. N. S. Ha & J. Choi. (2010). An analysis of nursing competency affecting on job satisfaction and nursing performance among clinical nurses. Journal of Korean Academy of Nursing Administration, 16(3), 286-294. https://doi.org/10.11111/jkana.2010.16.3.286
  48. M. S. Kim, S. H. Shin, E. J. Seo. (2021).The influences of self-leadership, role conflict, nursing work environment on nursing service quality in comprehensive nursing care service wards. Journal of East-West Nursing Research, 27(1), 22-31. DOI: 10.14370/jewnr.2021.27.1.22
  49. A. L. Han & S. H. Kwon. (2016). Effects of self-leadership and self-efficacy on nursing performance of nurses working in long-term care hospitals. Korean Gerontological Nursing Society, 18(1), 12-21. DOI: 10.17079/jkgn.2016.18.1.12
  50. G. A. Seomun. (2005). The relationship of self-leadership, job satisfaction and perceived outcome in nurses. Journal of Korean Academy of Nursing Administration, 11(1), 45-58
  51. K. Y. Park & M. K. Park. (2008). A study on nurses' self-leadership, organizational commitment and the nursing performance. Journal of Korean Academy of Nursing Administration, 14(1), 63-71.
  52. C. C. Manz, H. P. Sims Jr. (1989). Superleadership: leading others to lead themselves. Englewood Cliffs. NJ: Prentice-Hall; 1989. p. 55-70.
  53. Baernholdt M, Mark BA. (2009). The nurse work environment, job satisfaction and turnover rates in rural and urban nursing units. Journal of Nursing Management, 17(8), 994-1001. https://doi.org/10.1111/j.1365-2834.2009.01027.x
  54. Y. K. Ko. (2013). Relationship of nurse practice environment and work-family conflict to job satisfaction in hospital nurses in Korea. Journal of Korean Academy of Nursing Administration, 19(2), 207-216. https://doi.org/10.11111/jkana.2013.19.2.207