• Title, Summary, Keyword: Nursing work environment

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Effect of Work Environment on Nursing Performance of Nurses in Hemodialysis Units: Focusing on the Effects of Job Satisfaction and Empowerment (혈액투석실 간호사의 근무환경이 간호업무수행에 미치는 영향: 직무만족 및 임파워먼트의 효과를 중심으로)

  • Seo, Jung Ae;Lee, Byoung Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.2
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    • pp.178-188
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    • 2016
  • Purpose: This study was performed to investigate the effect of work environment on nursing performance and the effect of job satisfaction and empowerment on nurses performance in hemodialysis units. Methods: Participants in this study were 206 nurses from 22 hemodialysis units in local clinics, general and university hospitals in two metropolitan areas. The work environment, nursing performance, job satisfaction and empowerment of the participants were measured using four self-report questionnaires. Data were analyzed using SPSS/WIN 18.0. Results: Nursing performance correlated significantly with work environment, job satisfaction, and empowerment in the participants. Predictability of work environment for nursing performance was 28%. Job satisfaction and empowerment showed complete mediating effects, but not moderating effects in the relationship of work environment and nursing performance in the participants. Conclusion: Findings indicate that work environment is an important variable affecting nursing performance in nurses in hemodialysis units and that job satisfaction and empowerment are mediating variables in the relationship of work environment and nursing performance in nurses in hemodialysis units. Improvements in the work environment are needed to induce the high job satisfaction and empowerment that can lead to improvement of nursing performance.

The Effects of Nursing Work Environment and Job Stress on Health Problems of Hospital Nurses (병원간호사의 간호근무환경과 직무 스트레스가 건강문제에 미치는 영향)

  • Bang, Young Eun;Park, Bohyun
    • Korean Journal of Occupational Health Nursing
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    • v.25 no.3
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    • pp.227-237
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    • 2016
  • Purpose: The purpose of this study was to identify the effects of nursing work environment and job stress on health problems of hospital nurses. Methods: The subjects were 200 nurses working in S general hospital in Gyeongnam, and the data were collected using organized questionnaire from Jan 10 to 25, 2015. The Korean version of the practice environment scale of nursing work index, the instrument for job stress, and the Korean version of Todie Health Index for health problem were used for measurement. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation, and multiple regression. Results: The nursing work environment was found to be slightly negative, and the job stress was found to be high. There were significant correlation among nursing work environment, job stress, and health problems. In addition, it showed that the nursing work environment and job stress of nurses were factors affecting their health problems. Conclusion: The nursing work environment and job stress are influencing factors on the health problems of hospital nurses. Multi-faceted efforts to create a positive nursing work environment are required. Further researches related to association between the nursing work environment and health problem of nurses are needed.

Effects of General Hospital Nurses' Work Environment on Job Embeddedness and Burnout (종합병원의 간호업무환경이 간호사의 직무배태성, 소진에 미치는 영향)

  • Kim, Jong Kyung;Kim, Myung Ja;Kim, Se Young;Yu, Mi;Lee, Kyoung A
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.1
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    • pp.69-81
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    • 2014
  • Purpose: The aim of this study was to investigate and identify work environment, job embeddedness, and burnout among general hospital nurses in Korea. Methods: The participants were 563 clinical nurses working in 13 general hospitals across the country. Data were analyzed using SPSS and Microsoft Excel programs. Results: Mean scores were 2.62 for nurses' work environment, 2.97 for job embeddedness, and 3.61 for burnout. Nurses' work environment showed a positive correlation with job embeddedness (r=.70, p<.001), but a negative correlation with burnout (r=-.49, p<.001). Subcategories of nurses' work environment that predicted job embeddedness included satisfaction and happiness, hospital support for the work environment, patient care environment, satisfaction with work schedule, manager leadership, supportive environment for nurses' work, and computer problems. Subcategories of nurses' work environment that predicted burnout included satisfaction and happiness, violence within ward, hospital support for work environment, and patient care environment. Conclusion: Findings from this study indicate the need to evaluate and improve the work environment for nurses to increase job embeddedness and control burnout. Future studies should explore ways in which turnover intention can be decreased by changing nurses' work environment.

Critical Care Nursing Work Environment and Family Satisfaction (중환자실 간호사 근무환경과 환자가족 만족도의 관계)

  • Jung, Hye-Jin;Kang, Jiyeon
    • Journal of Korean Critical Care Nursing
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    • v.7 no.2
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    • pp.58-67
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    • 2014
  • Purpose: The purpose of this study was to investigate the nursing work environment and family satisfaction in Korean intensive care units (ICUs). Methods: The study participants were 190 critical care nurses and 133 family members of ICU patients who were randomly chosen from four of the hospitals located in B city. The Korean Nursing Work Environment Scale was used to assess the work environment of critical care nurses. Family satisfaction was measured with the Korean version of the Critical Care Family Needs Inventory. Results: Critical care nurses reported moderate satisfaction with their work environment. The mean score for family satisfaction was 3.59 on a 5-point scale, and satisfaction with information provision received the highest score. Family satisfaction was higher in hospitals where the critical care nurses evaluated their work environment positively. Conclusion: This study revealed that the work environment of nurses affects family satisfaction in ICUs. Therefore, it is necessary to explore various methods of improving the critical care nursing work environment in order to provide the highest possible level of nursing care.

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Effects of Work Environment, Organizational Culture and Demands at Work on Emotional Labor in Nurses (간호근무환경, 조직문화유형, 업무의 양과 속도가 간호사의 감정노동에 미치는 영향)

  • Lee, Ji Yun;Nam, Hye Ri
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.2
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    • pp.119-128
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    • 2016
  • Purpose: The purpose of this study was to investigate the relationship among work environment of nursing, nursing organizational culture, demands at work and the emotional labor in clinical nurses. Methods: A convenience sample of 241 registered nurses was obtained from two hospitals. Data were collected by a self-administered questionnaire during December, 2014. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlations and multiple regression with SPSS/WIN 21.0. Results: The mean score for emotional labor was $3.36{\pm}0.48$, for work environment of nursing, $2.44{\pm}0.36$, and for innovational-orientation, $2.95{\pm}0.56$: Relation-orientation, $3.34{\pm}0.62$, Task-orientation, $2.95{\pm}0.53$, and hierarchy-orientation, $3.41{\pm}0.49$, The score for quantitative demands was $3.02{\pm}0.56$, and for work pace, $3.76{\pm}0.76$. In multivariate analysis, factors related to emotional labor were work environment of nursing, innovational-orientation and work pace. Conclusion: Findings from this study indicate the need to evaluate and improve the work environment for nurses to decrease emotional labor.

Impact of Professional Autonomy and Nursing Work Environment on Clinical Decision Making of Clinical Nurses (임상간호사의 전문직 자율성과 간호업무환경이 임상적 의사결정능력에 미치는 영향)

  • Lee, Yongsoon;Gang, Moonhee;Jung, Mi Sook
    • Korean Journal of Occupational Health Nursing
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    • v.22 no.4
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    • pp.285-294
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    • 2013
  • Purpose: This study aimed to explore professional autonomy, nursing work environment, and clinical decision making ability and to determine predictors of clinical decision making ability among clinical nurses. Methods: A cross-sectional design was used in this study and 263 clinical nurses were selected from advanced-level hospitals with over 500 beds located in D metropolitan city. Independent t-test, ANOVA, Pearson's correlation coefficients and hierarchical multiple regression analyses were done with the SPSS/WIN 20.0 program. Results: Clinical nurses reported moderate levels of professional autonomy, nursing work environment and clinical decision making ability. Marital status, professional autonomy and nursing work environment accounted for 25% of variance in clinical decision making ability required in various clinical settings. Importantly, being married, higher level of professional autonomy, and greater satisfaction with work environment were significantly associated with better decision making ability. Conclusion: Findings indicate that improving the quality of decision making in the healthcare settings requires awareness of the multiple effects of individual, occupational and environmental features. Nurses' ability to make effective clinical decisions may rely on personal characteristics, the degree of autonomy in their job, and nurses' satisfaction with their work environment.

Determinants of Organizational Creativity at Nursing Care Units of University Hospitals in Korea (대학병원 간호부서의 조직창의성 결정요인)

  • Kang, So-Young;Seo, Young-Joon
    • Korea Journal of Hospital Management
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    • v.9 no.4
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    • pp.1-20
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    • 2004
  • This study was aimed at examining the determinants of organizational creativity at nursing care units of university hospitals. Using some items of the Creative Nursing Practice Index(CNPI), the Nursing Work Index-Revised(NWI-R), and the Work Preference Inventory(WPI), an empirical study was conducted with a sample of 543 nurses at 49 nursing care units in two university hospitals in Korea. Data collected from the individual respondents were aggregated and transformed into the secondary data at organizational level. The data were analyzed, using Pearson correlation and hierarchical multiple regression method. The results of the study showed that organizational creativity has positive relationships to task motivation, including enjoyment and challenge to work, and work environment supporting nurses' autonomy and collaboration. Task motivation of the units and autonomous work environment explained 16.3% and 7.9% respectively in the variance of the organizational creativity. Organizational creativity was found to be significantly influenced by challenge and autonomous environment. This result implies that nursing managers should make an efforts to enhance the organizational creativity of nursing units by motivating their staff to challenge to a novel way of doing at work and making the work environment more autonomous.

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Comparing Satisfaction and Importance of Nursing Care Nursing Work Environment, Nurse's Intention to Work between Comprehensive Nursing Care Unit and General Nursing Care Unit (간호간병통합병동과 일반병동의 간호서비스 만족도와 중요도, 간호 근무환경, 간호사 재직의도 비교)

  • Park, Ihn Sook;Kim, Ju Hee;Hong, Heejung;Kim, Hyesun;Han, Insun;Lee, Sunyoung
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.1
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    • pp.34-43
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    • 2018
  • Purpose: This study was aimed to identify the difference in satisfaction and importance of nursing care between patients in comprehensive nursing care unit (CNCU) and general nursing care unit (GNCU). It also confirms the difference between practice environment of nursing work and nurse's intention to work. Methods: Nursing care satisfaction and importance levels were measured from 202 patients. Practice environment of nursing work and nurse's intention to work were measured from 54 nurses. Results: The satisfaction level was higher in the CNCU in comparison to the GNCU (p<.001). There was no significant difference between the importance and satisfaction level of nursing care for patients at the CNCU (p=.973), whereas in the GNCU, patients' satisfaction level was lower than the importance level (p<.001). The score for practice environment for nursing work was higher in the CNCU than in the GNCU (t=3.34, p=.002). The nurse's intention to work in the CNCU was higher than that of the GNCU, but there was no statistically significant difference. Conclusion: Through the survey, the paper suggests that comprehensive nursing care is a service type that satisfies the nursing demand (importance) that patients consider important. Results from nurses showed no significant differences.

The Effect of Job Stress on Health Promotion Behaviors of Nurses in a Regional General Hospital: The Mediating Effects of Positive Psychological Capital and Nursing Work Environment (지역 종합병원 간호사의 직무 스트레스가 건강증진행위에 미치는 영향: 긍정심리자본과 간호근무환경의 매개효과)

  • Jang, You Min;Park, Ju Young
    • Korean Journal of Occupational Health Nursing
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    • v.27 no.3
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    • pp.160-170
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    • 2018
  • Purpose: The purpose of this study is to provide preliminary data for alleviating nurses' job stress and support health promotion behaviors. Further, the study reviews the mediating effects of positive psychological capital and nursing work environment in relation to job stress and health promotion behaviors among nurses in a regional general hospital. Methods: A study survey was conducted from June 9 to 16, 2017. The subjects were current nurses working at a regional general hospital in D city. Analysis of a survey questionnaire from 147 participants was conducted. Results: Upon reviewing the mediating effects of positive psychological capital and nursing work environment in relation with health promotion behaviors and job stress, it was found that positive psychological capital (Z=-4.78, p<.001) and nursing work environment (Z=-4.17, p<.001) were significant mediators. Conclusion: As demonstrated through the results of this research, it is necessary to build programs to strengthen individual positive psychological capital and increase the practice of health promotion behaviors among nurses. It is also evident that a systematic approach is needed to improve the nursing work environment.

Effects of Workplace Bullying, Nursing Work Environment, and Reality Shock on Turnover Intention of Clinical Nurses (임상 간호사의 괴롭힘, 간호근무환경, 현실 충격이 이직 의도에 미치는 영향)

  • Kim, Sookyoung;Park, Youngwoo;Kim, Kyunghee;Hong, Eunhee
    • Journal of the Korea Safety Management & Science
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    • v.22 no.3
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    • pp.31-41
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    • 2020
  • The purpose of this study was to identify the relationship between bullying, nursing work environment, reality shock and factors of influence on turnover intension. Data were collected from 381 nurses who were under the charge nurse at a hospital with more than 600 beds in Seoul. The collected data were analyzed using the SPSS24.0 program. The mean score for turnover intension was 3.61 ± 0.89. The intension of turnover was correlated with bullying in the workplace (r=0.197, ⍴=.001), the nursing work environment (r=-.409, p=.001), and reality shock (r=.572, p=.001). Variables affecting turnover intension were the work department(β=-0.018, ⍴=.049), working environment(β=-0.424, ⍴<.000), and reality shock(β=0.654, ⍴<.000). The total amount of explanation for turnover intension was 37.3%. The degree of turnover intension of nurses was affected by work in general wards, the experience of workplace bullying and the nursing work environment. To reduce turnover intension, nursing work needs to be analyzed and efforts are needed to establish an effective communication system.