병원규모에 따른 간호사의 조직문화유형과 직무만족 비교연구
A Comparative Study on Nurses' Organizational Culture and Job Satisfaction According to the Hospital Size Differences
1
조회
0
다운로드
26
인용
0
참고문헌
키워드
초록
연구목적 : 본 연구는 종합병원과 중소병원 간호사의 조직문화유형, 직무만족 특성과 병원 규모별 직무만족에 영향을 미치는 요인을 파악하기 위하여 수행하였다. 방법 : 서술적 조사연구로, 연구대상자는 343명의 간호사이며 구조화된 설문지를 사용했다. 자료수집은 2010년 6월부터 7월까지 실시하였고, SPSS Win 14.0 프로그램을 사용하여 χ2-test, t-test, ANOVA, scheffe’s test, Pearson correlation coefficient, 단계적 중회귀분석으로 분석하였다. 결과 : 종합병원에서는 위계지향문화, 중소병원은 관계지향문화의 점수가 높았다. 직무만족은 조직문화유형 중 관계지향, 혁신지향, 업무지향과 순상관관계가 있었다. 종합병원의 경우 직무만족의 결정요인으로 혁신지향, 급여로 변수의 총 설명력은 42.5%이었고, 중소병원의 경우는 혁신지향, 생활만족도, 업무지향으로 변수의 총 설명력은 39.0%이었다. 결론 : 혁신지향문화와 업무지향문화가 간호사의 직무만족을 높일 수 있는 조직문화유형으로 나타났다. 따라서 간호행정가는 직무만족 향상을 위한 조직문화를 고려하고 개발해야할 것이다.
Abstract
Purpose : This study was conducted to compare the characteristics of organizational structure and occupational satisfaction among nurses in general hospital and small to medium-sized hospital and to investigate the affecting factors on their occupational satisfaction. Methods: The study was based on the cross-sectional descriptive survey. A self-report questionnaire was used to collect data from 343 nurses between June and July, 2010. Data were analyzed by χ2-test, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, and multiple regression using the SPSS Win 14.0 program. Results: Hierarchical structure was dominant in general hospital whereas relationship was highly valued in small to medium-sized hospital. Occupational satisfaction was positively correlated with work environment built on relationship, innovation and tasks. Factors significantly influencing on occupational satisfaction in general hospital included innovative work environment, nurses' income and their health status(R2=40.3%). For the small to medium-sized hospital, they included innovative work environment, satisfaction in life, tasks and professionalism(R2=40.4%). Conclusion: Organizational structure, especially innovative work environment and relationship-oriented attitude had a significant influence on nurses' occupational satisfaction. Therefore, nursing administrators have to develop and consider organizational structure to improve occupational satisfaction.
참고문헌 (29)
- Choi, H. J, "Comparison of health conditions, sleeping condition, job satisfaction, burn-out and commitment to organization job between nurses working only during day and those working in shift", 석사, pp.2008
- Coeling, H. E, "Facilitating innovation at the unit level through cultural assessment, Part 2: Adapting managerial ideas to the unit work group", Journal of Nursing Administration, 23(5), pp.13~20 (1993)
- Dension, D. R, "Organizational culture and organizational development: A competing values approach", Research in Organizational Change and Development, 5, pp.1~21 (1991)
- Gifford, B. D, "The relationship between hospital unit culture and nurses' quality of work life", Journal of Healthcare Management, 47(1), pp.13~25 (2002)
- Han, S. J, "A study of the relationship between nursing organizational culture and organizational performance", 박사, pp.2001
- 한지영, "간호사가 지각한 간호조직 문화유형 및 수간호사의 리더십 유형이 직무만족에 미치는 영향", 병원경영학회지, 14(3), pp.1~22 (2009), 한국병원경영학회
- Hayes, L. J., "Nurse turnover: A literature review", International Journal of Nursing Study, 43, pp.237~263 (2006)
- Ingersoll, G. L, "Relationship of organizational culture and readness for change to employee commitment to the organization", Journal of Nursing Administration, 30(1), pp.11~20 (2000)
- Jeong,S.H, "The effect of learning organization on organizational effectiveness in nurses", 박사, pp.2003
- Kim, D. R, "Analysis of relationship between nursing organization culture and organizational commitment", The Journal of Korean Nursing Administration Academic Society, 5, pp.5~21 (1999)
- Kim,E.J, "The effects of organizational culture and self-leadership on job satisfaction and organizational commitment", 석사, pp.2009
- Kim, M. S, "The concept analysis of the organizational culture of nursing service in hospital setting", The Journal of Korean Nursing Administration Academic Society, 5, pp.87~97 (1998)
- 김금옥, "수술실의 간호조직특성, 조직문화 유형 및 팀 효과성과의 관계", 간호행정학회지, 12(3), pp.385~396 (2006), 간호행정학회
- 김영란, "병·의원에 근무하는 방사선사들의 이직의사에 관련된 요인 ― 대전광역시를 중심으로 ―", 방사선기술과학, 32(4), pp.371~380 (2009), 대한방사선과학회
- Korea Health Industry Development Institute, "Analysis of hospital management" (2007), Korea Health Industry Development Institute
- "Diagnosis on hospital management. Retrieved April, 14, 2011" (2009)[URL]
- 이은주, "간호사가 지각하는 간호조직문화유형이 직무만족, 조직몰입에 미치는 영향", 간호행정학회지, 14(1), pp.5~12 (2008), 간호행정학회
- Lee, H. J, "A study of the degree of duty satisfaction according to the nurse's characteristics", The Journal of Korean Nursing Administration Academic Society, 6, pp.5~18 (2000)
- Lee, M. H, "Relationship between organizational culture types and organizational effectiveness in hospitals", The Journal of Korean Nursing Administration Academic Society, 4, pp.363~835 (1998)
- McCloskey, J. C, "Satisfaction, commitment and professionalism of newly employed nurses", Journal of Nursing Scholarship, 19(1), pp.20~24 (1987)
- McDanial, C., "The organizational culture: Implications for nursing service", Journal of Nursing Administration, 23(4), pp.54~60 (1993)
- McDaniel,C, "Organizational culture and ethics work satisfaction", Journal of Nursing Administration, 25(11), pp.15~21 (1995)
- "Report of quality improvement activity (2003-2009). Retrieved March, 5, 2011" (2009)[URL]
- Quinn McGrath, "The transformation of organizational culture: A competing values perspective" (1985), Sage
- 박재산, "국립병원 간호조직문화 유형과 직무만족, 이직의사간의 인과관계분석", 보건과 사회과학, 19, pp.84~102 (2006), 한국보건사회학회
- Shin,H.J, "Relationship between organizational cultures and organizational effectiveness in small to medium sized hospitals", 석사, pp.2003
- Slavitt, D. B, "Nurse's satisfaction with their work situation", Nursing Research, 27(2), pp.114~120 (1978)
- Stone, P. W, "Nurse working conditions, organizational climate, and intent to leave in ICUs: An instrumental variable approach", Health Service Research, 42(3), pp.1085~1104 (2007)
- Irvine, D. M, "Job satisfaction and turnover among nurses: Integrating research finding across studie", Nursing Research, 44(4), pp.246~253 (1995)