Influence of the Nursing Practice Environment on Job Satisfaction and Turnover Intention
1
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objectives: To examine whether the nursing practice environment at the hospital-level affects the job satisfaction and turnover intentionof hospital nurses. Methods: Among the 11 731 nurses who participated in the Korea Health and Medical Workers’ Union’s educational program, 5654 responded to our survey. Data from 3096 nurses working in 185 general inpatient wards at 60 hospitals were analyzed using multilevellogistic regression modeling. Results: Having a standardized nursing process (odds ratio [OR], 4.21; p<0.001), adequate nurse staffing (OR, 4.21; p<0.01), and good doctor-nurse relationship (OR, 4.15; p<0.01), which are hospital-level variables based on the Korean General Inpatients Unit Nursing Work Index (KGU-NWI), were significantly related to nurses’ job satisfaction. However, no hospital-level variable from the KGU-NWI was significantly related to nurses’ turnover intention. Conclusions: Favorable nursing practice environments are associated with job satisfaction among nurses. In particular, having a standardizednursing process, adequate nurse staffing, and good doctor-nurse relationship were found to positively influence nurses’ job satisfaction. However, the nursing practice environment was not related to nurses’ turnover intention.
Abstract
Objectives: To examine whether the nursing practice environment at the hospital-level affects the job satisfaction and turnover intentionof hospital nurses. Methods: Among the 11 731 nurses who participated in the Korea Health and Medical Workers’ Union’s educational program, 5654 responded to our survey. Data from 3096 nurses working in 185 general inpatient wards at 60 hospitals were analyzed using multilevellogistic regression modeling. Results: Having a standardized nursing process (odds ratio [OR], 4.21; p<0.001), adequate nurse staffing (OR, 4.21; p<0.01), and good doctor-nurse relationship (OR, 4.15; p<0.01), which are hospital-level variables based on the Korean General Inpatients Unit Nursing Work Index (KGU-NWI), were significantly related to nurses’ job satisfaction. However, no hospital-level variable from the KGU-NWI was significantly related to nurses’ turnover intention. Conclusions: Favorable nursing practice environments are associated with job satisfaction among nurses. In particular, having a standardizednursing process, adequate nurse staffing, and good doctor-nurse relationship were found to positively influence nurses’ job satisfaction. However, the nursing practice environment was not related to nurses’ turnover intention.
참고문헌 (24)
- Estryn-Behar M, "The impact of social work environment, teamwork characteristics, burnout, and personal factors upon intent to leave among European nurses", Med Care, 45(10), pp.939~950 (2007)
- Ministry of Health and Welfare, "OECD health data 2013", Ministry of Health and Welfare, 45~57 (2013)
- nursing workforce and nursing management fee survey, "Lee YT", Korea Health Industry Development Institute, 8~10 (2008)
- Ministry of Health and Welfare, "2009 Year book of health, welfare and family statistics", Ministry of Health and Welfare, 123~ (2009)
- Seago JA, "Grumbach K. Hospital registered nurse shortages: environmental, patient, and institutional predictors", Health Serv Res, 36(5), pp.831~852 (2001)
- Aiken LH, "Measuring organizational traits of hospitals: the Revised Nursing Work Index", Nurs Res, 49(3), pp.146~153 (2000)
- Aiken LH, "Effects of hospital care environment on patient mortality and nurse outcomes", J Nurs Adm, 38(5), pp.223~229 (2008)
- Zangaro GA, "A meta-analysis of studies of nurses’ job satisfaction", Res Nurs Health, 30(4), pp.445~458 (2007)
- Porter CA, "The effect of a nursing labor management partnership on nurse turnover and satisfaction", J Nurs Adm, 40(5), pp.205~210 (2010)
- Friese CR, "Hospital nurse practice environments and outcomes for surgical oncology patients", Health Serv Res, 43(4), pp.1145~1163 (2008)
- Van Bogaert P, "Impacts of unit-level nurse practice environment and burnout on nurse-reported outcomes: a multilevel modelling approach", J Clin Nurs, 19(11-12), pp.1664~1674 (2010)
- Kwak C, "Relationship of job satisfaction with perceived organizational support and quality of care among South Korean nurses: a questionnaire survey", Int J Nurs Stud, 47(10), pp.1292~1298 (2010)
- Seo Y, "The determinants of job satisfaction among hospital nurses: a model estimation in Korea", Int J Nurs Stud, 41(4), pp.437~446 (2004)
- 강소영, "전문간호실무를 위한 조직환경과 간호사의 근무의욕간의 관계연구", Journal of Korean Academy of Nursing, 35(2), pp.353~361 (2005), 한국간호과학회
- "Hospital details information"[URL]
- 김철웅, "Application of Revised Nursing Work Index to Hospital Nurses of South Korea", Asian Nursing Research, 7(3), pp.128~135 (2013), 한국간호과학회
- Snijders TA, "Multilevel analysis: an introduction to basic and advanced multilevel modeling", pp.97~98 (1999), Sage Publications
- Tervo-Heikkinen T, "Nurses’ work environment and nursing outcomes: a survey study among Finnish university hospital registered nurses", Int J Nurs Pract, 14(5), pp.357~365 (2008)
- Chen YM, "Magnet Hospital attributes in European hospitals: a multilevel model of job satisfaction", Int J Nurs Stud, 47(8), pp.1001~1012 (2010)
- Kramer M, "Securing “good” nurse", physician relationships, 2003, pp.34(7), 34~38
- Rafferty AM, "Outcomes of variation in hospital nurse staffing in English hospitals: cross-sectional analysis of survey data and discharge records", Int J Nurs Stud, 44(2), pp.175~182 (2007)
- Cho SH, "Nurse staffing, quality of nursing care and nurse job outcomes in intensive care units", J Clin Nurs, 18(12), pp.1729~1737 (2009)
- Larrabee JH, "Predicting registered nurse job satisfaction and intent to leave", J Nurs Adm, 33(5), pp.271~283 (2003)
- Aiken LH, "Hospital staffing, organization, and quality of care: cross-national findings", Int J Qual Health Care, 14(1), pp.5~13 (2002)