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Influence of Resilience and Perceived Individual and Organizational Support on Organizational Commitment among Hospital Nurses

간호사의 회복탄력성과 지각된 개인 및 조직의 지지가 조직몰입에 미치는 영향

  • Received : 2017.03.21
  • Accepted : 2017.05.20
  • Published : 2017.05.28

Abstract

The purpose of this study was to understand the influences of resilience and perceived individual and organizational support on organizational commitment among Korean clinical nurse. Data were collected from 195 nurses who had worked in 6 hospitals in a province from March 15 to April 27, 2016. The mean organizational commitment score was similar to that of nurses who worked at small or medium sized hospitals in provinces and lower than that of nurses who worked at large sized general hospitals in metropolitan. Regression analysis indicated that factors influencing the participants' organizational commitment were perceived organizational support, resilience, team nursing delivery method, and team-function mixed nursing delivery method. It is needed to establish strategies which can improve organizational commitment of nurses by improving organizational support and the resilience. It should be established hospital policies that can improve nursing delivery methods such as team nursing for improving nurses' perceived organizational support.

본 연구의 목적은 간호사의 회복탄력성, 지각된 개인적 및 조직적지지, 조직몰입 정도를 확인하고 간호사의 조직몰입에 영향을 미치는 요인을 파악하는 것이다. 자료는 일 지역 6개 종합병원에 재직 중인 임상경력 6개월 이상의 간호사 195명을 대상으로 2015년 3월15일부터 4월27일까지 구조화된 설문지를 이용하여 수집하였다. 연구 결과, 대상자의 조직몰입도는 지방의 종합병원 간호사들의 조직몰입도와 유사한 수준이었던 반면에 수도권 대형 종합병원 간호사들 보다는 낮았다. 대상자의 조직적 지지에 대한 지각과 회복탄력성, 팀 간호방법과 팀-기능 간호방법이 조직몰입에 영향을 미치는 요인으로 나타났다(F=17.31, p<.001, Adjusted $R^2=.53$). 따라서 조직수준의 지지 강화와 회복탄력성 향상을 통하여 간호사의 조직몰입도를 향상시킬 수 있는 방안을 고려하여야 하며, 특히 간호사들의 조직적 지지에 대한 지각을 향상시키기 위해서 팀 간호방법을 확대 적용하는 등 간호업무방법 개선 정책 등이 필요하다.

Keywords

References

  1. G. S. Kang & J. H. Kim, “The effects of self-efficacy and collective efficacy on job satisfaction and organizational commitment of nurses,” Korean Journal of Occupational Health Nursing, Vol. 23, No. 3, pp. 123-133, 2014. https://doi.org/10.5807/kjohn.2014.23.3.123
  2. A. S. Lee, C. Yoon, & J. K. Park, “Effects of social support and ego-resilience on nursing performance of hospital nurses,” Korean Journal of Occupational Health Nursing, Vol. 21, No. 3, pp. 283-289, 2012. https://doi.org/10.5807/kjohn.2012.21.3.283
  3. J. Kim, “Relationship among emotional labor, burnout, social support and turnover intention of nurse practitioners in terms of interdisciplinary perspectives,” Journal of Digital Convergence, Vol. 14, No. 8, pp. 331-342, 2016. https://doi.org/10.14400/JDC.2016.14.8.331
  4. M. Y. Lee & K. H. Kim, “Influence of head nurses' transformational leadership on staff nurse's psychological well-being, stress and somatizationfocused on the mediating effect of positive psychological capital,” Journal of Korean Academy of Nursing Administration, Vol. 18, No. 2, pp. 166-175, 2012. https://doi.org/10.11111/jkana.2012.18.2.166
  5. R. T. Mowday, R. M. Steers, & L. W. Porter, “The measurement of organizational commitment,” Journal of Vocational Behavior, Vol. 14, No. 2, pp. 224-247, 1979. https://doi.org/10.1016/0001-8791(79)90072-1
  6. J. A. Han & M. J. Kim, “The convergence study of interpersonal caring behaviors on anger, job stress and social support in nurses,” Journal of the Korea Convergence Society, Vol. 7, No. 3, pp. 87-98, 2016. https://doi.org/10.15207/JKCS.2016.7.3.087
  7. Y. S. Baek, “The effetcs of resilience on job satisfaction and organizational commitment: with a focus on members of KORAIL,” Ordo Economics Journal, Vol. 18, No. 4, pp. 129-146, 2015. https://doi.org/10.20436/OEJ.18.4.129
  8. M. A. Lee, “Effect of nurses’ perception of reward and organizational commitment on their turnover intention,” Journal of Korean Academy of Nursing Administration, Vol. 15, No. 3, pp. 434-443, 2012.
  9. S. Lee, J. Park, K. Lee, E. Shin, J. Park, H. Nam, et al., “The convergence effects of commitment of organization and positive psychological capital in nurse on burnout,” Journal of Digital Convergence, Vol. 14, No. 6, pp. 335-345, 2016. https://doi.org/10.14400/JDC.2016.14.6.335
  10. H. Noh & K. Han, “Effects of the call center counselors’ personal characteristics and perceived organizational support on organizational commitment and organizational citizenship behavior,” Journal of Digital Convergence, Vol. 12, No. 7, pp. 123-133, 2013.
  11. I. O. Moon, S. K. Park, & J. M. Jung, “Effects of resilience on work engagement and burnout of clinical nurses,” Journal of Korean Academy of Nursing Administration, Vol. 19, No. 4, pp. 525-535, 2013. https://doi.org/10.11111/jkana.2013.19.4.525
  12. K. Tusaie & J. Dyer, “Resilience: A historical review of the construct,” Holistic Nursing Practice, Vol. 18, No. 1, pp. 3-10, 2004. https://doi.org/10.1097/00004650-200401000-00002
  13. J. Lee, S. Cho, & H. Min, “The influence of the resilience on the organizational commitment of kindergarten and childcare teachers: socail support as a mediating variable,” Journal of Korean Home management Association, Vol. 30, No. 3, pp. 59-67, 2012. https://doi.org/10.7466/JKHMA.2012.30.3.059
  14. S. S. Luthar, D. Cicchetti, & B. Becker, “The resilience: A critical evaluation and guideline for future work,” Child Development, Vol. 71, No. 3, pp. 543-562, 2000. https://doi.org/10.1111/1467-8624.00164
  15. D. Jackson, A. Firtko, & M. Edenborough, “Personal resilience as a strategy for surviving and thriving in the face of workplace adversity: a literature review,” Journal of Advanced Nursing, Vol. 60, No. 1, pp. 1-9, 2007. https://doi.org/10.1111/j.1365-2648.2007.04412.x
  16. S. N. Kim and M. S. Yoo, “Relationships between ICU nurses’ resilience, job stress, and organizational commitment,” Journal of Korean Academic Society of Home Care Nursing, Vol. 21, No. 1, pp. 36-43, 2015. https://doi.org/10.5977/jkasne.2015.21.1.36
  17. H. O. Song, "A study of the relationship between resilience and organizational commitment in hospital employees," Master's thesis, Korea University. 2014.
  18. M. Mealer, J. Jones, J. Newman, K. K. McFann, B. Rothbaum, & M. Moss, “The presence of resilience is associated with a healthier psychological profile in intensive care unit (ICU) nurses: Results of a national survey,” International Journal of Nursing Studies, Vol. 49, No. 3, pp. 292-299, 2012. https://doi.org/10.1016/j.ijnurstu.2011.09.015
  19. S. B. Fine, "Resilience and human adaptability: Who rises above adversity? 1990 Eleanor Clarke Slagle Lecture," American Journal of Occupational Therapy, Vol. 45, No. 6, pp. 493-503, 2091. https://doi.org/10.5014/ajot.45.6.493
  20. H. Kim & J. Kim, “Emotional labor, social support, and depressive symptoms of clinical nurses in a province, Korea,” Korean Journal of Occupational Health Nursing, Vol. 20, No. 3, pp. 308-318, 2011. https://doi.org/10.5807/kjohn.2011.20.3.308
  21. S. Park, "The effects of self-resilience and social support on school adjustment of dormitory high scholl students adaptation in convergence age," Journal of Digital Convergence, Vol. 14, No. 2, pp. 307-293, 2016. https://doi.org/10.14400/JDC.2016.14.2.287
  22. M. You & Y. Son, “The relationships of work-family conflict, social support, job satisfaction, and organizational commitment in Korean married hospital nurses,” Journal of Korean Academy of Fundamental Nursing, Vol. 16, No. 4, pp. 515-523, 2009.
  23. K. S. Yoon, “A convergence study on the relationship among job rotation, verbal abuse and organizational commitment of perioperative nurses,” Journal of the Korea Convergence Society, Vol. 7, No. 3, pp. 131-141, 2016. https://doi.org/10.15207/JKCS.2016.7.3.131
  24. K. Reivich & A. Shatte, "The resilience factor: Seven essential skills for overcoming life's inevitable obstacles," New York, NY: Broadway Books, 2003.
  25. S. H. Kwon & S. Y. Lee, “An analysis of kindergarten teachers' resilience,” The Journal of Korean Teacher Education, Vol. 27, No. 2, pp. 137-157, 2010. https://doi.org/10.24211/tjkte.2010.27.2.137
  26. K. J. Lee & M. Kim, “The relationship of gender role conflict and job satisfaction upon organizational commitment in male nurses,” The Journal of Korean Academy of Adult Nursing, Vol. 26, No. 1, pp. 46-57, 2014. https://doi.org/10.7475/kjan.2014.26.1.46
  27. J. Ko & Y. Yom, “The role of social support in the relationship between job stress and job satisfaction/organizational commitment among hospital nurses,” Journal of Korean Academy of Nursing, Vol. 33, No. 2, pp. 265-274, 2003. https://doi.org/10.4040/jkan.2003.33.2.265
  28. S. J. Kang, K. H. Kang, & Y. H. Han, “Relationship between organizational communication satisfaction and organizational commitment among hospital nurses,” Journal of Korean Academy of Nursing Administration, Vol. 18, No. 1, pp. 13-22, 2012. https://doi.org/10.11111/jkana.2012.18.1.13
  29. S. N. Kim & M. S. Yoo, “Relationships between resilience, job stress, and organizational commitment in ICU nurses,” Journal of Korean Academy of Home Care Nursing, Vol. 21, No. 1, pp. 36-43, 2014.
  30. M. H. Son, "The influence of servant leadership on nurses' job satisfaction and organizational commitment at small & medium-sized hospital," Master's thesis, Catholic University of Pusan, 2011.
  31. K. S. Seo, M. Y. Kim & J. H. Park, “Effects of resilience and job satisfaction on organizational commitment in Korean-American registered nurses,” Journal of Korean Academy of Nursing Administration, Vol. 20, No. 1, pp. 48-58, 2014. https://doi.org/10.11111/jkana.2014.20.1.48
  32. S. B. Im, M. Y. Lee, & S. Y. Kim, “Nurses' perception of organizational commitment, nursing work environment, and social support in a general hospital,” Journal of Korean Academy of Nursing Administration, Vol. 21, No. 1, pp. 1-9, 2015. https://doi.org/10.11111/jkana.2015.21.1.1
  33. J. Lee, S. Cho, & H. Min, “The influence of the resilience on the organizational commitment of kindergarten and childcare teachers: Social support as a mediating variable,” Journal of Korean Home Management Association, Vol. 30, No. 3, pp. 59-67, 2012. https://doi.org/10.7466/JKHMA.2012.30.3.059
  34. J. Kim & M. Kim, “The effects of positive psychological capital on employee job satisfaction and affective commitment,” Journal of Korea Association of Business Education, Vol. 67, No. 1, pp. 117-148, 2011.
  35. M. S. Seong, "The effects of social support in the organization on psychological well-being: Resilience of health professionals as a mediator," Master's thesis, Hanyang University, 2014.
  36. B. S. Lee, M. S. Jeong, E. J. Lee, E. J. Cho, S. R. Kang, H. K. Ahn, et al. "Nursing Management (2nd ed.). Seoul: Jeong Dam Media," 2012.
  37. S. S. Kim, G. S. Chae, K. N. Kim, K. O. Park, & S. M. Moon, “Survey on nursing care delivery systems of university affiliated hospitals in Korea,” Journal of Korean Clinical Nursing Research, Vol. 16, No. 1, pp. 167-175, 2010.