임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제25권3호
  • /
  • Pages.314-322
  • /
  • 2019
  • /
  • 1598-9186(pISSN)
  • /
  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
권호 표지
DOI QR코드

DOI QR Code

중환자실 간호사의 간호조직문화, 진정성 리더십, 자아존중감이 직장 내 괴롭힘에 미치는 영향에 대한 구조모형

The Structural Equation Model of Organizational Culture, Authentic Leadership, Self-Esteem, and Bullying in Nurses at Critical Care Units

  • Shim, Mi Young (Department of Nursing, Seoul National University Hospital) ;
  • Yoo, Hye Jin (Department of Nursing, Asan Medical Center) ;
  • Kim, Jung Yeon (Department of Nursing, Severance Hospital) ;
  • Kim, Se Ra (Department of Nursing, Asan Medical Center) ;
  • Song, Yu Gil (Department of Nursing, Asan Medical Center) ;
  • Kang, Jiyeon (Department of Nursing, Dong-A University)
  • 투고 : 2019.09.30
  • 심사 : 2019.10.25
  • 발행 : 2019.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study were to identify the influential factors of bullying of intensive care nurses and to suggest a final structural model based on identified relationships between nursing organizational culture, authentic leadership, self-esteem, and bullying in the workplace. Methods: Data were collected from 221 nurses at intensive care units in eight general hospitals using structured questionnaires and analyzed by structural equation modeling. Results: In this study, the average of bullying in the workplace was 1.34±0.40, nursing organizational culture was 3.31±0.47, self-esteem was 2.79±0.44, and authentic leadership was 3.61±0.60. The factors affecting nursing organizational culture were authentic leadership (β=.54, p<.001) and self-esteem (β=.24, p=.002) that had direct positive effects on the nursing organizational culture. The nursing organizational culture had also a direct effect on reducing workplace bullying (β=-.45, p<.001). Authentic leadership (β=-.24, p=.004) and self-esteem (β=-.11, p=.004) had indirect effects on workplace bullying, which was mediated by the nursing organizational culture. Conclusion: To understand and reduce workplace bullying, evaluating a nursing organizational culture should be preceded. Based on the finding of this study, an intervention for increasing authentic leadership and self-esteem of nurses can positively help to create the nursing organizational culture and then reduce workplace bullying.

키워드

참고문헌

  1. Oh H, Uhm DC, Yoon YJ. Factors affecting workplace bullying and lateral violence among clinical nurses in Korea: descriptive study. Journal of Nursing Management. 2016;24(3):327-335. https://doi.org/10.1111/jonm.12324
  2. Gu MY, Cheon JY, Seo TJ, Jung SG. Prevention of workplace bullying among women workers: survey analysis and policy suggestions. Seoul: Korean Women's Development Institute; 2015. p. 51-96.
  3. Lee YJ, Lee MH, Bernstein K. Effect of workplace bullying and job stress on turnover intention in hospital nurses. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2013;22(2):77-87. https://doi.org/10.12934/jkpmhn.2013.22.2.77
  4. Johnson SL. International perspectives on workplace bullying among nurses: a review. International Nursing Review. 2009;56(1):34-40. https://doi.org/10.1111/j.1466-7657.2008.00679.x
  5. McKenna BG, Smith NA, Poole SJ, Coverdale JH. Horizontal violence: experiences of registered nurses in their first year of practice. Journal of Advanced Nursing. 2003;42(1):90-96. https://doi.org/10.1046/j.1365-2648.2003.02583.x
  6. Vogelpohl DA, Rice SK, Edwards ME, Bork CE. New graduate nurses' perception of the workplace: have they experienced bullying? Journal of Professional Nursing. 2013;29(6):414-422. https://doi.org/10.1016/j.profnurs.2012.10.008
  7. Matthiesen SB, Einarsen S. MMPI-2 configurations among victims of bullying at work. European Journal of Work and Organizational Psychology. 2001;10(4):467-484. https://doi.org/10.1080/13594320143000753
  8. Yun S, Kang J. Factors affecting workplace bullying in Korean hospital nurses. Korean Journal of Adult Nursing. 2014;26(5):553-562. https://doi.org/10.7475/kjan.2014.26.5.553
  9. Kang J, Lee M. The related factors to workplace bullying in nursing: a systematic review and meta-analysis. Korean Journal of Adult Nursing. 2016;28(4):399-414. https://doi.org/10.7475/kjan.2016.28.4.399
  10. Hutchinson M, Wilkes L, Jackson D, Vickers MH. Integrating individual, work group and organizational factors: testing a multidimensional model of bullying in the nursing workplace. Journal of Nursing Management. 2010;18(2):173-181. https://doi.org/10.1111/j.1365-2834.2009.01035.x
  11. Johnson SL, Rea RE. Workplace bullying: concerns for nurse leaders. The Journal of Nursing Administration. 2009;39(2):84-90. https://doi.org/10.1097/NNA.0b013e318195a5fc
  12. Spence Laschinger HK, Wong CA, Grau AL. The influence of authentic leadership in newly graduated nurses' experience of workplace bullying, burnout and retention outcomes: a cross-sectional study. International Journal of Nursing Studies. 2012;49(10):1266-1276. https://doi.org/10.1016/j.ijnurstu.2012.05.012
  13. Embree JL, White AH. Concept analysis: nurse-to-nurse lateral violence. Nursing Forum. 2010;45(3):166-173. https://doi.org/10.1111/j.1744-6198.2010.00185.x
  14. Ceravolo DJ, Schwartz DG, Foltz-Ramos KM, Castner J. Strengthening communication to overcome lateral violence. Journal of Nursing Management. 2012;20(5):599-606. https://doi.org/10.1111/j.1365-2834.2012.01402.x
  15. Kim KS. Amos 18.0: Analysis of structural equating model. Seoul: Hannarae Academy; 2010. p. 657-663.
  16. Einarsen S, Hoel H, Notelaers G. Measuring exposure to bullying and harassment at work: Validity, factor structure and psychometric properties of the Negative Acts Questionnaire-Revised. Work & Stress. 2009;23(1):24-44. https://doi.org/10.1080/02678370902815673
  17. Nam W, Kim JW, Kim YK, Koo JW, Park CY. The reliability and validity of the negative acts questionnaire-revised (NAQ-R) for nurses for the assessment of workplace bullying. The Korean Journal of Occupational and Environmental Medicine. 2010;22(2):129-139. https://doi.org/10.35371/kjoem.2010.22.2.129
  18. Rosenberg M. Society and the adolescent self-image. Princeton, NJ: Princeton University Press; 1965. p. 16-38.
  19. Kim MS, Han SJ, Kim JH. The development of the nursing organization culture measurement tool. Journal of Korean Academy of Nursing Administration. 2004;10(2):175-184.
  20. Lee JH, Park HK. Integrative literature review on authentic leadership effectiveness factors. Korean Journal of Business Administration. 2013;26(11):2791-2814.
  21. Avolio BJ, Gardner WL, Walumbwa FO. Authentic leadership questionnaire [Internet]. Menlo Park, CA: Mind Garden Inc.; c2005-c2019 [cited 2019 Sep 25]. Available from: http://www.mindgarden.com/69-authentic-leadership-questionnaire.
  22. Kim D, Kim DK. The relationship among main factors of the positive organizational behavior: focusing on authentic leadership, psychological capital and psychological ownership. Korean Public Administration Review. 2012;46(4):27-51.
  23. Levine M, Thompson K. Identity, place, and bystander intervention: social categories and helping after natural disasters. The Journal of Social Psychology. 2004;144(3):229-245. https://doi.org/10.3200/SOCP.144.3.229-245
  24. Choi JK, Lee B. Response patterns of nursing unit managers regarding workplace bullying: a Q methodologyapproach. Journal of Korean Academy of Nursing. 2019;49(5):562-574. https://doi.org/10.4040/jkan.2019.49.5.562
  25. Han EH, Ha Y. Relationships among self-esteem, social support, nursing organizational culture, experience of workplace bullying, and consequence of workplace bullying in hospital nurses. Journal of Korean Academy of Nursing Administration. 2016;22(3):303-312. https://doi.org/10.11111/jkana.2016.22.3.303
  26. Choi SE, Lee SS, Kim SD. Relationships of workplace bullying to self-esteem and turnover intention among clinical nurses at small and medium-sized hospitals. Korean Journal of Occupational Health Nursing. 2013;22(4):267-274. https://doi.org/10.5807/kjohn.2013.22.4.267
  27. Lee YO, Kang J, Yun S, Lee Y, Kim BJ. A methodological triangulation study on the experience of horizontal violence in intensive care unit nurses. Journal of Korean Critical Care Nursing. 2013;6(2):37-50.
  28. Castronovo MA, Pullizzi A, Evans S. Nurse bullying: a review and a proposed solution. Nursing Outlook. 2016;64(3):208-214. https://doi.org/10.1016/j.outlook.2015.11.008
  29. Lewis MA. Nurse bullying: organizational considerations in the maintenance and perpetration of health care bullying cultures. Journal of Nursing Management. 2006;14(1):52-58. https://doi.org/10.1111/j.1365-2934.2005.00535.x