Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Nursing Work Environment on Job Involvement in Operating Room Nurses in small- and medium-sized hospitals: Mediating Effect of Psychological Empowerment

중소병원 수술실 간호사의 간호근무환경이 직무몰입에 미치는 영향: 심리적 임파워먼트의 매개효과

  • Lee, Dayun (Department of Nursing, Kongju National University) ;
  • Cho, Ok-Hee (Department of Nursing, Kongju National University) ;
  • Hwang, Kyung-Hye (Department of Nursing, Suwon Science College)
  • Received : 2020.07.14
  • Accepted : 2020.10.20
  • Published : 2020.10.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study is to investigate the mediating effect of psychological empowerment (PE) in the relationship between nursing work environment (NWE) and job involvement (JI) of nurses in operating rooms of small- and medium- hospitals. Subjects were 150 nurses in operating rooms of 24 small- and medium- hospitals nationwide, and data were collected from July to September 2018 using a structured questionnaire. Data were analyzed by t-test, ANOVA, Pearson's correlation coefficients and multiple regression. As a result of the study, JI was positively correlated with NWE or PE, PE was positively correlated with NWE. PE was found to partially mediate the effect of NWE on JI. In order to help nurses in small- and medium-sized hospital operating rooms to positively recognize the NWE and immerse themselves in the job, it is necessary to develop convergence program to increase PE.

본 연구의 목적은 중소병원 수술실 간호사의 간호근무환경과 직무몰입의 관계에서 심리적 임파워먼트의 매개효과를 규명하기 위함이다. 연구 대상은 전국 24개 중소병원의 수술실에서 근무하는 간호사 150명으로, 구조화된 설문지를 이용하여 2018년 7월부터 9월까지 자료를 수집하였다. 수집된 자료는 t-test, ANOVA, Pearson's correlation coefficients, 회귀분석으로 분석하였다. 연구결과, 직무몰입은 간호근무환경 또는 심리적 임파워먼트와 정 상관관계가 있었고. 심리적 임파워먼트는 간호근무환경과 정 상관관계가 있었다. 심리적 임파워먼트는 간호근무환경이 직무몰입에 미치는 영향을 부분 매개하는 것으로 나타났다 중소병원 수술실 간호사들이 간호근무환경을 긍정적으로 인식하여 직무에 몰입하도록 돕기 위해 심리적 임파워먼트 향상 프로그램을 개발하여 적용하는 것이 필요하다.

Keywords

References

  1. S. J. Bai & K. Y. Lee (2011). Risk factors and safety measures in the operation room. Journal of Korean Medical Association, 54(7), 730-736. DOI: 10.5124/jkma.2011.54.7.730
  2. Workable. (n.d.). Operating room nurse responsi -bilities include. https://resources.workable.com/operating-room-nurse-job-description
  3. Y. H. Lee & G. A. Seomun (2017). Effects of MBO and job commitment on nursing performance in operating room nurses. Journal of Digital Convergence, 15(4), 309-316. DOI : 10.14400/JDC.2017.15.4.309
  4. M. F. do Prado Tostes & C. M. Galvao (2019). Surgical safety checklist: benefits, facilitators, and barriers in the nurses' perspective. Revista Gaucha de Enfermagem, 40(esp), e20180180. DOI : 10.1590/1983-1447.2019.20180180
  5. P. V. von Bongaert, D. van Heusden, O. Timmermans, & E. Franck (2014). Nurse work engagement impacts job outcome and nurse-assessed quality of care: model testing with nurse practice environment and nurse work characteristics as predictors. Frontiers in Psychology, 13, 2014.
  6. J. Y. Jeong et al. (2019). The influence of grit on turnover intention of university hospital nurses: the mediating effect of job involvement. Journal of Korean Academy Nursing, 49(2), 181-190. DOI : 10.4040/jkan.2019.49.2.181
  7. M. R. Simpson (2009). Predictors of work engagement among medical-surgical registered nurses. Western Journal of Nursing Research, 31(1), 44-65. DOI : 10.1177/0193945908319993
  8. S. H. Chen & C. J. Chiou (2010). Relationships amongst work values, job characteristics and job involvement in ‘net genaeration’ nurses. Hu Li Za Zhi The Journal of Nursing, 57(2), 29-38.
  9. Z. Ugurlu et al. (2015). The effects of workload and working conditions on operating room nurses and technicians. Workplace Health & Safety, 63(9), 399-407. https://doi.org/10.1177/2165079915592281
  10. E. Y. Kwon & K. Y. Park (2019). Perception of patient safety culture, intra-organizational communication satisfaction and factors influencing patient safety nursing activities among operating room nurses in small-and medium sized hospitals. Health and Social Welfare Review, 39(1), 428-452. DOI : 10.15709/hswr.2019.39.1.428
  11. M. R. Kim & M. S. Kwon (2019). The effects of operating room nurses’ perceptions of organizational health, safety climate, and the nursing working environment on engagement in patient safety management activities. Korean Journal of Occupational Health Nursing, 28(4), 197-207. DOI : 10.5807/kjohn.2019.28.4.197
  12. K. N. Kang (2012). Factors influencing turnover intention of nurses in small-medium sized hospitals. Journal of Korean Academy of Nursing Administration, 18(2), 155-165. https://doi.org/10.11111/jkana.2012.18.2.155
  13. T. Lee, K. H. Kang, Y. K. Ko, S. H. Cho, & E. Y. Kim (2014). Issues and challenges of nurse workforce policy: a critical review and implication. Journal of Korean Academy of Nursing Administration, 20(1), 106-116. DOI : 10.11111/jkana.2014.20.1.106
  14. J. H. Kim & M. Y. Kim (2019). Factors affecting organizational commitment of general hospital nurses in small and medium sized cities. Korean Academy of Nursing Administration, 25(1), 14-24. DOI : 10.11111/jkana.2019.25.1.14
  15. S. S. Wang & Y, Liu (2015). Impact of professional nursing practice environment and psychological empowerment on nurses’ work engagement: test of structural equation modelling. Journal of Nursing Management, 23, 287-296. DOI: 10.1111/jonm.12124
  16. J. Manning (2016). Th influence of nurse manager leadership style on staff nurse work engagement. The Journal of Nursing Administration, 46(9), 438-443. DOI : 10.1097/NNA.0000000000000372
  17. B. A. Mark et al. (2007). Does safety climate moderate the influence of staffing adequacy and work conditions on nurse injuries? Journal of Safety Research, 38(4), 431-446. DOI : 10.1016/j.jsr.2007.04.004.
  18. J. M. B. Carthon et al. (2019). Association of nurse engagement and nurse staffing on patient safety. Journal of Nursing Care Quality, 34(11), 40-46, DOI : 10.1097/NCQ.0000000000000334.
  19. Y. Fan, Q. Zheng, S. Liu, & Q. Li (2016). Construction of a new model of job engagement, psychological empowerment and perceived work environment among Chinese registered nurses at four large university hospitals: implications for nurse managers seeking to enhance nursing retention and quality of care. Journal of Nursing Management, 24(5), 646-655. DOI : 10.1111/jonm.12369.
  20. M. A. A. Penasales, F. R. U. Raquitico, & M. A. Clores (2017). Experiences of operating room nurses in promoting quality periopertive patient care. Clinical Practice, 6(2), 26-32. DOI : 10.5923/j.cp.20170602.02
  21. J. A. Seo & B. S. Lee (2016). Effect of work environment on nursing performance of nurses in hemodialysis units: focusing on the effects of job satisfaction and empowerment. Journal of Korean Academy of Nursing Administration, 22(2), 178-188. DOI : 10.11111/jkana.2016.22.2.178
  22. P. Ebrahimi, Z. Malmoon, & R. Zaboli (2017). Nursing workloads and psychological empowerment in hospitals: structural equation modeling. Hospital Pracices and Research, 2(3), 84-89. DOI : 10.15171/hpr.2017.21
  23. G. M. Spreitzer (1995). Psychological empowerment in the work place: dimensions, measurement, and validation. Academy of Management journal, 38(5), 1442-1465. DOI : 10.5465/256865
  24. K. H. Kim, J. Kim, & J. Lim (2012). Mediating effect of psychological empowerment in relationship between professional self-concept and burnout in psychiatric nurses. Journal of Korean Academy of Psychiatric Mental Health Nursing, 21(3), 228-237. DOI : 10.12934/jkpmhn 2012.21.3.229
  25. R. Frey, J. Robinson, C. Wong, & M. Gott (2018). Burnout, compassion fatigue and psychological capital: findings from a survey of nurses delivering palliative care. Applied Nursing Research, 43, 1-9. DOI : 10.1016/j.apnr. 2018.06. 003.
  26. S. M. Kwon & M. S. Kwon (2019). Effects of nurse’s self-leadership, job involvement and empowerment on turnover intention. Journal of the Korea Academia-Industrial Cooperation Society, 20(1), 152-161. DOI : 10.5762/KAIS. 2019.20.1.152
  27. J. O. Kwon & E. Y. Kim (2012). Impact of unit-level nurse practices environment on nurse turnover intention in the small and medium sized hospital. Journal of Korean Academy of Nursing Administration, 18(4), 414-423. DOI : 10.11111/jkana.2012.18.4.414
  28. H. Kang, S. K. Choi, & I. S. Kim (2016). Factors influencing on patient safety management activities in operating room nurses. Journal of the Korea Academia-Industrial Cooperation Society, 17(9), 329-339. DOI : 10.5762/KAIS.2016.17.11.332
  29. E. J. Lim & Y. J. Yi (2014). Comparison of operating room nurses and general ward nurses on communicative competence and interpersonal relationship ability within the medical team. Journal of Korean Academy of Nursing Administration, 20(3), 313-321. DOI : 10.11111/jkana.2014.20.3.313
  30. B. D. Ku (1999). The effects to transformation leadership and patnership on empowerment and organizational commitment. Doctoral Dissertation. Hankuk University of Foreign Studies, Seoul.
  31. E. T. Lake (2002). Development of the practice environment scale of the nursing work index, Research in nursing & health, 25, 176-188. DOI : 10.1002/nur.10032
  32. E. Cho, M. Choi, E. Y. Kim, I. Y. Yoo, & N. J. Lee (2011). Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. Journal of Korean Academy Nursing, 41(3), 325-332. DOI : 10.4040/jkan.2011.41.3.325
  33. R. N. Kanungo (1982). Measurement of job and work involvement. Journal of Applied Psychology, 67(3), 341-349. DOI : 10.1037/0021-9010.67.3.341
  34. M. K. Kim (2011). The effect of controlling coaching behavior of leaders in the relationship between employee job commitment and innovation behavior. Masters' Thesis, Korea University, Seoul..
  35. R. M. Baron & D. A. Kenny (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182. DOI : 10.1037/00252-3514.51.6.1173
  36. M. Manojlovich (2005). Linking the practive environment to nurses’ job satisfaction through nurse-physician communication. Journal of Nursing Scholarship, 37(4), 367-373. https://doi.org/10.1111/j.1547-5069.2005.00063.x
  37. M. S. Song (2014). Influence of emotional labor on job involvement, job satisfaction and turnover intention of clinical nurses. Korea Academy Industrial Cooperation Society, 15(6), 3741-3750. https://doi.org/10.5762/KAIS.2014.15.6.3741
  38. Y. S. Seo & Y. J. Kim (2007). A study on factors the turnover intention and job involvement of nurses. The Business Education Journal, 12, 151-172.
  39. S. J. Lee, & N. Y. Yang (2017). Awareness and performance of healthcare-associated infections control and psychological empowerment of intensive care unit nurses. Journal of Korean Academic Society of Home Health Care Nursing, 24(3), 306-315. DOI : 10.222705/jkashon.2017.24.3.306
  40. J. I. Heo, & H. Moon (2019). Moderating effect of empowermetn of perioperative nurses in the relationship between their patient safety culture awareness and safety management activities. Nursing and Health Issues, 24(2), 89-95. DOI : 10.33527/nhi2019.24.2.89
  41. J. A. Seo, & B. S. Lee (2016). Effect of work environment on nursing performance of nurses in hemodialysis units: Focusing on the effects of job satisfaction and empowerment. Journal of Korean Academy of Nursing Administration, 22(2), 178-188. DOI : 10.11111/jkana.2016.22.2.178
  42. H. A. Razak, N. Zakaria, & N, Mat (2017). The relationship between psychological empowerment and job involvement. Journal of Applied structural Equation Modeling, 1(1), 44-61. DOI : 10.1027/1866-5888/a000065
  43. S. Eskola, M. Rooms, B. Mccormack, P. Slater, N. Hahtela, & T. Suominen (2016). Workplace culture among operating room nurses. Journal of Nursing Management, 24, 725-734. DOI : 10.1111/jonm.12376
  44. R. Kalhor, O. Khosravizadeh, S. Moosavi, M. Heidaer, & H. Habibi (2018). Role of organizational climate in job involvement: a way to develop the organizational commitment of nursing staff. Journal of Evidence-Based Integrative Medicine, 23, 1-8. DOI : 10.1177/2515690X18790726
  45. Y. S. Eo, Y. H. Kim, & N. Y. Lee (2014). Path analysis of empowerment and work effectiveness among staff nurses. Asian Nursing Research, 8, 42-48. DOI : 10.1016/j.anr.2014.02.00
  46. M. J. Kim, J. W. Lee, & J. S. Park (2017). Effects of nurses practice environment and job embeddedness on turnover intention in medium-small sized hospital. Journal of the Korea Academia-Industrial cooperation Society, 18(1), 222-230. DOI : 10.5762/KAIS.2017.18.1.222