DOI QR코드

DOI QR Code

Development of a Positive Nursing Organizational Culture Measurement Tool

긍정 간호조직문화 측정도구 개발

  • Received : 2021.01.26
  • Accepted : 2021.05.03
  • Published : 2021.06.30

Abstract

Purpose: The purpose of this study was to develop a measurement tool for a positive nursing organizational culture and to verify its reliability and validity. Methods: A conceptual framework and construct factors were extracted through an extensive literature review and in-depth interviews with nurses. The final version of the preliminary tool for the main survey was confirmed by experts through a content validity test and a preliminary survey of 40 nurses. Subsequently, the final tool was developed using a validity and reliability test containing 43 preliminary items. The final version of the tool was used with 327 hospital nurses in the testing phase for the main survey to assess validity and reliability. Results: From the factor analysis, 4 factors and 26 items were selected. The factors were positive leadership of the nursing unit manager, pursuit of common values, formation of organizational relationships based on trust, and a fair management system. The entire determination coefficient was 67.7%. These factors were verified through convergent, discriminant, and concurrent validity testing. The internal consistency reliability was acceptable (Cronbach's α = .95). Conclusion: Both the validity and reliability of the scale were confirmed demonstrating its utility for measuring positive nursing organizational culture. It is expected to be used for education, research, and practical performance policies regarding the nursing organizational culture.

Keywords

References

  1. Han JE, Park NH, Cho J. Influence of gender role conflict, resilience, and nursing organizational culture on nursing work performance among clinical nurses. Journal of Korean Academic Society of Nursing Education. 2020;26(3):248-258. https://doi.org/10.5977/jkasne.2020.26.3.248
  2. Yom YH, Noh SM, Kim KH. Clinical nurses' experience of positive organizational culture. Journal of Korean Academy of Nursing Administration. 2014;20(5):469-480. https://doi.org/10.11111/jkana.2014.20.5.469
  3. Appelbaum SH, Mahmoud Zinati S, MacDonald A, Amiri Y. Organizational transformation to a patient centric culture: A case study. Leadership in Health Services. 2010;23(1):8-32. https://doi.org/10.1108/17511871011013742
  4. 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.
  5. Kwon HJ, Suk BH, Chee SJ, Ahn YM, Kim YJ, Park SA, et al. The relationships between the types of nursing organizational culture, nurses' satisfaction with life, and job satisfaction. Journal of Korean Clinical Nursing Research. 2011;17(1):57-69.
  6. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA. 2002;288(16):1987-1993. https://doi.org/10.1001/jama.288.16.1987
  7. Han SJ. A study on the relationship between nursing organizational culture and organizational performance. Journal of Korean Academy of Nursing Administration. 2002;8(3):441-456.
  8. Choi J. The character of the nursing organizational culture and organizational effectiveness [dissertation]. Seoul: Korea University; 2003. p. 1-82.
  9. Kim EG, Jung MS, Kim JK, You SJ. Factors affecting new graduate nurses' intention on retention in hospitals: Focused on nursing organizational culture, empowering leadership and organizational socialization. Journal of Korean Academy of Nursing Administration. 2020;26(1):31-41. https://doi.org/10.11111/jkana.2020.26.1.31
  10. Drenkard K. The Magnet imperative. Journal of Nursing Administration. 2009;39(7-8 Suppl):S1-S2. https://doi.org/10.1097/NNA.0b013e3181aeb42e
  11. Yom YH, Noh SM, Kim KH, Ji SJ, Kim HJ. Development of the evaluation indicators of positive nursing organizational culture in a clinical setting. Journal of Korean Clinical Nursing Research. 2013;19(2):233-244. https://doi.org/10.22650/JKCNR.2013.19.2.233
  12. Ritchie M. Organizational culture: An examination of its effect on the internalization process and member performance. Southern Business Review. 2000;25(2):1-13.
  13. Kim SJ, Bang HS, Eom JJ, Woo YS, Jo JK. Development and diagnosis of nursing organizational culture tools: For nurses working at some general hospitals in Seoul. 2001 Clinical Nursing Society Business Report. Seoul: Hospital Nurses Association; 2002. p. 259-327.
  14. Park K, Park SH, Yu M. Review of research on nursing organizational culture in Korea. The Journal of the Korea Contents Association. 2014;14(2):387-395. https://doi.org/10.5392/JKCA.2014.14.02.387
  15. Lee MH. Relationship between organizational culture types and organizational effectiveness in hospitals. Journal of Korean Academy of Nursing Administration. 1998;4(2):363-385.
  16. Im SB, Kim SY, Ko Y, Lee MY. Clinical nurses' perceptions on nursing organizational culture and differences in their perceptions according to age groups. Journal of Korean Clinical Nursing Research. 2012;18(2):215-227. https://doi.org/10.22650/JKCNR.2012.18.2.215
  17. Pascale RT, Athos AG. The art of Japanese management: Applications for American executives. London: Penguin Books; 1981. p. 78-84.
  18. Lee KH. Strategies and challenges for government organizational diagnosis. Korean Public Administration Review. 2013;47(1):95-121.
  19. Schwartz-Barcott D, Kim HS. An expansion and elaboration of the hybrid model of concept development. In: Rodgers BL, Knafl KA, editors. Concept Development in Nursing: Foundations, Techniques, and Applications. 2nd ed. Philadelphia (PA): W.B. Saunders; 2000. p. 129-159.
  20. Ouchi W. Theory Z: How American business can meet the Japanese challenge. Business Horizons. 1981;24(6):82-83. https://doi.org/10.1016/0007-6813(81)90031-8
  21. Strauss A, Corbin J. Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park (CA): Sage; 1990. p. 65-86.
  22. Lynn MR. Determination and quantification of content validity. Nursing Research. 1986;35(6):382-386. https://doi.org/10.1097/00006199-198611000-00017
  23. Polit DF, Beck CT. The content validity index: Are you sure you know what's being reported? Critique and recommendations. Research in Nursing & Health. 2006;29(5):489-497. https://doi.org/10.1002/nur.20147
  24. Kim HO, Cho MO. Experiences of conflicts on job identity among the nurses of medium-sized hospitals. Journal of Qualitative Research. 2006;7(2):13-25.
  25. DeVellis RF. Scale development: Theory and applications. 4th ed. Thousand Oaks (CA): Sage Publications; 2016. p. 39-199.
  26. Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate data analysis: A global perspective. 7th ed. Upper Saddle River (NJ): Pearson Education; 2010. p. 111-113.
  27. Levering R, Moskowitz M. The 100 best companies to work for in America. Fortune. 1998;137(1):84-95.
  28. Shin HJ, Ko YH. The effects of GWP organization culture on need for achievement, job satisfaction, and job performance - comparison analysis of workers in manufacturing, service, and finance industries -. Management & Information Systems Review. 2015;34(2):39-65. https://doi.org/10.29214/damis.2015.34.2.003
  29. Grove S, Burns N, Gray J. The practice of nursing research: Appraisal, synthesis, and generation of evidence. 7th ed. St. Louis (MO): Elsevier Health Sciences; 2012. p. 288-333.
  30. Noh GS. The proper methods of statistical analysis for dissertation: SPSS & AMOS 21. Seoul: Hanbit Academy Inc; 2019. p. 141-193.
  31. Kang H. A guide on the use of factor analysis in the assessment of construct validity. Journal of Korean Academy of Nursing. 2013;43(5):587-594. https://doi.org/10.4040/jkan.2013.43.5.587
  32. Choi CH, You YY. The study on the comparative analysis of EFA and CFA. Journal of Digital Convergence. 2017;15(10):103-111. https://doi.org/10.14400/JDC.2017.15.10.103
  33. Kim IS, Jang GS, Lee MH, Ha NS, Lee TH, Kim JS, et al. Nursing management. 4th ed. Seoul: Hyunmoon; 2018. p. 71-73, 219-220, 272.
  34. Lee YM, Moon H. A study on the leadership style of head nurse, nursing performance, and nursing organizational culture. Nursing and Health Issues. 2020;25(2):102-110.
  35. Miller DW, Ngunjiri FW, LoRusso JD. Human resources perceptions of corporate chaplains: Enhancing positive organizational culture. Journal of Management, Spirituality & Religion. 2017;14(3):196-215. https://doi.org/10.1080/14766086.2016.1260044
  36. Tsai Y. Relationship between organizational culture, leadership behavior and job satisfaction. BMC Health Services Research. 2011;11:98. https://doi.org/10.1186/1472-6963-11-98
  37. Choi JS, Kim KM. Effects of nursing organizational culture and job stress on Korean infection control nurses' turnover intention. American Journal of Infection Control. 2020;48(11): 1404-1406. https://doi.org/10.1016/j.ajic.2020.04.002
  38. Kim Y, Lee J, Kim D, Kim B, Lee S, Park H, et al. Promoting a nursing organizational culture for Great Workplace(GWP): A Korean experience. Perspectives in Nursing Science. 2009;6(1):21-37.
  39. Tan HH, Tan CS. Toward the differentiation of trust in supervisor and trust in organization. Genetic, Social, and General Psychology Monographs. 2000;126(2):241-260.
  40. Greenburg J, Lind A. The pursuit of organisational justice: From conceptualization to implication to application. In: Cooper CL, Locke EA, editors. Industrial and Organizational Psychology: Linking Theory with Practice. Oxford: Blackwell; 2000. p. 72-108.
  41. Kane-Urrabazo C. Management's role in shaping organizational culture. Journal of Nursing Management. 2006;14(3):188-194. https://doi.org/10.1111/j.1365-2934.2006.00590.x
  42. Jacobs R, Mannion R, Davies HT, Harrison S, Konteh F, Walshe K. The relationship between organizational culture and performance in acute hospitals. Social Science & Medicine. 2013;76(1):115-125. https://doi.org/10.1016/j.socscimed.2012.10.014