Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
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Factors Influencing Organizational Commitment of Nurses at an Infectious Disease Hospital of COVID-19

COVID-19 감염병전담병원 간호사의 조직몰입에 미치는 영향요인

  • Received : 2022.03.02
  • Accepted : 2022.03.25
  • Published : 2022.06.30
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Abstract

Purpose : This study investigated coronavirus disease-19 (COVID-19) related stress, resilience, and organizational commitment, and determined the factors influencing nurses' organizational commitment at an infectious disease hospital of COVID-19. Methods : A cross-sectional descriptive survey was conducted with 138 nurses. Data analysis, including descriptive statistics, independent t-tests, one-way ANOVA, Pearson's correlations, and multiple regression analysis, were performed using SPSS 26.0 program. Results : Factors influencing organizational commitment included resilience (𝛽=0.31, p<.001), position (𝛽=0.31, p<.001), COVID-19 related stress (𝛽=-0.26, p<.001), and COVID-19 nursing period (𝛽=-0.19, p=.012). These variables explained 29.6% of the organizational commitment. Conclusion : In order to enhance the organizational commitment of nurses in infectious disease hospitals of COVID-19, active program development and intervention are required at the organizational level to improve nurses' resilience and relieve stress related to nursing infectious disease patients..

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References

  1. Um DH, Kim JS, Lee HW, Lee SH. Psychological effects on medical doctors from the Middle East Respiratory Syndrome (MERS) outbreak: a comparison of whether they worked at the MERS occurred hospital or not, and whether they participated in MERS diagnosis and treatment. Journal of Korean Neuropsychiatric Association. 2017;56(1):28-34. https://doi.org/10.4306/jknpa.2017.56.1.28
  2. The Ministry of Health and Welfare (MOHW). Current status of occurrence in Korea [Internet]. Sejong: The Ministry of Health and Welfare; 2022 [cited 2022 February 26]. Available from: http://ncov.mohw.go.kr/bdBoardList_Real.do
  3. Park KH. 2,344 confirmed cases, 382 serious cases, and 20 deaths bed, 5,000→7000 people, up to 10,000 (comprehensive) [Internet]. Seoul: Edaily; 2021 [cited 2022 February 26]. Available from: https://www.edaily.co.kr/news/read?newsId=01656406629242768&mediaCodeNo=257
  4. Song MS, Yang NY. Influence of nurses' COVID-19 related stress, hardiness, and organizational citizenship behavior on nursing intention in infectious diseases hospitals. Journal of Korean Academic Society of Home Health Care Nursing. 2021;28(2):154-63. https://doi.org/10.22705/JKASHCN.2021.28.2.154
  5. June KJ, Choi E. Infection control of hospital nurses: cases of Middle East Respiratory Syndrome. Korean Journal of Occupational Health Nursing. 2016;25(1):1-8. https://doi.org/10.5807/KJOHN.2016.25.1.1
  6. Korean Nurses Association (KNA). Serious threats to nursing safety, such as overtime in the ward due to COVID-19 [Internet]. Seoul: Korean Nurses Association; 2020 [cited 2022 February 26]. Available from: http://www.koreanurse.or.kr/board/board_read.php?board_id=press&member_id=admin&exec=&no=393&category_no=&step=0&tag=&sgroup=378&sfloat=&position=39&mode=&find=&search=
  7. Ahn MH, Shin YW, Suh S, Kim J, Kim H, Lee K, et al. High work-related stress and anxiety as a response to COVID-19 among health care workers in South Korea: cross-sectional online survey study. JMIR Public Health and Surveillance. 2021;7(10):e25489. https://doi.org/10.2196/25489
  8. Jun SH, Lee MH, Choi MJ. COVID-19 infection control-related fatigue, job stress, and burnout in nurses. Journal of Korean Academic Society of Home Health Care Nursing. 2021;28(1):16-25. https://doi.org/10.22705/JKASHCN.2021.28.1.16
  9. Garrett C. The effect of nurse staffing patterns on medical errors and nurse burnout. AORN Journal. 2008;87(6):1191-204. https://doi.org/10.1016/j.aorn.2008.01.022
  10. Moon HJ, Park JY. Factors influencing intentions to care for emerging infectious disease patients among national and public hospitals nurses. Journal of Korean Academy of Fundamentals of Nursing. 2021;28(1):11-22. https://doi.org/10.7739/jkafn.2021.28.1.11
  11. Coomber B, Barriball KL. Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: a review of the research literature. International Journal of Nursing Studies. 2007;44(2):297-314. https://doi.org/10.1016/j.ijnurstu.2006.02.004
  12. Ryu K, Kim JK. A study on relationships among resilience, stress, burnout and organizational commitment of hospital nurses. The Journal of the Korea Contents Association. 2016;16(7):439-50. https://doi.org/10.5392/JKCA.2016.16.07.439
  13. Mowday RT, Steers RM, Porter LW. The measurement of organizational commitment. Journal of Vocational Behavior. 1979;14(2):224-47. https://doi.org/10.1016/0001-8791(79)90072-1
  14. Lee K, Lee K, Kim W. Influence of organizational fairness perception of hospital nurses on organizational commitment and controlling effect of organizational support. Personnel Management. 2011;26(1):21-39.
  15. Sung MH, Choi WJ, Chun HK. The relationship of negative emotion, emotion suppression, and job satisfaction to organizational commitment in hospital nurses. Journal of Korean Academy of Fundamentals of Nursing. 2011;18(2):258-66.
  16. Moon ME, Lee YH. The effect of emotional labor and resilience on organizational commitment of general hospital nurses. Journal of Convergence for Information Technology. 2021;11(7):39-46. https://doi.org/10.22156/CS4SMB.2021.11.07.039
  17. Lee J, Eo Y. Influencing factors on organizational commitment in hospital nurses. Journal of the Korean Data Analysis Society. 2011;13(2):759-69.
  18. Jin SH, Kim JH. Influence of resilience and perceived individual and organizational support on organizational commitment among hospital nurses. Journal of Digital Convergence. 2017;15(5):293-303. https://doi.org/10.14400/JDC.2017.15.5.293
  19. Connor KM. Assessment of resilience in the aftermath of trauma. Journal of Clinical Psychiatry. 2006;67(2):46-9.
  20. Byeon ML, Lee YM, Park HJ. Resilience as a moderator and mediator of the relationship between and emotional labor and job satisfaction among nurses working in ICUs. Journal of Korean Critical Care Nursing. 2019;12(3):24-34. https://doi.org/10.34250/jkccn.2019.12.3.24
  21. Kim NH. A study on affecting factors to organizational commitment of nurses. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2019;9(11):543-52. https://doi.org/10.35873/ajmahs.2019.9.11.049
  22. Kim BN, Oh HS, Park YS. A study of nurses' resilience, occupational stress and satisfaction. Korean Journal of Occupational Health Nursing. 2011;20(1):14-23. https://doi.org/10.5807/KJOHN.2011.20.1.014
  23. Chung S, Kim HJ, Ahn MH, Yeo S, Lee J, Kim K, et al. Development of the Stress and Anxiety to Viral Epidemics-9 (SAVE-9) scale for assessing work-related stress and anxiety in healthcare workers in response to viral epidemics. Journal of Korean Medical Science. 2021;36(47):e319. https://doi.org/10.3346/jkms.2021.36.e319
  24. The Ministry of Health and Welfare (MOHW). 39 billion won in subsidies to 69 hospitals dedicated to infectious diseases [Internet]. Sejong: The Ministry of Health and Welfare; 2020 [cited 2022 February 26]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=3&CONT_SEQ=353539
  25. Cha KS, Shin MJ, Lee JY, Chun HK. The role of infection control nurse during emerging infectious disease epidemic: focusing on the Middle East Respiratory Syndrome. Korean Journal of Healthcare-Associated Infection Control and Prevention. 2017;22(1):31-41. https://doi.org/10.14192/kjhaicp.2017.22.1.31
  26. Jin D, Lee G. Experiences of nurses at a general hospital in Seoul which is temporarily closed due to COVID-19. The Journal of Korean Academic Society of Nursing Education. 2020;26(4):412-22. https://doi.org/10.5977/jkasne.2020.26.4.412
  27. Moon SH. The effect of COVID-19-related stress on organizational commitment in infectious disease hospital nurses: mediating and controlling effect of resilience [master's thesis]. Gimhae: Inje University; 2022. p. 1-63.
  28. Oh N. Stress of nurses in local medical centers who experienced the MERS situation and nursing intention for patients with new infectious diseases [master's thesis]. Daegu: Kyungpook National University; 2016. p. 1-56.
  29. Connor KM, Davidson JR. Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety. 2003;18(2):76-82. https://doi.org/10.1002/da.10113
  30. Lee KJ, Kim M. The relationship of gender role conflict and job satisfaction upon organizational commitment in male nurses. Korean Journal of Adult Nursing. 2014;26(1):46-57. https://doi.org/10.7475/kjan.2014.26.1.46
  31. Jeong YJ, Cho IS. The effect of nursing performance, job stress and resilience on nursing performance of nurses in general hospital. Journal of the Korean Applied Science and Technology. 2020;37(3):613-24. https://doi.org/10.12925/JKOCS.2020.37.3.613
  32. Yun S. Correlations between nurses' knowledge of COVID-19 and infection control compliance, resilience, and psychosocial well-being [master's thesis]. Seoul: Chung-Ang University; 2020. p. 1-73.
  33. Kang JS, Lim JY. Effects of clinical nurses' resilience on job stress and burnout. The Journal of the Korea Contents Association. 2015;15(11):263-73. https://doi.org/10.5392/JKCA.2015.15.11.263
  34. Kim KR. A phenomenological study on the nurse's COVID-19 patient care experience in the infectious disease hospitals. The Journal of Humanities and Social Science. 2021;12(5):2145-60.
  35. Meltzer LS, Huckabay LM. Critical care nurses' perceptions of futile care and its effect on burnout. American Journal of Critical Care. 2004;13(3):202-8. https://doi.org/10.4037/ajcc2004.13.3.202
  36. Kim S, Seo M. The mediating effect of resilience on the relationship between nurse practice environment and organizational commitment in clinical nurses. Journal of Digital Convergence. 2020;18(12):435-44. https://doi.org/10.14400/JDC.2020.18.12.435
  37. Lee JS. Effects of nurses' resilience, job satisfaction, and social support on organizational commitment. The Korean Journal of Health Service Management. 2018;12(1):57-67. https://doi.org/10.12811/kshsm.2018.12.1.057
  38. National Center for Disaster and Trauma, Korean Society for Traumatic Stress Studies. Guidelines on psychosocial care for infectious disease management (For the field workers) [Internet]. Seoul: Korean Society for Traumatic Stress Studies; 2020 [cited 2022 February 26]. Available from: http://kstss.kr/?p=1526
  39. Cho KJ, Kang KH. Influence of workplace bullying and resilience on the organizational commitment in general hospital nurses. Korean Journal of Occupational Health Nursing. 2017;26(2):105-13. https://doi.org/10.5807/KJOHN.2017.26.2.105
  40. Jo MJ, Sung MH. Impact of role conflict, self-efficacy, and resilience on nursing task performance of emergency department nurses. Korean Journal of Occupational Health Nursing. 2018;27(1):59-66. https://doi.org/10.5807/KJOHN.2018.27.1.59
  41. Joo YS, Han SS. The effects of leader's emotional intelligence and nurse's own emotional intelligence on organizational commitment and organizational citizenship behavior. The Journal of Korean Academic Society of Nursing Education. 2013;19(2):194-202. https://doi.org/10.5977/JKASNE.2013.19.2.194
  42. Park GJ, Kim YN. Factors influencing organizational commitment among hospital nurses. Journal of Korean Academy of Nursing Administration. 2010;16(3):250-8. https://doi.org/10.11111/jkana.2010.16.3.250
  43. Arnetz JE, Goetz CM, Arnetz BB, Arble E. Nurse reports of stressful situations during the COVID-19 pandemic: qualitative analysis of survey responses. International Journal of Environmental Research and Public Health. 2020;17(21):8126. https://doi.org/10.3390/ijerph17218126
  44. Oh H, Lee NK. A phenomenological study of the lived experience of nurses caring for patients with COVID-19 in Korea. Journal of Korean Academy of Nursing. 2021;51(5):561-72. https://doi.org/10.4040/jkan.21112
  45. Chen R, Sun C, Chen JJ, Jen HJ, Kang XL, Kao CC, et al. A large-scale survey on trauma, burnout, and posttraumatic growth among nurses during the COVID-19 pandemic. International Journal of Mental Health Nursing. 2021;30(1):102-16. https://doi.org/10.1111/inm.12796