문화기술의 융합 (The Journal of the Convergence on Culture Technology)

  • 제8권5호
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  • Pages.619-629
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  • 2022
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  • 2384-0358(pISSN)
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  • 2384-0366(eISSN)
국제문화기술진흥원 (The International Promotion Agency of Culture Technology)
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일개 지역 공공병원 간호사의 공공봉사동기, 병원조직문화유형, 직업존중감 및 이직의도간의 관계

Relationships among Public Service Motivation, Hospital Organizational Culture Types, Job-esteem, and Turnover Intentions of Public Hospital Nurses

  • 투고 : 2022.07.29
  • 심사 : 2022.09.08
  • 발행 : 2022.09.30
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초록

본 연구의 목적은 공공병원 간호사의 공공서비스동기, 병원조직문화유형, 직업존중감과 이직의도 간의 관계를 알아보기 위함이다. 본 연구는 경기도의 4개 공공병원(이천, 안성, 수원, 파주) 간호사 124명을 대상으로 횡단적 단면연구를 실시하였다. 자료분석은 기술 통계, t-검정, ANOVA 및 Pearson 상관 계수를 사용하여 분석하였으며, 데이터가 정규분포를 하지 않는 경우에는 Mann-Whitney U 검정 및 Kruskal-Wallis 검정, Bonferroni 사후검정으로 분석하였다. 대상자의 이직의도는 공공봉사동기(r=-.30, p<.001), 친화적 조직문화(r=-.28, p=.002), 진취적 조직문화(r=-.34, p<.001), 과업적 조직문화(r=-.30, p=.001)와 음의 상관관계가 있는 것으로 나타났다. 본 연구결과를 통해 공공병원 간호사의 이직 의도를 줄이기 위해서는 공공봉사동기를 향상시키는 것이 필요함을 시사한다.

This study aims to investigate the relationship among public service motivation, hospital organizational culture type, job-esteem, and turnover intention of public hospital nurses. A cross-sectional study was conducted on 124 nurses at four public hospitals in the Gyeonggi Province (Icheon, Anseong, Suwon, Paju). Data were analyzed using descriptive statistics, t-tests, ANOVA, and Pearson correlation coefficient. Mann-Whitney U test and the Kruskal-Wallis test were used with the Bonferroni test for post hoc comparison when the data were not normally distributed. The turnover intention of the subjects was public service motivation (r=-.30, p<.001), affiliative culture (r=-.28, p=.002), innovative culture (r=-.34, p< .001) and task culture (r=-.30, p=.001) were negatively correlated. Study findings suggest that public service motivation must be increased to reduce the turnover intention of nurses in public hospitals.

키워드

참고문헌

  1. J.H. Shin, "9.7% of beds in public hospitals in Korea, 1/7 of the OECD average," Dailymedi, October 8, 2021. https://www.dailymedi.com/news/news_view.php?wr_id=875087
  2. Korean Health and Medical workers' Union, Results of a survey on the nurse turnover rate. https://bogun.nodong.org/xe/khmwu_5_4/543250
  3. C.K. Bak, "1 in 2 new nurses leave the hospital within 1 year. Nurse Times," 2020 February 24. http://www.fornurse.co.kr/news/articleView.html?idxno=980
  4. Y. Lee, and J. Kang, "Related factors of turnover intention among Korean hospital nurses: A systematic review and meta-analysis," Korean Journal of Adult Nursing, Vol. 30, No. 1, pp. 01-17, February 2018. https://doi.org/10.7475/kjan.2018.30.1.1
  5. E.Y Lee, and Y.G. Yoo, "The effect of organizational nursing culture and workplace bullying on nurses' turnover intention in public hospitals," Health and Social Science, Vol. 49, pp. 091-115, December 2018. https://doi.org/10.21489/hass.2018.12.49.91
  6. M.G. Choi, and H.K. Kim, "The effect of workplace bullying and ego-resilience on turnover intention of nurses in the public hospital," Journal of the Korea Academia-Industrial Cooperation Society, Vol. 16, No. 5, pp. 3257-3267, May 2015.https://doi.org/10.5762/kais.2015.16.5.3257
  7. H.S. Moon, "The structural model for turnover intention in Public medical institutions Nurses," Master's thesis, Ewha Womans University, Seoul, 2018.
  8. HY Kang, S Kim, and K. Han, "The relationship among workplace bullying, organizational commitment and turnover intention of the nurses working in public medical institutions," Journal of Korean Clinical Nursing Research, Vol. 24, No. 2, pp. 178-187, August 2018. https://doi.org/10.22650/JKCNR.2018.24.2.178
  9. Korean Law Information Center, Public health and medical care act. https://www.law.go.kr/LSW/lsInfoP.do?efYd=20220218&lsiSeq=234673#0000
  10. S.Y. Kim, "Health and medical workers' union "Forcing only dedication to public hospitals... Improving the treatment of nursing staff," KBS News, August 12, 2021. https://news.kbs.co.kr/news/view.do?ncd=5255116
  11. J.H. Park, "Jeonbuk County Hospital nurse turnover rate 45.5%, 'highest' in the country," Jbsori, July 19, 2021. https://www.jbsori.com/news/articleView.html?idxno=4864
  12. T.Y. Kim, and YJ. Cho, "Nurses leaving the metropolitan public medical center... I can't stand the heavy work and poor treatment," Seoul Economics, March 6, 2022. https://www.sedaily.com/NewsView/263BALHV9C
  13. J.L. Perry, and L.R. Wise, "The motivational bases of public service," Public Administration Review, Vol. 50, pp. 367-373, 1990. https://doi.org/10.2307/976618
  14. Y.G. Lee, "The impact of police officer's public service motivation on organization performance," Korean Police Research Association, Vol. 13, No. 3, pp. 211-238, 2014.
  15. H.J. Yoon, "Hospital workers' public service motivation and organizational behaviors," Doctoral dissertation, Seoul National University, Seoul, 2020.
  16. J.L. Perry, "Bringing society in: Toward a theory of public service motivation," Journal of Public Administration Research and Theory, Vol. 10, No. 2, pp. 471-488, 2000. https://doi.org/10.1093/oxfordjournals.jpart.a024277
  17. D.G. Miller, "Effect of value-based training on job-esteem and hospitality values of front-line hotel employees," Doctoral dissertation, University of Utah Graduate School, Utah, 1990.
  18. W.S. Cho, "The effect of organizational culture of super deluxe hotels on turnover intention," Tourism Research, Vol. 39, No. 3, pp. 183-198, 2014.
  19. W. Jung, "Organizational culture of public hospital and civil hospital and analysis research of relationship of job satisfaction (Incheon area in center)," Master's thesis, Gachon University, In Cheon, 2010.
  20. E.J. Choi, "Effects of the self-efficacy, organizational immersion, organizational culture, and nurse specialist job view of nurses in small and medium-sized hospital nursing and care integrate service wards on their turnover intention," Master's thesis, Gachon University, In Cheon, 2020.
  21. E.J. Jo, K.S. Lee, and J. Jeon, "Effects of nursing organizational culture and self-leadership on job satisfaction for nurses working in the comprehensive nursing care service ward in public hospitals," Journal of Muscle and Joint Health, Vol. 26, No. 2, pp. 1 -1 9, August 2019. https://doi.org/10.5953/JMJH.2019.26.2.111
  22. J.L. Perry, and W. Vandenabeele, "Behavioral dynamics: Institutions, identities, and self regulation," in Motivation in public management: The call of public service, J.L, Perry, and A. Hondeghem, Eds., Oxford: Oxford University Press, 2008. pp. 55-79.
  23. J.L. Perry, "Measuring public service motivation: An assessment of construct reliability and validity," Journal of Public Administration Research and Theory, Vol. 6, No. 1, pp. 05-22, January 1996. https://doi.org/10.1093/oxfordjournals.jpart.a024303
  24. S. Kim et al., "Investigating the structure and meaning of public service motivation across populations: Developing an international instrument and addressing issues of measurement invariance," Journal of Public Administration Research and Theory, Vol. 23, No. 1, pp. 079-102 January 2012. https://doi.org/10.1093/jopart/mus027
  25. S.M. Kim, "Societal culture and public service motivation: Comparing the levels of public service motivation among regional clusters of societal cultures," Korean Policy Sciences Review, Vol. 18, No. 4, pp. 01-26, 2014.
  26. M.H. Lee, "Relationship between organizational culture types and organizational effectiveness in hospitals," Korean Academy of Nursing Administration, Vol. 4, No. 2, pp. 363-85, 1998.
  27. H.J. Choi, and K.I. Jung, "Development of job-esteem scale for Korean nurses," Journal of Korean Academy of Nursing, Vol. 50, No. 3, pp.444-458, June 2020. https://doi.org/10.4040/jkan.19209
  28. R.P. Tett, and J.P. Meyer, "Job satisfaction, organizational commitment, turnover intention, and turnover: Path analyses based on metaanalytic findings," Personnel Psychology, Vol. 46, No. 2, pp. 259-293, 1993. https://doi.org/10.1111/j.1744-6570.1993.tb00874.x
  29. W.H. Mobley, "Employee turnover: Causes, consequences, and control," New York: Addision Wesley Publishing Company, 1982
  30. T.E. Becker, "Foci and bases of commitment: Are they distinctions worth making?" Academy of Management Journal, Vol. 35, No. 1, pp. 232-244, 1992. https://doi.org/10.2307/256481
  31. M.R. Kim, "Influential factors on turnover intention of nurses; the affect of nurse's organizational commitment and career commitment to turnover intention," Journal of Korean Academy of Nursing Administration, Vol. 13, No. 3, pp. 335-44, 2007.
  32. Y. An, and J. Kang, "Relationship between organizational culture and workplace bullying among Korean nurses," Asian Nursing Research, Vol. 10, No. 3, pp.234-239, July 2016. https://doi.org/10.1016/j.anr.2016.06.004
  33. H.J. Kwon et al.,. "The relationships between the types of nursing organizational culture, nurses' satisfaction with life, and job satisfaction," Journal of Korean Clinical Nursing Research, Vol. 17, No. 1, pp. 57-69, 2011 https://doi.org/10.22650/JKCNR.2011.17.1.6
  34. M.H. Park, "Effects of job-esteem, nursing practice environment, communication within organization on quality of nursing service of hospital nurses," Master's thesis, Kaya University, Gyeong Nam, 2020.
  35. Y.N. Lee, "Effects of nursing work environment, career motivation, job-esteem on intention to stay of hospital nurses," Doctoral dissertation, Chungbuk National University, Cheongju, 2020.
  36. E.Y Chen, and Y. Park, "The effect of nursing unit manager's servant leadership on nurses' job satisfaction, organizational commitment, and turnover intention," Health and Social Science, Vol. 49, pp. 117-37. December 2018. https://doi.org/10.21489/hass.2018.12.49.117
  37. H. Oh, and N.K. Lee, "A phenomenological study of the lived experience of nurses caring for patients with COVID-19 in Korea," Journal of Korean Academy of Nursing, Vol. 51, No. 5, pp. 561-572, October 2021. https://doi.org/10.4040/jkan.21112
  38. C.H. Woo, and M.J. Lee, "The effect of hospital organizational culture, organizational silence and job embeddedness on turnover intention of general hospital nurses," Journal of Digital Convergence, Vol. 16, No. 3, pp. 385-394, March 2018. https://doi.org/10.14400/JDC.2018.16.3.385