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http://dx.doi.org/10.4040/jkan.21014

Development of a Positive Nursing Organizational Culture Measurement Tool  

Kim, Mi Jung (Department of Nursing, Donggang University)
Kim, Jong Kyung (College of Nursing, Dankook University)
Publication Information
Journal of Korean Academy of Nursing / v.51, no.3, 2021 , pp. 305-319 More about this Journal
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
Nurses; Organizational Culture; Instrumentation; Factor Analysis, Statistical;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 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.
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   DOI
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   DOI
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 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.
6 Drenkard K. The Magnet imperative. Journal of Nursing Administration. 2009;39(7-8 Suppl):S1-S2. https://doi.org/10.1097/NNA.0b013e3181aeb42e   DOI
7 Choi J. The character of the nursing organizational culture and organizational effectiveness [dissertation]. Seoul: Korea University; 2003. p. 1-82.
8 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   DOI
9 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   DOI
10 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.
11 Lynn MR. Determination and quantification of content validity. Nursing Research. 1986;35(6):382-386. https://doi.org/10.1097/00006199-198611000-00017   DOI
12 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   DOI
13 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   DOI
14 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.
15 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   DOI
16 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   DOI
17 Ritchie M. Organizational culture: An examination of its effect on the internalization process and member performance. Southern Business Review. 2000;25(2):1-13.
18 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   DOI
19 Levering R, Moskowitz M. The 100 best companies to work for in America. Fortune. 1998;137(1):84-95.
20 Noh GS. The proper methods of statistical analysis for dissertation: SPSS & AMOS 21. Seoul: Hanbit Academy Inc; 2019. p. 141-193.
21 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.
22 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   DOI
23 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.
24 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   DOI
25 DeVellis RF. Scale development: Theory and applications. 4th ed. Thousand Oaks (CA): Sage Publications; 2016. p. 39-199.
26 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   DOI
27 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   DOI
28 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   DOI
29 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.
30 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.
31 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   DOI
32 Strauss A, Corbin J. Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park (CA): Sage; 1990. p. 65-86.
33 Pascale RT, Athos AG. The art of Japanese management: Applications for American executives. London: Penguin Books; 1981. p. 78-84.
34 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.
35 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.
36 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   DOI
37 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.
38 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.
39 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   DOI
40 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   DOI
41 Lee KH. Strategies and challenges for government organizational diagnosis. Korean Public Administration Review. 2013;47(1):95-121.
42 Lee MH. Relationship between organizational culture types and organizational effectiveness in hospitals. Journal of Korean Academy of Nursing Administration. 1998;4(2):363-385.