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http://dx.doi.org/10.11111/jkana.2015.21.1.1

Nurses' Perception of Organizational Commitment, Nursing Work Environment, and Social Support in a General Hospital  

Im, Sook Bin (College of Nursing, Eulji University)
Lee, Mi Young (College of Nursing, Eulji University)
Kim, Se Young (Department of Nursing, Changwon National University)
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Abstract
Purpose: This study was done to identify the influence of nursing work environment and social support on multidimensional organizational commitment among nurses. Methods: The survey was conducted in August 2012 with self-report questionnaire. Participants were 480 registered nurses working in one general hospital. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation, and multiple regression using SPSS/WIN(16.0). Results: The average scores were; for affective commitment 2.84, for continuance commitment 2.48, and for normative commitment 2.57. There were significant relationships between affective, continuance, normative commitment and sub-factors of nursing work environment and social support. The affective, continuance, and normative commitment were all influenced by 'staffing and resource adequacy' and 'nursing foundations for quality of care', sub-factors of nursing work environment. Distinctively, affective commitment was influenced by 'staffing and resource adequacy', nurses' age, 'nurse-doctor relations', 'supervisor's emotional support', 'nurse participation in hospital affairs', 'nursing foundations for quality of care', and 'supervisor's informational support', which explained 30.9% of variance in affective commitment(F=31.57, p<.001). Conclusion: The findings show that programs which promote supervisors' emotional and informational support are important to enhance nurses' affective commitment. Also, it is necessary to improve nursing work environment to improve nurses' organizational commitment.
Keywords
Nurses; Environment; Social Support;
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1 Ministry of Health & Welfare. Ministry of Health & Welfare statistical year book 2012 [Internet]. Sejong: Ministry of Health & Welfare. [cited 2012 November 28]. Available from: http://stat.mw.go.kr/front/statData/mohwAnnalsWpView.jsp?menuId=14&bbsSeq=1&nttSeq=20398&nttClsCd=01&searchKey=&searchWord=&nPage=1
2 Smith LM, Andrusyszyn MA, Laschinger HKS. Effects of workplace incivility and empowerment on newly-graduated nurses' organizational commitment. Journal of Nursing Management. 2010;18(8):1004-1015. http://dx.doi.org/10.1111/j.1365-2834.2010.01165.x   DOI
3 Liou SR. Nurses' intention to leave: critically analyse the theory of reasoned action and organizational commitment model. Journal of Nursing Management. 2009;17(1):92-99. http://dx.doi.org/10.1111/j.1365-2834.2008.00873.x   DOI
4 You MA, Son YJ. The relationship of work-family conflict, social support, job satisfaction, and organizational commitment in Korean married hospital nurses. Journal of Korean Academy of Fundamental of Nursing. 2009;16(4):515-523.
5 Liou SR. An analysis of the concept of organizational commitment. Nursing Forum. 2008;43(3):116-125.   DOI
6 Allen NJ, Meyer JP. The measurement and antecedents of affective, continuance and normative commitment. Journal of Occupational Psychology. 1990;63:1-18.   DOI
7 Meyer JP, Irving PG, Allen NJ. Examination of the combined effects of work values and early work experiences on organizational commitment. Journal of Organizational Behavior. 1998;19:29-52.   DOI
8 Spence Laschinger HK, Finegan J, Shamian J. The impact of workplace empowerment, organizational trust on staff nurses' work satisfaction and organizational commitment. Health Care Management Review. 2001;26(3):7-23.   DOI
9 Eaton-Spiva L, Buitrago P, Trotter L, Macy A, Lariscy M, Johnson D. Assessing and redesigning the nursing practice environment. Journal of Nursing Administration. 2010;40(10):36-42. http://dx.doi.org/10.1097/NNA.0b013e3181c47d04   DOI
10 Stone PW, Tourangeau AE, Duffield CM, Hughes F, Jones CB, O'Brien-Pallas L, et al. Evidence of nurse working conditions: a global perspective. Policy, Politics, and Nursing Practice. 2003;4(2):120-130.   DOI
11 Baernholdt M, Mark BA. The nurse work environment, job satisfaction and turnover rates in rural and urban nursing units. Nursing Management. 2009;17(8):994-1001.   DOI
12 Ko JW, Yom YH. The role of social support in the relationship between job stress and job satisfaction, organizational commitment among hospital nurses. Journal of Korean Academy of Nursing. 2003;33(2):265-274.   DOI
13 Kim SY, Kim EK, Lim HM, Lee MY, Park KO, Lee KA. Structural equation modeling on nursing productivity of nurses in Korea. Journal of Korean Academy of Nursing. 2013;43(1): 20-29. http://dx.doi.org/10.4040/jkan.2013.43.1.20   DOI
14 van der Heijden BIJM, Kummerling A, van der Schoot E, Estryn-Behar M, Hasselhorn HM. The impact of social support upon intention to leave among female nurses in Europe: Secondary analysis of data from the NEXT survey. International Journal of Nursing Studies. 2010;47:434-445.   DOI
15 Kang SY. The effect of self-efficacy and social support on nurses' burnout in Korea [thesis]. Seoul: Ewha Womans University; 2005.
16 Han SJ. A study on the relationship between nursing organizational culture and organizational performance [dissertation]. Seoul: Ewha Womans University; 2001.
17 Kim JE. The effects of working environments on organizational commitment of the workers in nursing homes - Focused on Incheon metropolitan city [thesis]. Incheon: Incheon University; 2010.
18 Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007;39(2):175-191.   DOI
19 Lake ET. Development of the Practice Environment Scale of the Nursing Work Index. Research in Nursing and Health. 2002;25:176-88.   DOI
20 Cho E, Choi M, Kim EY, Yoo IY, Lee NJ. Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. Journal of Korean Academy of Nursing. 2011;41(3):325-332. http://dx.doi.org/10.4040/jkan.2011. 41.3.325   DOI
21 Park JW. A study for development of social support [dissertation]. Seoul: Yonsei University; 1985.
22 Kim KH. The relationship of self-efficacy and social support on burnout of insurance review nurses [master's thesis]. Seoul: Hanyang University; 2008.
23 Park KN, Park MK. A study on nurses' self-leadership, organizational commitment and the nursing performance. Journal of Korean Academy of Nursing Administration. 2008;14(1): 63-71.
24 Hong JY, Kim OH, Lee EK. The relationship among nursedoctor collaboration, job autonomy and organizational commitment. Journal of Korean Academy of Nursing Administration. 2009;15(4):601-609.
25 Kim HS, Yim HW, Jeong SH, Jo SJ. An association among verbal abuse, social support and turnover intention for special unit nurses in a hospital. Annals of Occupational and Environmental Medicine. 2009;21(4):388-395.
26 Seok HS. Factors affecting organizational commitment and turnover intention of hospital nurses: Focused on the mediating effects of person-environment fit. Journal of Korean Academy of Nursing Administration. 2013;19(3):361-371. http://dx.doi.org/10.11111/jkana.2013.19.3.361   DOI
27 Sikorska-Simmnons E. Predictors of organizational commitment among staff in assisted living. The Gerontologist. 2005; 45(2):196-205.   DOI