병원 간호조직의 구조유형에 따른 간호조직특성과 직무만족과의 관계

다국어 초록 (Multilingual Abstract)

This study identified the relationships between the hospital's organizational pattern for nursing, the organizational characteristics perceived by nurses and their job satisfaction.
The study subjects were a convenience sample of 383 staff nurses working at 10 general hospitals with more than 300 beds in Seoul. Hospitals included in the study were classified into five organizational patterns, where nursing was organized as an independent but lower level, attached to the medical department, attached to a department supporting medicine, and various other organizational pattern.
The data were collected from July 10 to August 15, 1992. The organizational characteristics as perceived by the staff nurses were measured by Park & Yoon's Scale (1986) and job satisfaction was measured by Slavitt's Scale (1978).
The data were analyzed by percentage distribution, Pearson's correlation, x²-test, t-test, ANOVA, and ANCOVA.
The summarized results are as follows:
1. The proportion of independent and attached nursing organizational patterns was 35.1% and 54.9% respectively.
2. There were differences between four general characteristics of the nurses, age, experience, position and education level, and the five structural types of nursing organization(p＜.05).
3. 1) There were no relationship between the perceived organizational characteristics and general characteristics of the nurses but there was a difference in job satisfaction according to education level of nurses in hopitals where nursing was an independent department(T=－2.24, p＜.05).
2) There were differences in the perceived organizational characteristics according to age group and experience of nurses (F=3.26, 5.41, p＜.05) and in job satisfaction according to the position of nurses in the independent but lower level organizational pattern (T=2.26, p＜.05).
3) There was a difference in the perceived organizational characteristics according to age group (F=3.19, p＜.05) and in job satisfaction according to the experience of nurses where nursing was attached to the medical department (F=3.49, p＜.05).
4) There was a difference in the perceived organizational characteristics according to nursing unit (F=3.19, p＜.05), but none between job satisfaction and general characteristics of nurses where nursing was attached to a department supporting medicine.
5) There were no relationships between the perceived organizational characteristics and job satisfaction and general characteristics of nurses in the various other organizational patterns.
4. Nurses in hospitals where nursing is organizationed as an independent department perceived their organizational pattern more positively and had higher job satisfaction than nurses working in hospitals where nursing is part of another department.
5. There were differences between perceived organizational characteristics and job satisfaction according to the organizational patterns for nursing (F=13.52, 8.76, p=.0000).
6. There were correlations between the perceived organizational characteristics and job satisfaction of nurses working in two independent nursing departments (r=0.2180, 2351, p＜.05).
In conclusion, the relationship between perceived organizational characteristics and job satisfaction was significantly correlated in the hospitals where the nursing department is independent.
Perceived organizational characteristics and job satisfaction depended on whether the nursing department is independent from or attached to other departments in the hospital.
For nurses job satisfaction the nursing department should be independent from other departments and at the highest level of organization in the hospital.