간호생산성 영향요인 구조모형 분석 = Structural Equation Modeling on Nursing Productivity of Nurses in Korea

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to propose and test a predictive model that could explain and predict nursing productivity.
Methods: A survey using a structured questionnaire was conducted with 360 nurses in Korea. The data were analyzed using SPSS Windows 18.0 and AMOS 19.0 program. Results: Based on the constructed model, burnout and organizational commitment were found to have direct effects on nurses’ turnover intention and nursing productivity. While nursing work environment was found to have indirect effects on nurses’ turnover intention and nursing productivity. Conclusion: This structural equational model is a comprehensive theoretical model that explains the related factors and their relationship with nursing productivity. Comprehensive organizational interventions to improve nursing productivity should focus on improving the nursing work environment. Findings from this study can be used to design appropriate strategies to decrease nurse turnover in Korea.
Further studies are needed to prospectively verify these causal relationships with larger samples.

참고문헌 (Reference)

1 조은희, "한국어판 간호근무환경 측정도구의 타당도와 신뢰도" 한국간호과학회 41 (41): 325-332, 2011

2 전경자, "최근 10년간 한국 간호사의 소진에 관한 연구 분석" 간호행정학회 15 (15): 305-313, 2009

3 이윤정, "임상간호사의이직경험" 한국간호과학회 38 (38): 248-257, 2008

4 정윤모, "요양보호사의 직무환경에 따른 직무스트레스와 소진이 직무만족에 미치는 영향" 한국산학기술학회 11 (11): 3688-3699, 2010

5 박금자, "병원 간호사의 조직몰입 영향 요인" 간호행정학회 16 (16): 250-258, 2010

6 하나선, "내부마케팅 활동에 대한 인식정도가 간호조직성과에 미치는 효과" 병원간호사회 13 (13): 7-16, 2007

7 박종선, "간호사의 임파워먼트가 직무만족, 업무생산성 및 이직의도에 미치는 영향" 간호행정학회 14 (14): 150-158, 2008

8 문숙자, "간호사의 이직의도 예측모형" 한국간호과학회 41 (41): 633-641, 2011

9 김희경, "간호사의 소진 영향요인" 병원간호사회 10 (10): 7-18, 2005

10 하나선, "간호 관리자의 리더십 유형과 직무만족, 조직몰입, 이직의도와의 관계 연구" 한국간호과학회 32 (32): 812-822, 2002

11 Bain, D. L., "The productivity prescription: the manager's guide to improving productivity and profits" McGraw-Hill 1982

12 Baernholdt, M., "The nurse work environment, job satisfaction and turnover rates in rural and urban nursing units" 17 (17): 994-1001, 2009

13 Jeong, J. H., "Structural equation modeling on nursing productivity of nurses in a hospital" Chung-Ang University 2008

14 Park, H. S., "Relationship between perceived nursing care role orientation, job characteristics, and turnover among nurses" Yonsei University 2002

15 Lee, M. H., "Relationship between organizational culture types and organizational effectiveness in hospitals" Chungnam National University 1998

16 Lee, H. J., "Predictors of job performance, work satisfaction, and productivity among Korean hospital nurses" 31 (31): 571-583, 2001

17 Ingersoll, G. L., "Nurses' job satisfaction, organizational commitment, and career intent" 32 (32): 250-263, 2002

18 Moody, R. C, "Nurse productivity measures for the 21st century" 29 (29): 98-106, 2004

19 Hair, J. F., "Multivariate data analysis" Prentice Hall 2006

20 Oh, Y. H., "Mid-to long-term supply and demand projection of healthcare workforce" National Health Personnel Licensing Examination Board 2010

21 McNeese-Smith, D., "Job satisfaction, productivity, and organizational commitment. The result of leadership" 25 (25): 17-26, 1995

22 Peltier, J, "Internal marketing, nurse loyalty and relationship marketing: An exploratory study of German nurses" 20 (20): 63-82, 2004

23 Shields, M. A., "Improving nurse retention in the National Health Service in England: The impact of job satisfaction on intentions to quit" 20 (20): 677-701, 2001

24 Coomber, B., "Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: A review of the research literature" 44 (44): 297-314, 2007

25 Aiken, L. H., "Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction" 288 (288): 1987-1993, 2002

26 Kramer, M., "Essentials of a magnetic work environment, part 1" 34 (34): 50-54, 2004

27 Aiken, L. H., "Effects of hospital care environment on patient mortality and nurse outcomes" 38 (38): 223-229, 2008

28 Lake, E. T, "Development of the practice environment scale of the Nursing Work Index" 25 (25): 176-188, 2002

29 Eaton-Spiva, L., "Assessing and redesigning the nursing practice environment" 40 (40): 36-42, 2010

30 Park, K. O., "A study of variables related to nursing productivity" 24 (24): 584-596, 1994

31 McNeese-Smith, D. K., "A nursing shortage: Building organizational commitment among nurses" 46 (46): 173-186, 2001