Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
권호 표지

The Relationship among Nurse-Doctor Collaboration, Job Autonomy and Organizational Commitment

간호사-의사 협력, 직무자율성과 조직몰입의 관계

  • Published : 2009.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to investigate and analyze the state of the relationship among nurse-doctor collaboration, job autonomy and organizational commitment. Method: The 304 participants were obtained who were working at a General ward, Intensive care unit and Operation room in three university hospitals located in Seoul and Kyunggi-do. The data were collected using a structured questionnaire from March 2d to April 10th, 2009. The collected data were analyzed with t-test, ANOVA, Scheff$\acute{e}$ test and Pearson's correlation on SPSS Win 16.0. Result: There was a significant relationship among nurse-doctor collaboration, job autonomy and organizational commitment. The level of appointment, clinical experience and current hospital experience of nurses affected significantly nurse-doctor collaboration, job autonomy and organizational commitment. The age of nurse had the relation nurse-doctor collaboration and organizational commitment. The relationship between the nurse's working area and job autonomy had positive correlation. Conclusions: The findings of study suggest that the program enhancing the collaborated relationship between nurses and doctors is important to improve nurse's job autonomy and organizational commitment under the situation of citizen's demanding more advanced medical service.

Keywords

References

  1. Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silver, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA, 288(16), 1987-1993. https://doi.org/10.1001/jama.288.16.1987
  2. Allen, N. J., & Meyer, J. P. (1993). Commitment to organizations and occupation: Extension and test of a three-component conceptualization. J Appl Psychol, 78(4), 538-551.
  3. Cha, Y. J. (2008). Clinical nurses' professionalism and job satisfaction, organization commitment. Unpublished master's thesis, Hanyang University, Seoul.
  4. Choi, W. S. (2004). Study on the antecedents and the consequences of career commitment to the hotel employee: On the moderating effect of the employment type. Unpublished doctorial dissertation, Kyonggi University. Seoul.
  5. Coluccio, M., & Maguire, P. (1983). Collaborative practice: Becoming a reality through primary nursing. Nurs Adm Q, 7(4), 59-63.
  6. Copnell, B., Johnston, L., Harrison, D., Wilson, A., Robson, A., Mulcahy, C., Ramudu, L., McDonnell, G., & Best, C. (2003). Doctor's and nurses's perception of interdisciplinary collaboration in the NICU, and the impact of a neonatal nurse practitioner model of practice. J Clin Nurs, 13, 105-113.
  7. Coulon, L., Mok, M., Krause, K., & Anderson, M. (1996). The pursuit of excellence in nursing are: What does it mean- J Adv Nurs, 24, 817-826. https://doi.org/10.1046/j.1365-2648.1996.25921.x
  8. Gi, Y. H. (2008). Clinical nurses' ethical dilemma and professionalism. Unpublished master's thesis, Hanyang University, Seoul.
  9. Hackman, J. R., & Oldham, G. R. (1976). Motivation through the design of work: A test of a theory. Organ Behav Hum Perform, 16, 250-279. https://doi.org/10.1016/0030-5073(76)90016-7
  10. Joel, L. A., & Kelly, L. Y. (2002). The nursing experience: Trends, challenges and traditions (4th ed). New York: McGraw-Hill.
  11. Kim, D. G. (2009). Empirical study on the employees' job characteristic and the organizational characteristic on organizational commitment. Unpublished master's thesis, Joongbu University, Chungnam.
  12. Kim, J. R. (2009). Perception of doctor and nurse on inter-professional collaboration in hospital wards. Unpublished master's thesis, Hanyang University, Seoul.
  13. Kim, M. R. (2006). Influential factor on turnover intention of nurses: the affect of nurse's organizational commitment and career commitment to turnover intention. Unpublished master's thesis, Ewha Womans University, Seoul.
  14. Kim, M. S., & Park, Y. B. (2006). The influence of organizational justice on job involvement and organizational commitment perceived by nurses. J Korean Nur Adm Acad Soc, 12(1), 32-40.
  15. Kim, Y. J. (2000). A study on the types in conflict management with doctors and the job satisfaction of hospital nurses. Unpublished master's thesis, Hanyang University, Seoul.
  16. Koh, M. S. (2003). A study on the influence of empowerment on job satisfaction and organizational commitment of clinical nurses. J Korean Nur Adm Acad Soc, 9(3), 315-327.
  17. Kramer, M., & Schmalenberg, C. (2003). Securing "good" nurse physician relationship. Nurs Manag, 34(7), 34-38.
  18. Lee, G. Y. (2000). Determinants of career commitment and its influences on employees' attitudes. Unpublished doctorial dissertation, SoGang University, Seoul.
  19. Lee, K. J. (2006). Communication problems and solutions st the health care facilities. Medical Communication, 1(1), 33-45.
  20. Lee, M. H. (1997). The relation on self efficacy, autonomy and job satisfaction of the clinical nurses. Unpublished master's thesis, Korea University, Seoul.
  21. Lee, P. L. (2004). A study on autonomy and job satisfaction of the nurses working for the recovery room. Unpublished master's thesis, Hanyang University, Seoul.
  22. Morris, J. A., & Feldman, D. C. (1996). The dimensions, antecedents, and consequences of emotional labor. Academy of Management Review, 21, 986-1000. https://doi.org/10.2307/259161
  23. Mowday, R. T., Porter, L. W., & Steers, R. M. (1979). The measurement of organization commitment. J Vocat Behav, 14, 224-247. https://doi.org/10.1016/0001-8791(79)90072-1
  24. Sigrun, G., Sean, P. C., Anne, M. R., & Don, N. (2009). Front-line management, staffing and nurse-doctor relationships as predictors of nurse and patient outcome. A survey of Icelandic hospital nurses. Int J Nurs Stud, 49, 920-927.
  25. Thomson, S. (2006). Nurse-Physician collaboration: A comparison of the attitudes of nurses and physicians in the medical-surgical patient care setting. Medsurg Nurs, 16(2), 87-92.
  26. Tschannen, D., & Kalisch, B. J. (2009). The impact of nurse/physician collaboration on patient length of stay. J Nurs Manag, 17(7), 796-803. https://doi.org/10.1111/j.1365-2834.2008.00926.x
  27. Weis, S. J., & Davis, H. P. (1985). Validity and reliability of the collaborative practice scale. J Nurs Res, 34(5), 299-305.
  28. Won, G. H. (2003). A study on nurses' job satisfaction. Unpublished master's thesis, Daejeon University, Daejeon.
  29. Yang, J. S. (2004). Relationship between professional nurse autonomy and nursing performance. Unpublished master's thesis, Yonsei University, Seoul.
  30. Yoshiko, Y., Hidehiro, S. Yoko, S., & Hiroshi, S. (2005). Factor relating to organizational commitment of older male employees in Japan. J Cross Cuilt Gerontol, 20, 181-190.