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Effect of Nurse Practice Environment and Organizational Justice on Job Embeddedness in the Small and Medium Sized Hospital Nurses

지방 중소병원 간호사의 간호업무환경과 조직공정성이 직무배태성에 미치는 영향

  • Received : 2017.10.16
  • Accepted : 2017.12.20
  • Published : 2017.12.28

Abstract

Purpose: This study was conducted to examine how nurse practice environment and organizational justice affected job embeddedness in the Small and Medium Sized Hospital Nurses. Methods: The data were collected from 233 nurses by means of self-reported questionnaires on August 23th to September 8th, 2017. Results: The model explained 49.7% of the total variance in job embeddedness scores. Hierarchical regression analysis showed that hospital nurses that had higher perceived nurse practice environment, higher organizational justice, and were older were more likely to have higher job embeddedness scores. Conclusion: To enhance nurses' job embeddedness, hospital and nurse leaders should improve nurse practice environment, particularly in relation to staffing and resource adequacy and collegial nurse-physician relations. Additionally, the nurse leaders can facilitate nurses' job embeddedness by creating and maintaining an organizational culture of fairness and justice.

본 연구의 목적은 지방 중소병원 간호사의 간호업무환경과 조직공정성이 직무배태성에 미치는 영향을 확인하는 것이었다. 자료수집은 경상남도 U시에 소재한 2개 중소 종합병원에 근무하는 233명의 간호사를 대상으로 2017년 8월 23일부터 9월 8일까지 자가기입식 설문지를 사용하여 이루어졌으며, 분석은 SPSS/WIN 24.0 프로그램을 이용하였다. 연구 결과, 간호사들이 지각한 간호업무환경은 4점 만점에 평균 2.36점, 조직공정성은 5점 만점에 평균 2.61점, 직무배태성은 5점 만점에 평균 2.89점으로 다소 낮게 나타났다. 위계적 다중회귀분석 결과, 연구모델은 간호사의 직무배태성의 49.7%를 설명하였으며, 간호사가 지각한 간호업무환경과 조직공정성의 수준이 높을수록 간호사의 직무배태성 수준이 높아지는 것으로 나타났다. 본 연구결과는 바람직한 간호업무환경과 조직공정성을 조성함으로써 간호사의 직무배태성을 향상시킬 수 있음을 보여준다. 따라서 지방 중소병원 간호사의 직무배태성을 높이기 위해서 병원과 간호관리자는 적정 간호인력 확보와 간호사-의사간 협력관계 도모 등 간호업무환경을 개선하기 위한 노력과 더불어 병원 내 간호사의 기여도를 공정하게 평가하고, 조직 내 의사결정이 공정하게 이루어지도록 하여 공정한 조직문화를 조성해 나가야 할 것이다.

Keywords

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