J Korean Acad Nurs.  2015 Dec;45(6):879-889. 10.4040/jkan.2015.45.6.879.

Structural Equation Modeling of Quality of Work Life in Clinical Nurses based on the Culture-Work-Health Model

Affiliations
  • 1Department of Nursing, Kyungbok University, Pocheon, Korea.
  • 2Department of Nursing, Chung-Ang University, Seoul, Korea. go2ryu@cau.ac.kr

Abstract

PURPOSE
The purpose of this study was to construct and test a structural equation model of quality of work life for clinical nurses based on Peterson and Wilson's Culture-Work-Health model (CWHM).
METHODS
A structured questionnaire was completed by 523 clinical nurses to analyze the relationships between concepts of CWHM-organizational culture, social support, employee health, organizational health, and quality of work life. Among these conceptual variables of CWHM, employee health was measured by perceived health status, and organizational health was measured by presenteeism. SPSS21.0 and AMOS 21.0 programs were used to analyze the efficiency of the hypothesized model and calculate the direct and indirect effects of factors affecting quality of work life among clinical nurses.
RESULTS
The goodness-of-fit statistics of the final modified hypothetical model are as follows: chi2=586.03, chi2/df=4.19, GFI=.89, AGFI=.85, CFI=.91, TLI=.90, NFI=.89, and RMSEA=.08. The results revealed that organizational culture, social support, organizational health, and employee health accounted for 69% of clinical nurses' quality of work life.
CONCLUSION
The major findings of this study indicate that it is essential to create a positive organizational culture and provide adequate organizational support to maintain a balance between the health of clinical nurses and the organization. Further repeated and expanded studies are needed to explore the multidimensional aspects of clinical nurses' quality of work life in Korea, including various factors, such as work environment, work stress, and burnout.

Keyword

Quality of life; Work; Organizational culture; Social support; Nurse

MeSH Terms

Adult
Female
Health Status
Humans
Male
*Models, Theoretical
Nursing Staff, Hospital/*psychology
Organizational Culture
Presenteeism
*Quality of Life
Social Support
Surveys and Questionnaires
Workplace
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