J Korean Acad Nurs Adm.  2019 Jan;25(1):14-24. 10.11111/jkana.2019.25.1.14.

Factors affecting Organizational Commitment of General Hospital Nurses in Small and Medium Sized Cities

• Kim JH
• Kim MY

• KMID: 2434520
• DOI: http://doi.org/10.11111/jkana.2019.25.1.14

Abstract

PURPOSE
This study was done to investigate the relationships between nursing work environment, leader-member exchange(LMX), peer support, and organizational commitment in one city with a severe nurse shortage.
METHODS
Participants were 198 nurses who had worked for more than 6 months with the same head nurse. They worked in five general hospitals located in one city. In April 2016 participants completed a survey questionnaire about their nursing work environment, LMX, peer support, and organizational commitment. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multiple regression.
RESULTS
There was a significant difference in nursing work environment by experience of turnover (t=−2.58, p=.010). LMX showed significant difference by department (F=3.81, p=.011). Factors influencing nurses' organizational commitment were nurse participation in hospital affairs (β=.23, p=.028) and nurse manager ability, leadership and support (β=.18, p=.022). Explanatory power was 18.2% in the regression model.
CONCLUSION
The results suggest that it is necessary to improve the nursing work environment in order to increase organizational commitment. Improvement of the nursing system should be considered along with supplementation of nurses particularly during a severe nurse shortage.

Keyword

Nurses; Organizational commitment; Nursing work environment; Leader-member exchange; Peer influence

MeSH Terms

Hospitals, General*
Humans
Leadership
Nurse Administrators
Nursing
Nursing, Supervisory
Peer Influence

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