J Korean Clin Nurs Res.  2023 Aug;29(2):163-174. 10.22650/JKCNR.2023.29.2.163.

The Effects of Grit and Nursing Work Environment of Nurses in Tertiary Hospitals on Nursing Performance and Retention Intention: Mediating Effect of Compassionate Rationalism Leadership

• Kwak YH
• Jang IS
• Lee W
• Baek SJ
• Hyun SK
• Kim SM

• KMID: 2549592
• DOI: http://doi.org/10.22650/JKCNR.2023.29.2.163

Abstract

Purpose
To identify the effect of a new leadership type by confirming the effect of clinical nurses' grit and nursing work environment on nursing performance and retention intention with the mediating effect of compassionate rationalism leadership in the process.
Methods
A proportional stratified sampling method was used with 45 tertiary general hospitals nationwide as the sampling unit. An online survey targeting nurses who have been working continuously for more than one year was conducted from October 14 to November 9, 2022. The final analysis included 1,256 questionnaires. The correlation between the participants' variables was analyzed using Pearson's correlation coefficients. The mediating effect was confirmed using a regression analysis, and bootstrapping.
Results
The compassionate rationalism leadership had a mediating effect on the relationship between grit and nursing performance (F=203.21, p<.001), nursing work environment and nursing performance (F=109.48, p<.001), grit and retention intention (F=149.90, p<.001), and nursing work environment and retention intention (F=25.14, p<.001).
Conclusion
The compassionate rationalism leadership of nursing managers had a positive effect on nursing performance and retention intention. Therefore, with the development and application of educational programs of compassionate rationalism leadership, it can be used to improve nursing performance and operate an efficient nursing organization.

Keyword

Grit; Work Environment; Work Performance; Retention; Leadership