J Korean Acad Nurs Adm.  2024 Dec;30(5):483-493. 10.11111/jkana.2024.30.5.483.

The Moderating Effect of Nursing Organizational Culture on the Relationship between Resilience and Clinical Competence of New Graduate Nurses

• Lee H
• Park EJ

• KMID: 2566068
• DOI: http://doi.org/10.11111/jkana.2024.30.5.483

Abstract

Purpose
This study aims to identify the moderating effect of nursing organizational culture on the relationship between resilience and clinical competence among new graduate nurses.
Methods
A survey was conducted from March 14 to July 14, 2023, targeting 210 new nurses with 3 to 12 months of experience, working in three general hospitals in Seoul and Gyeonggi-do. Data from 193 respondents were analyzed using descriptive statistics, correlation, and hierarchical regression.
Results
The resilience of new graduate nurses was moderate and their clinical competence was rated as good. They perceived a strong hierarchy-oriented culture, followed by a relationship-oriented culture, an innovation-oriented culture, and lastly, a task-oriented culture. Clinical competence was higher with greater resilience (β=.40, p<.001) and stronger perception of hierarchy-oriented culture (β=.16, p=.013). The interaction between resilience and innovation-oriented culture (β=.22, p=.012) was statistically significant, indicating that the effect of resilience on clinical competence was significantly higher when the innovation-oriented culture was strongly perceived.
Conclusion
To improve the clinical competence of new graduate nurses, it is essential to enhance their personal resilience and, at an organizational level, to strengthen the positive aspects of hierarchy-oriented and innovation-oriented cultures.

Keyword

Nurses; Psychological resilience; Clinical competence; Organizational culture