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"Commitment"

Original Articles
The Impact of Clinical Competence and Perception of Clinical Ladder System on Organizational Commitment among Nurses at a General Tertiary Hospital
Yeon Hee Shin, Mi Ra Lee, Sung Nam Kim, Min Jung Kim, Ae Jin Kim, Hyun Ja Kim, Ji Yoon Kang
J Korean Acad Nurs Adm 2025;31(1):120-131.   Published online January 31, 2025
DOI: https://doi.org/10.11111/jkana.2025.31.1.120
Purpose
This study aimed to evaluate the performance of a clinical ladder system in a tertiary hospital by examining how nurses' clinical competence and perceptions of the system affect organizational commitment.
Methods
The study involved 394 nurses working at a tertiary hospital. Data were collected from May 3 to July 10, 2023, using a self-reported questionnaire. Statistical analyses, including descriptive statistics, independent t-tests, one-way ANOVA, Kruskal-Wallis test, Scheffé post-hoc test, Pearson correlation, and hierarchical regression analysis, were performed using SPSS 27.0.
Results
Nurses who applied for promotion to the CN III level and current CN III nurses reported higher clinical competence, perceptions of the clinical ladder system, and organizational commitment than those who did not and those at lower levels (p<.001). A positive correlation existed among all independent variables. Controlling for general characteristics, the effects of clinical competence and perceptions of the clinical ladder system explained 49% of organizational commitment variance (Adjusted R 2 =.49, F=33.43, p<.001).
Conclusion
Greater clinical competence and positive perceptions of the clinical ladder system are likely to enhance organizational commitment, emphasizing its effectiveness in fostering better organizational outcomes.
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Purpose
This study examined the relationships between organizational silence, organizational commitment, organizational justice, and organizational citizenship behavior among clinical nurses. Additionally, it determined the mediating effect of organizational commitment moderated by organizational justice on the relationship between organizational silence and organizational citizenship behavior among clinical nurses.
Methods
A total of 160 clinical nurses were recruited from a university hospital. Data were collected from June to July, 2023. The collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Scheffé test, Pearson’s correlation coefficient, Baron and Kenny’s three-step regression analysis, Hayes’ PROCESS macro model, and bootstrapping using SPSS/WIN 27.0 program.
Results
Organizational commitment had a full mediating effect on the relationship between organizational silence and organizational citizenship behavior (B=-0.04, CI [-0.098~-0.001]). Among the subscales of organizational justice, distributive justice had a moderating effect on the relationship between organizational silence and organizational commitment (B=-0.17, p=.009). There was no significant mediating effect of organizational commitment moderated by organizational justice on the relationship between organizational silence and organizational citizenship behavior.
Conclusion
Appropriate strategies are needed to effectively manage nursing personnel and improve nursing performance.
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Purpose
This study aimed to examine the levels of professional autonomy, retention intention, and organizational commitment among public hospital nurses, while also investigating the mediating effect of organizational commitment on the relationship between professional autonomy and intention to remain.
Methods
Data for this study were collected through an online survey conducted from August 5 to August 11, 2022, targeting 230 nurses across three public hospitals within a single region. Data analysis was performed using SPSS/WIN 23.0.
Results
Organizational commitment fully mediated the relationship between professional autonomy and retention intentions among public hospital nurses. Positive correlations were observed between professional autonomy and retention intention (r=.24, p<.001), organizational commitment and intention to remain (r=.72, p<.001), as well as professional autonomy and retention intention (r=.34, p<.001).
Conclusion
; To enhance the retain intention among public hospital nurses, it is imperative to focus on program development and institutional administrative efforts aimed at ensuring professional autonomy and fostering organizational commitment.
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Effect of Nurses’ Person-Environment Fit on Positive Psychological Capital, Career Commitment, and Turnover Intention
Hyeon Ju Kim, Myun Sook Jung, Eun Ju Heo
J Korean Acad Nurs Adm 2023;29(2):169-180.   Published online March 31, 2023
DOI: https://doi.org/10.11111/jkana.2023.29.2.169
Purpose
This study aimed to examine the effect of person-environment fit on positive psychological capital, career commitment, and turnover intention among nurses working in university hospitals.
Methods
A survey was administered to 277 nurses working in a university hospital with more than 800 beds in J city. SPSS 25.0 and AMOS 18.0 were used for analysis.
Results
Factors that directly explain turnover intention, person-environment fit, career commitment, and psychological capital exhibited a negative effect. However, while person-job fit did not directly affect turnover intention, it exhibited an indirect effect and total effect via positive psychological capital and career commitment.
Conclusion
Various programs should be developed to enhance nurses’ person-environment fit and person-job fit. Forming a positive attitude and strengthening nurses’ attachment and commitment toward nursing contribute to a lower turnover intention.

Citations

Citations to this article as recorded by  
  • Hospital Nurses’ Professional Quality of Life Model: A Cross‐Sectional Study Based on the Expanded Job Demands‐Resources Model
    Younghee Kim, Mi Yu, Jacopo Fiorini
    Journal of Nursing Management.2025;[Epub]     CrossRef
  • Mediating Effect of Leader-Member Exchange on the Ethical Leadership of Nursing Unit Managers and Turnover Intention of Clinical Nurses: A Nationwide Survey using Proportional Quota Sampling
    Jihun Kim, Sunmi Kim, Nara Han, Seok Hee Jeong
    Journal of Korean Academy of Nursing Administration.2024; 30(1): 42.     CrossRef
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Purpose
This study aimed to investigate the influence of role conflict, head nurses’ super leadership and nursing organizational culture on organizational commitment among male nurses. Methods: This cross-sectional study included 221 male nurses who had worked for more than six months in university hospitals, general hospitals, and clinics. Data were collected using structured, self-administered questionnaires on role conflict, head nurse super leadership, nursing organizational culture, and organizational commitment. The data obtained were analyzed using descriptive analysis, independent t-test, analysis of variance, Scheffé test, Pearson’s correlation coefficients, and regression analysis. Results: Organizational commitment had a significant positive correlation with head nurse super leadership, innovation-oriented culture, and relation-oriented culture; however, it had a significant negative correlation with role conflict and task-oriented culture. Among the general characteristics, the significant factors influencing organizational commitment among male nurses were number of beds and departments. Furthermore, among the main variables, innovation-oriented culture, task-oriented culture, role conflict, and head nurse super leadership influenced organizational commitment. Conclusion: To increase male nurses’ organizational commitment, it is necessary to create an innovative organizational culture, reduce role conflicts, and improve head nurse super leadership.

Citations

Citations to this article as recorded by  
  • Organizational Culture and Resulting Leadership Behaviors: Empirical Evidence from Social Workers in Kuwait
    Hamad Adel Alaslawi
    Human Service Organizations: Management, Leadership & Governance.2024; 48(5): 582.     CrossRef
  • “I’d Rather Do It Single-Handed”—Nursing Students’ Struggles with Group Assignments: A Qualitative Study
    Aimei Mao, Pak-Leng Cheong, Iat-Kio Van, Hon-Lon Tam
    Education Sciences.2023; 13(10): 1053.     CrossRef
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Purpose
This study was conducted to identify the effects of nursing work environment, job crafting and organizational commitment on nurses’ job satisfaction perceived by nurses Methods: The research model was designed based on Hayes’s PROCESS macro model 6. Participants were 122 nurses from general hospitals. A survey was conducted and data were collected in March 2019. Data were analyzed using descriptive statistics, correlations and Hayes's PROCESS macro method for mediation. Results: Job satisfaction showed a significant positive correlation with the nursing work environment, job crafting and organizational commitment. Furthermore, job crafting and organizational commitment had a mediating effect on the relationship between the nursing work environment and job satisfaction. Conclusion: The impact of the nursing work environment on job satisfaction among general hospital nurses was mediated by job crafting and organizational commitment. Considering the mediating effects of job crafting and organizational commitment on the relationship between nursing work environment and job satisfaction, a strategy should be developed for enhancing job crafting and organizational commitment to improve nurses’ working environments and, thus, their job satisfaction.

Citations

Citations to this article as recorded by  
  • Effect of a Nursing Practice Environment, Nursing Performance on Retention Intention: Focused on the Mediating Effects of Nursing Professional Pride
    Shin Hee Kim, Mi Sook Oh, Yun Bok Kwak
    Journal of Korean Academy of Nursing Administration.2025; 31(1): 64.     CrossRef
  • Hemşireler İçin Ekip İş Becerikliliği Ölçeğinin Türkçeye Uyarlanması
    Oya Çelebi Çakıroğlu, Gamze Tunçer Ünver, Naile Boduç
    Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi.2024; 11(2): 260.     CrossRef
  • Affecting factors of clinical dental hygienists’ intention on retention
    Hye-Jin Lee, Hee-Hong Min
    Journal of Korean Society of Dental Hygiene.2024; 24(1): 27.     CrossRef
  • Nurses Job Crafting
    Sabrein Mahmoud Ali Khalifa Khattab, Marwa Samir Sorour, Sally Mohammed Farghaly Abdelaliem
    JONA: The Journal of Nursing Administration.2023; 53(12): 641.     CrossRef
  • Effects of Clinical Nurses’ Job Crafting on Organizational Effectiveness Based on Job Demands-Resource Model
    Eun Young Lee, Eungyung Kim
    Journal of Korean Academy of Nursing.2023; 53(1): 129.     CrossRef
  • Effects of Job Crafting, Burnout, and Job Satisfaction on Nurses' Turnover Intention: A Path Analysis
    Mihee Chung, Sujeong Han
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 281.     CrossRef
  • Concept Analysis of Nurses’ Job Crafting
    Sujeong Han, Eunha Jeong
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 375.     CrossRef
  • Association of Job Crafting and Perception of Patient Safety Culture with Patient Safety Management Activities among Hospital Nurses
    Jung Sook Kim, Ji-Soo Kim
    Journal of Korean Academy of Nursing Administration.2022; 28(4): 382.     CrossRef
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  • 8 Crossref
Purpose
This study aimed to assess the effect of a job crafting intervention program for hospital nurses to confirm the effect on the organizational commitment of clinical nurses, and their embeddedness and organizational well-being in the workplace. Methods: The study used a non-equivalent control group pre-test and post-test design, which included 68 nurses working at a general hospital. The job crafting intervention program was held for a total of 5 weeks from May 27 to June 27, 2019, and the program lasted for 2 weeks including 2 h each. The program effectiveness was assessed through a self-reporting survey of program participants 2 weeks prior to application, 2 weeks after application, and 6 weeks after application. Data were analyzed using the Kolmogorov-Smirnov test, chi-squared test, independent t-test, and repeated measures multivariate analysis of variance using the SPSS 26.0 for Windows. Results: Significant differences were observed between the experimental and control groups regarding job crafting (F=6.20, p=.003), task crafting (F=8.37, p<.001), cognitive crafting (F=6.29, p=.003), embeddedness (F=8.49, p<.001), and organizational well-being (F=4.90, p=.009). Conclusion: The job crafting intervention program can be actively utilized to induce efficient nursing staff management in hospitals, expanding it into hospital nurse's work area and developing nurse's job crafting further.

Citations

Citations to this article as recorded by  
  • Job crafting, positive psychological capital, and social support as predictors of job embeddedness on among clinical nurses- a structural model design
    Mi-Soon Yun, Miyoung Lee, Eun-Hi Choi
    BMC Nursing.2024;[Epub]     CrossRef
  • Effects of Clinical Nurses’ Job Crafting on Organizational Effectiveness Based on Job Demands-Resource Model
    Eun Young Lee, Eungyung Kim
    Journal of Korean Academy of Nursing.2023; 53(1): 129.     CrossRef
  • Concept Analysis of Nurses’ Job Crafting
    Sujeong Han, Eunha Jeong
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 375.     CrossRef
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Purpose
The purpose of this study was to examine the effects of hospital-based violence-prevention and coping program on nurses' violence experience and responses, self-efficacy, and organizational commitment. Methods A non-equivalent control group with pre-post-test design was used. Participants were assigned to the experimental (n=27) or a control group (n=26) in 2 general hospitals of one city. For the experimental group, the hospital-based violence-prevention and coping programs were provided once a week for 50-60 minutes across 6 weeks (6 sessions), whereas the control group was the waiting group. Results There were significant differences in self efficacy and organizational commitment at the measured time periods. These results suggest that the effects of the program were persistent until the 4 weeks follow-up. In addition, level of emotional violence responses significantly decreased in the experimental group after 4 weeks in the period following the intervention program. Conclusion The hospital-based violence prevention and coping program developed can be an effective strategy for preventing and reducing emotional violence responses and improving self efficacy and organizational commitment. Therefore, it is recommended that the program be actively used with clinical nurses to prevent violence and to increase effective coping.

Citations

Citations to this article as recorded by  
  • Educational programs and interventions for health care staff to prevent and manage aggressive behaviors in acute hospitals: a systematic review
    Kathryn Kynoch, Xian-Liang Liu, C.J. Cabilan, Mary-Anne Ramis
    JBI Evidence Synthesis.2024; 22(4): 560.     CrossRef
  • Clinical nurses’ experiences of workplace verbal violence: a phenomenological study
    Min Soo Woo, Hyoung Suk Kim, Jeung-Im Kim
    Korean Journal of Women Health Nursing.2022; 28(2): 154.     CrossRef
  • The influence of experienced violence and the clinical learning environment on vocational identity in nursing students
    Mira Lee, Hee Ok Park, Insook Lee
    The Journal of Korean Academic Society of Nursing Education.2021; 27(3): 321.     CrossRef
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Purpose
The purpose of this study was to examine the effects of organizational socialization, perceived organizational vision, and attitude toward organizational change on organizational commitment of nurses working in one hospital. Methods: This study was conducted with 441 participants in a hospital in A city, South Korea from Nov. 1 to 30 2017.Data were analyzed using frequency, percentage, mean, standard deviation, t-test, ANOVA, Scheffé test, Pearson Correlation and Multiple Regression with the SPSS/WIN 23.0 program. Results: There were significant correlations among organizational socialization, perceived organizational vision, attitude toward organizational change and organizational commitment. The factors that significantly influenced organizational commitment were organizational socialization (β=.10 p=.015). perceived organizational vision (β=.20, p<.001), and attitude toward organizational change (β=.44, p<.001). These variables explained 50.0% of the variance in organizational commitment. Conclusion: The findings indicates that organizational socialization, perceived organizational vision and attitude toward organizational change affect organizational commitment.

Citations

Citations to this article as recorded by  
  • The supportive side of organisational socialisation: how it boosts employee commitment
    Mohammad Suleiman Awwad, Ahmad Nasser Abuzaid, Manaf Al-Okaily, Yazan Mohammad Alqatamin
    International Journal of Organizational Analysis.2024; 32(9): 1739.     CrossRef
  • Perspectiva teórica sobre los factores de los Sistemas ISO 9001 que inciden en el cumplimiento de visiones educativas
    Eira Maldonado-Mesta, Alfonso López Lira-Arjona, Paula Villalpando-Cadena
    Vinculatégica EFAN.2024; 10(1): 68.     CrossRef
  • Commitment to Organizational Change in Clinical Nurses: A Structural Model Applying Lewin's Change Theory
    Mihwa Hong, Sujeong Han
    Journal of Korean Academy of Fundamentals of Nursing.2024; 31(1): 38.     CrossRef
  • Ethical tax decision-making: Evaluating the effects of organizational prestige valuations and tax accountants’ financial situation
    Holy Kwabla Kportorgbi, Francis Aboagye-Otchere, Teddy Ossei Kwakye
    Cogent Business & Management.2023;[Epub]     CrossRef
  • Nursing Manager’s Transformational Leadership and Servant Leadership on Organizational Socialization of New Nurses: Mediating Effect of Collective Efficacy
    Sung Jung Kwak, Nam Yi Kim
    Journal of Korean Academy of Nursing Administration.2022; 28(5): 568.     CrossRef
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Purpose
The purpose of this study was to investigate the effects of head nurses’ authentic leadership, job satisfaction and organizational commitment as perceived by newly licensed nurses and to identify related factors influencing turnover intention.
Methods
A descriptive survey study was conducted with survey data collected between September 9 and 27, 2019 from 190 newly licensed nurses. The data was analyzed using statistical methods including descriptive statistics, frequency analysis, independent t-test, Pearson correlation coefficients, and multiple linear regression employing SPSS 24.0.
Results
The analysis results show that the turnover intention had positive correlations with the total work experience and work experience with a head nurse, while negative correlations were found with job satisfaction and organizational commitment. The factors affecting the dependent variable of turnover intention were analyzed as the total work experience (β=23, p=.014) and organizational commitment (β=-.68, p<.001). In addition, the explanation ability of turnover intention of newly licensed nurses was 48% (F=36.06, p<.001).
Conclusion
The results show that even after their preceptee period, there is a need for systematic long-term job-training programs to enhance the work adaptability and organizational commitment of newly licensed nurses.

Citations

Citations to this article as recorded by  
  • The mediating effect of job embeddedness on the nursing work environment and transition shock among new nurses: A cross-sectional study
    Siqi Zhou, Jun Ma, Sisi Fan, Honghong Wang, Wenhong An, Lu Li, Tao Xiao
    Nurse Education in Practice.2024; 78: 104034.     CrossRef
  • Relationships among basic psychological needs, organizational commitment, perceived authentic leadership and turnover intention in Korean nurses: A cross‐sectional study
    Jina Hwang, Eun Kyeung Song, Sangjin Ko
    Journal of Nursing Management.2022; 30(7): 2176.     CrossRef
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Purpose
This study was conducted to investigate the moderating effect of supervisor's support in relation to violence experience and organizational commitment among staff of special department nurses.
Methods
Participants in this study were nurses working in the emergency, operating and intensive care units of five general hospitals in B city. Data were collected from Aug. 6 to Sep. 14, 2018. Data were analyzed using t-test, ANOVA, Pearson's correlation coefficients and multi-group path-analysis.
Results
The organizational commitment showed a negative correlation with violence experience (r=-28, p<.001) and a positive correlation with supervisor's support (r=.27, p<.001). There was a negative correlation (r=-.37, p<.001) between violence experience and supervisor's support. As a result of verifying the moderating effect of supervisor's support in relation to violence experience and organizational commitment, there was no significant difference in the path between the high and low supervisor's support groups (∆x 2 =1.07, p=.300).
Conclusion
There was no buffering effect of supervisor's support in relation to violence experience and organizational commitment of nurses in special departments. Further research is needed to explore variables that show a moderating effect on the relationship between violence experience and organizational commitment.

Citations

Citations to this article as recorded by  
  • Experience of Clinical Adaptation among Nurses in Intensive Care Unit
    Jin Young Hong, Sue Kyung Sohn
    Journal of Korean Critical Care Nursing.2024; 17(1): 1.     CrossRef
  • ICU nurses’ experiences of feeling hurt by medical personnel
    Jung-Hoon Lee, Yeoungsuk Song
    The Journal of Korean Academic Society of Nursing Education.2021; 27(4): 347.     CrossRef
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Purpose
The purpose of this study was to identify factors influencing organizational commitment of nurses at the advanced beginner stage by examining relationships between positive psychological capital, social support, head nurses' authentic leadership and organizational commitment.
Methods
One hundred and ten nurses at the advanced beginner stage were recruited from a tertiary hospital. Their clinical experience was from over 13 months to less than 36 months. Data were collected using self-report questionnaires which were used to identify participants' characteristics, positive psychological capital, social support, head nurses' authentic leadership and organizational commitment.
Results
The organizational commitment score was 3.16±0.43 points. The results of the stepwise multiple regression showed that factors affecting organizational commitment of nurses at the advanced beginner-stage were head nurse’s authentic leadership, positive psychological capital, and job satisfaction in current working department, indicating that these three variables accounted for 25% of organizational commitment.
Conclusion
The findings from this study indicate that the authentic leadership of head nurses needs to be enhanced to increase the organizational commitment of nurses at the advanced beginner-stage, also a program needs to be developed to improve their positive psychological capital.

Citations

Citations to this article as recorded by  
  • Influence of Self-leadership, Managers’ Authentic Leadership, and Nurses' Organizational Culture Relationships on Hospital Nurses’ Organizational Silence: A Mixed Method Study
    Hyun-Ju Lee, So-Young Kang
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 404.     CrossRef
  • Influences of Organizational Culture, Nursing Workplace Spirituality, and Nurses’ Perceived Health Status on Quality of Nursing Work Life according to Nursing Clinical Ladder
    Hyun Sook Lee, Ju Hyun Jin, Ju Ri Lee, Hye Jin Kim, Yeon Jae Jung
    Journal of Korean Academy of Nursing Administration.2024; 30(1): 31.     CrossRef
  • Influence of Nursing Practice Readiness and Social Support from Clinical Nurse Educators on Reality Shock among Newly Graduated Nurses
    Kyoung Hee Youn, Eun Hee Jang
    Journal of Korean Academy of Nursing Administration.2024; 30(5): 494.     CrossRef
  • Generating Sustainable Organizational Commitment of Indonesian Lecturers: The Role of Psychological Contract Through Spiritual Perspective
    Tien Suhartini, Muafi Muafi, Widodo Widodo, John Suprihanto
    Journal of Law and Sustainable Development.2023; 11(5): e748.     CrossRef
  • The impact of career expectation on employment anxiety of art students in higher vocational colleges during the COVID-19: A chain mediating role of social support and psychological capital
    An Zhao
    Frontiers in Psychology.2023;[Epub]     CrossRef
  • Factors influencing nurses’ intention to care for patients with COVID-19: Focusing on positive psychological capital and nursing professionalism
    Sun-a Jeong, Jinhee Kim, César Leal-Costa
    PLOS ONE.2022; 17(1): e0262786.     CrossRef
  • A structural equation model of organizational commitment by hospital nurses: The moderating effect of each generation through multi-group analysis
    Jeong Hye Chae, Young Suk Kim
    The Journal of Korean Academic Society of Nursing Education.2022; 28(3): 305.     CrossRef
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Effects of Nurses' Positive Psychological Capital, Self-Leadership, and Relational Bonds on Organizational Commitment
Shi Nae Kwon, Hyo Jung Park
J Korean Acad Nurs Adm 2020;26(3):241-250.   Published online June 30, 2020
DOI: https://doi.org/10.11111/jkana.2020.26.3.241
Purpose
The purpose of this study was to investigate the association between nurses’ positive psychological capital, self-leadership, relational bonds, and organizational commitment, and to identify factors influencing organizational commitment.
Methods
The participants in this study were 199 nurses conveniently selected at one general hospital in Seoul. Data collection was conducted between January 1st and March 31st, 2019, and was analyzed using the SPSS/WIN 23.0 program.
Results
The mean score for positive psychological capital was 3.31±0.44, for self-leadership, 3.44±0.40, for relational bonds, 3.54±0.79, and for organizational commitment, 3.81±0.76. Positive psychological capital (r=.40, p<.001), self-leadership (r=.33, p<.001) and relational bonds (r=.51, p<.001) showed significant correlation with organizational commitment. Stepwise multiple regression analysis showed that positive psychological capital and relational bonds were included in the factors affecting the organizational commitment of clinical nurses. These variables explained 29.0% of organizational commitment.
Conclusion
Findings indicate that it is necessary to build effective strategies to enhance positive psychological capital and relational bonds for nurses. Such strategies will result in improved organizational commitment.

Citations

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  • Relationship between Occupational Stress and Organizational Commitment of Physician Assistant Nurses: Mediating Effect of Positive Psychological Capital
    Myung Jee Han, So Young Choi
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 357.     CrossRef
  • Influence of Self-leadership, Managers’ Authentic Leadership, and Nurses' Organizational Culture Relationships on Hospital Nurses’ Organizational Silence: A Mixed Method Study
    Hyun-Ju Lee, So-Young Kang
    Journal of Korean Academy of Nursing Administration.2024; 30(4): 404.     CrossRef
  • Efficacy of a virtual nursing simulation-based education to provide psychological support for patients affected by infectious disease disasters: a randomized controlled trial
    Eunjung Ko, Yun-Jung Choi
    BMC Nursing.2024;[Epub]     CrossRef
  • Impact of dental hygienists’ positive psychological capital, growth mindset, and self-leadership on retention intention
    Hye-Eun Cho, Ji-Yeon Lee
    Journal of Korean Society of Dental Hygiene.2023; 23(6): 441.     CrossRef
  • The Influence of Relational Bonds, Followership, and Occupational Stress on Nurses' Organizational Commitment
    Gipeum Choi, Hyojung Park
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 56.     CrossRef
  • The Effects of Positive Psychological Capital and Organizational Justice on Job Embeddedness of Clinical Nurses
    Youn Shin Lee, Heeyoung Kim
    Journal of Korean Academy of Nursing Administration.2022; 28(3): 228.     CrossRef
  • Factors influencing nurses’ intention to care for patients with COVID-19: Focusing on positive psychological capital and nursing professionalism
    Sun-a Jeong, Jinhee Kim, César Leal-Costa
    PLOS ONE.2022; 17(1): e0262786.     CrossRef
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  • 7 Crossref
The Impact of Organizational Commitment and Positive Psychological Capital on Job Embeddedness of Nurses in Trauma Centers
Eun Ji Choi, Eun Nam Lee, Moon Ja Kim
J Korean Acad Nurs Adm 2019;25(4):292-301.   Published online September 30, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.4.292
PURPOSE
The purpose of this study was to investigate factors affecting job embeddedness of nurses in trauma centers.
METHODS
This study was a cross-sectional study using structured questionnaires completed by 140 nurses in three regional trauma centers in Korea. Data were collected from July 15 to September 10, 2017, and analyzed using SPSS/WIN 23.0 program.
RESULTS
The mean score of organizational commitment was 3.65±0.75, positive psychological capital was 3.00±0.45, and job embeddedness was 3.00±0.45. The organizational commitment showed a significant positive correlation with positive psychological capital (r=.36, p<.001) and job embeddedness (r=.60, p<.001), and positive psychological capital also showed a significant positive correlation with job embeddedness (r=.74, p<.001). The factors affecting job embeddedness of nurses in trauma centers were positive psychological capital (β=.61, p<.001), organizational commitment (β=.38, p<.001), and marital status (β=-.14, p=.017).
CONCLUSION
The results of this study suggest that to enhance job embeddedness, it is necessary to develop education and programs to strengthen organizational commitment and positive psychological capital of nurses in trauma centers. In addition, for unmarried nurses, interest and consideration are needed to enhance job embeddedness and to reduce turnover.

Citations

Citations to this article as recorded by  
  • Factors Influencing Job Embeddedness in Emergency Room Nurses: Focus on Positive Psychological Capital, Gratitude, and Anger Expression
    Sa Rang Joo, Mi-Jung Kang
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(4): 383.     CrossRef
  • Effects of job embeddedness and nursing working environment on turnover intention among trauma centre nurses: A cross‐sectional study
    Hye Ju Lee, Soo‐Kyoung Lee
    Journal of Nursing Management.2022; 30(7): 2915.     CrossRef
  • Pozitif psikolojik sermayenin örgütsel sessizlik ve işgören performansı üzerine etkisi
    Pınar ERKAL
    Balıkesir Üniversitesi Sosyal Bilimler Enstitüsü Dergisi.2022; 25(47): 109.     CrossRef
  • The Effects of Positive Psychological Capital and Organizational Justice on Job Embeddedness of Clinical Nurses
    Youn Shin Lee, Heeyoung Kim
    Journal of Korean Academy of Nursing Administration.2022; 28(3): 228.     CrossRef
  • Effects of Positive Psychological Capital, Social Support and Head Nurses' Authentic Leadership on Organizational Commitment of Nurses at the Advanced Beginner Stage
    Hye Sook Kwon, Yeongmi Ha
    Journal of Korean Academy of Nursing Administration.2020; 26(3): 284.     CrossRef
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PURPOSE
This study was done to investigate the mediating effect of nursing professionalism on the relationship between nurse's character and organizational commitment of the nurse.
METHODS
The participants in this study were 170 nurses who had over 3 months of work experience in hospitals in 2 regions of South Korea. Data were collected using self-report questionnaires. Data collection period was from December 15, 2018 to January 15, 2019, Data were analyzed using the IBM SPSS/WIN 25.0 program.
RESULTS
The significant predictors for organizational commitment of nurses were nursing professionalism (β=.42), total clinical career (β=−.30), monthly income (β=−.27) and clinical career in current hospital (β=−.24). These variables explained 36.0% of the variance in the organizational commitment of nurses. Nursing professionalism was found to have a mediating effect on the relationship between nurses' character and organizational commitment.
CONCLUSION
These results highlight the importance of nurses' organizational commitment and can be used as meaningful data for intervention research to promote the character of nurses and nursing professionalism.

Citations

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  • The Effects of Compassion Competence, Clinical Nursing Character, and Nursing Professionalism on Nursing Service Quality of Long-term Care Hospital Nurses
    Young Moon Cho, Hyun O We
    The Korean Journal of Rehabilitation Nursing.2024; 27(1): 11.     CrossRef
  • The Influence of Diversity Management of Nursing Organization on Organizational Commitment: Double Mediating Effect of Diversity Sensitivity Orientation and Positive Nursing Organizational Culture
    Hwi Gon Jeon, Keum Seong Jang, Eun A Kim
    Journal of Korean Academy of Nursing.2024; 54(3): 403.     CrossRef
  • Nursing undergraduates' media competence in the context of health communication and its relationship to professionalism
    Huiping Sun, Mengxin Xue, Lin Qian, Ting Zhou, Qu Jiling, Jingxin Zhou, Qu Junchao, Ji Siqi, Bu Yuan, Hu Yicheng, Wu Shaung, Yuhui Chen, Jiachun You, Yongbing Liu
    Nursing Open.2023; 10(8): 5521.     CrossRef
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PURPOSE
The purpose of this study was to test the mediating effect of job embeddedness in the relationship between nursing practice environment on nursing job performance and organizational commitment.
METHODS
For this study a descriptive design with survey method was utilized. Participants were 192 clinical nurses recruited from 2 hospitals in A, B city and J province in Korea. From June, 6 to 24, 2018, a questionnaire scale was used to collect the data. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation analysis, and liner regression analysis.
RESULTS
There were significant positive relationships for nursing job performance and organizational commitment with nursing practice environment. In addition, job embeddedness had a full mediating role in the relationship between nursing practice environment and nursing job performance, and a partial mediation effect in nursing practice environment and organizational commitment.
CONCLUSION
The purpose of this study was to identify the mediating effects of job embeddedness and to find ways to improve organizational commitment, which is a useful variable to predict performance outcomes, nurse job performance and job behavior of organizational members. Also, the study results can be used as basic data for nursing manpower management strategies.

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Effects of Nurse-Physician Collaboration on Nursing Performance and Organizational Commitment in Intensive Care Unit Nurses
Eui Ok Kwon, Myung Ha Lee, Seok Hee Jeong, Hee Sun Kim
J Korean Acad Nurs Adm 2019;25(3):186-197.   Published online June 30, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.3.186
PURPOSE
This study was done to identify the effects of nurse-physician collaboration on nursing performance and organizational commitment in intensive care unit (ICU) nurses.
METHODS
A cross-sectional survey was used and data were collected from 203 ICU nurses working in two advanced general hospitals and two general hospitals. Data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficients and Hierarchical multiple regression with SPSSWIN 23.0 program.
RESULTS
The sub-domains of nursephysician collaboration were as follows: 3.77±0.51 for sharing of patient information, 3.36±0.65 for decision-making process on the cure or care, and 3.20±0.72 for relationship between nurse and physician. Nurse-physician collaboration was significantly positively correlated with nursing performance and organizational commitment. Regression analysis showed that nurse-physician collaboration explained an additional 24.9%p of nursing performance and an additional 13.4%p of organizational commitment. 'Sharing of patient information' and 'Relationship between nurse and physician' were significant predictors of nursing performance. 'Relationship between nurse and physician' was a significant predictor of organizational commitment.
CONCLUSION
These results provide evidence that the collaboration between nurses and physicians should be enhanced in terms of sharing patient information and mutual respect, to improve nursing performance and organizational commitment of ICU nurses.

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    Lucas Fehr, Clemens Koob
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Moderating Effects of Career Commitment in the Relationship between Work Engagement and Organizational Citizenship Behaviors of the Clinical Nurses
Eun Jeong Song, Mi Jeong Kim, Myung Suk Koh
J Korean Acad Nurs Adm 2019;25(3):167-174.   Published online June 30, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.3.167
PURPOSE
The purpose of the study was to investigate the effect of work engagement (WE) on organizational citizenship behaviors (OCB) and ability to control career commitment (CC) in the relationship between work engagement and OCB.
METHODS
Data were collected using structured self-report questionnaires from 205 nurses currently working at three national hospitals. Data were analyzed using descriptive statistics, ANOVA, Scheffé test, Pearson correlation coefficient, and hierarchical multiple regression analysis using the SPSS 21.0 program.
RESULTS
Mean scores for each variable were: WE 3.77 (on a 7-point scale), OCB 3.41 (on a 5-point scale), and CC 3.05 (on a 5-point scale). As a result, comparison showed that all research variables were higher with age, OCB was higher with total clinical career, and CC was higher with higher education level. Total clinical career, WE and CC had a significant effect on OCB, and CC had a moderate effect on work engagement and OCB. These variables had a total explanatory power of 38% for OCB.
CONCLUSION
The nurses' WE had a positive effect on OCB, and the CC showed a moderating effect on the relationship between WE and OCB. Therefore, we suggest that CC is an important factor in improving nurses' OCB.

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Factors affecting Organizational Commitment of General Hospital Nurses in Small and Medium Sized Cities
Jin Hee Kim, Min Young Kim
J Korean Acad Nurs Adm 2019;25(1):14-24.   Published online January 31, 2019
DOI: https://doi.org/10.11111/jkana.2019.25.1.14
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.

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PURPOSE
The purpose of this research was to examine the relationship between types of conflict management style, role conflict, professional autonomy and organizational commitment of hospital nurses, and to identify factors influencing organizational commitment.
METHODS
Participants were 165 conveniently selected nurses from one general hospital in Gangwon province. Data were collected from March 28 to April 6, 2018 using self-report questionnaires.
RESULTS
There was a significant difference in the level of professional autonomy and organizational commitment depending on the nurses' styles of conflict management. A statistically significant positive correlation between professional autonomy and organizational commitment was found, and a negative correlation between environmental barriers in role conflict and organizational commitment. Participants' professional autonomy and environmental barriers in role conflict explained 17.9% of organizational commitment.
CONCLUSION
These finding indicate that professional autonomy and environmental barriers are both very important factors influencing organizational commitment. Accordingly, it is necessary to improve nurses' organizational commitment, enhance autonomy and reduce environmental barriers for nurses performing nursing roles.

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PURPOSE
The study was undertaken to investigate influence of nurses' work environment, organizational commitment, and nursing professionalism on turnover intention of nurses working in long term care hospitals.
METHODS
The study was cross-sectional study. Participants were 199 nurses working in one of 7 long term care hospitals. Data were collected from May 1 to June 30, 2016 and analysed using two stage hierarchial regression analysis with SPSS 22.0.
RESULTS
There was a statistically significant difference in turnover intention according to age (F=6.23, p < .001), present work career (t=−2.11, p=.036), frequency of night duty (t=−3.53, p=.001), and present position (t=−4.07, p < .001). The significant predictors of turnover intention were attachment (β=−0.29, p=.005), nursing professionalism (β=−.21, p=.030), identification (β=−.21, p=.014), continuance (β=−.19, p=.008), collegial nurse-physician relations (β=−.16, p=.039), and originality of nursing (β=.16, p=.014). These factors explained 50.4% of the variance.
CONCLUSION
The results suggest that several points need to be considered in order to reduce turnover intention in long term care hospital nurses. These points include building work environments to improve collegial nurse-physician relations, promoting recognition of nurses' organizational commitment, nursing professionalism and the political efforts of organizations supporting nursing originality.

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Effects of Relational Bonds and Professional Authority in the Organizational Commitment of Intensive Care Unit Nurses
Naeyoung Lee, Young Soon Kim
J Korean Acad Nurs Adm 2017;23(2):151-160.   Published online March 31, 2017
DOI: https://doi.org/10.11111/jkana.2017.23.2.151
PURPOSE
The aim of this study was to define the effects of relational bonds and professional authority in organizational commitment of Intensive Care Unit (ICU) nurses.
METHODS
A questionnaire was distributed to 200 ICU nurses working in 3 tertiary hospitals. The survey content included the Organizational Commitment Questionnaire (OCQ), Relational Bond Questionnaire (RBQ) and Schutzenhofer Professional Nurse Autonomy Scale (SPNA).
RESULTS
The score for OCQ was 2.59, for RBQ, 3.23, and for SPNA, 2.93. Organizational commitment was related to relational bonds (β=0.45; p<.001; SE=0.08). These factors accounted for 21.6% of the variability in organizational commitment.
CONCLUSION
Results indicate that ICU nurses' organizational commitment could be improved through increasing relational bonds and retaining experienced nurses which suggests a need to develop work systems designed to increase and maintain high relational bonds in ICU nurses.

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    Sun Young Kim, Ki-Kyong Kim
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PURPOSE
This study was conducted to identify the mediating effect of affective commitment on the relationship between ethical leadership and job satisfaction.
METHODS
Participants were 216 nurses drawn from three general hospitals in C city. Data were analyzed using descriptive analysis, t-test, ANOVA, Pearson correlation coefficient, and multiple regression.
RESULTS
The findings from multiple regression were as follows. First, people orientation, ethical guidance of ethical leadership factors showed significant positive effects on affective commitment. Second, people orientation, ethical guidance of ethical leadership factors showed significant positive effects on job satisfaction. Finally, when ethical leadership factors and affective commitment were entered into the regression model at the same time, ethical leadership factors showed no significant effects on job satisfaction, however, affective commitment showed a significant effect and so affective commitment had a mediating effect between ethical leadership and job satisfaction.
CONCLUSION
Results of this study indicate that affective commitment with an effect on the relationship between ethical leadership and job satisfaction plays a full mediating role. Thus, developing ethical leadership training programs for head nurses would likely increase the affective commitment and job satisfaction of staff nurses.

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  • Effect of Head Nurses' Authentic Leadership on Nurses' Job Satisfaction and Nursing Performance: Focusing on the Mediating Effects of Empowerment
    Mi-Jeong Kim, Ji-Young Han
    Journal of Korean Academy of Nursing Administration.2019; 25(1): 25.     CrossRef
  • Impact of Superior's Ethical Leadership as Perceived by Nurses on Nursing Performance: Mediating Effect of Faith in Supervisor
    Miyoung Kim, Hyung-Eun Seo, Eun-Young Doo, Won-Jin Ju
    Journal of Korean Academy of Nursing Administration.2017; 23(5): 483.     CrossRef
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PURPOSE
The local public hospitals in Korea are regarded as institutions that must consider the provision of good quality public health services, as well as profitability. Therefore it is important to improve nursing services to produce positive change in local public hospitals. This study was done to examine the relationships between self efficacy, organizational commitment, customer orientation and nursing performance for nurses in local public hospitals.
METHODS
For this study, 5 of 34 institutions were selected through random sampling: and 134 nurses working in local public hospitals were selected. Data were collected from March 28 to April 8, 2016 using self-report questionnaires. Collected data were analyzed using independent t-test, one-way ANOVA, Scheffé test, Pearson correlation coefficient and multiple regression with SPSS/WIN 18.0.
RESULTS
The major findings are summarized as follows: (1) There were significant positive correlations between self efficacy, organizational commitment, customer orientation, and nursing performance. (2) The factors affecting nursing performance were self efficacy, organizational commitment, and customer orientation, in that order, and these variables explained 57% of nursing performance.
CONCLUSION
Administrators in local public hospitals should use the results of this study to develop a strategy for improving nursing performance.

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Effects of Nurses' Self-leadership and Team Trust on Organizational Commitment
Se Young Kim, Eun Kyung Kim, Byungsoo Kim
J Korean Acad Nurs Adm 2016;22(4):353-361.   Published online September 30, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.4.353
PURPOSE
The purpose of this study was to investigate the association between self-leadership, team trust, organizational commitment and identify the influencing factors on organizational commitment.
METHODS
The subjects in the study were 296 conveniently selected general nurses at 2 general hospitals in Chungbuk Province. The measurements included the self-leadership, organizational trust inventory (OTI), and organizational commitment.
RESULTS
The mean score for self-leadership was 3.40, the mean score for OTI was 3.61, and the mean score for organizational commitment was 3.07. There were significant correlations among self-leadership, team trust and organizational commitment. Self-leadership had significant correlation with team trust (r=.25, p<.001). Also, self-leadership (r=.34, p<.001) and team trust (r=.31, p<.001) showed significant correlation with organizational commitment. In stepwise multiple regression analysis, age, self-leadership and team trust were included in the factors affecting organizational commitment of clinical nurses. These variables explained 20% of organizational commitment.
CONCLUSION
The results confirmed that nurses' self-leadership and team trust affects significant influences on organizational commitment. Accordingly, in order to enhance nurses' organizational commitment, it is necessary to build effective strategies to enhance self-leadership and team trust for nurses. Such strategies will be able to improve the goal achievement of nursing unit.

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The Relationship among Nurses' Perception of Super-leadership, Self-leadership and Organizational Commitment
In Sook Kim, Seon Ae Won, Sun Joo Kang, Sun Mi Shin
J Korean Acad Nurs Adm 2016;22(2):148-157.   Published online March 31, 2016
DOI: https://doi.org/10.11111/jkana.2016.22.2.148
PURPOSE
This study was designed to assess the level of super-leadership and self-leadership, identify correlations among variables and identify the factors influencing organizational commitment of clinical nurses.
METHODS
Participants were 217 nurses working in four hospitals located in Seoul and Gyeonggi Province. Data were analyzed using descriptive statistics, independent t-test, one way ANOVA, Scheffé test, Pearson Correlation, and Multiple Regression.
RESULTS
The most influential factor for organizational commitment was super-leadership (β=.28, p<.001), followed by education (β=.16, p=.007), the number of unit nurses (β=-.18, p=.003), self-leadership (β=.17, p=.008), and the number of patients being under 10 (β=.12, p=.046). These factors accounted for 23% of the variance in organizational commitment (F=13.46, p<.001).
CONCLUSION
The results of this study suggest a need for strategies to improve organizational commitment of nurses by enhancing nurse' self-leadership through nursing managers' super-leadership.

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    Se Young Kim, Eun-Kyung Kim, Byungsoo Kim
    Journal of Korean Academy of Nursing Administration.2016; 22(4): 353.     CrossRef
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PURPOSE
This study was designed to examine effects of sense of calling, job satisfaction and organizational commitment on retention intention in nurses who are at the advanced beginner-stage.
METHODS
Participants were 199 nurses with 13 to 36 months' clinical career at hospital located in Busan, Korea. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Scheffé test, Pearson correlation, and Multiple regression.
RESULTS
Retention intention correlated positively with sense of calling (r=.43, p<.001), job satisfaction (r=.31, p<.001) and organizational commitment (r=.31, p<.001). Factors affecting the participants' retention intention were found to be statistically significant (F=21.96, p<.001). Total factor score accounted for 24.1% of retention intention. Out of the related factors, the most influential factor was 'goals/meaning', belonging to the sub-areas of the sense of calling and explaining 18.2% of retention intention, followed by organizational commitment and average monthly income in that order.
CONCLUSION
The results of this study suggest a need to develop a management program that helps promote retention intention for nurses at the advanced beginner-stage by both improving their monthly income and outside conditions and, more importantly, raising their sense of calling, especially in association with the goals/meaning of their life.

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Effects of Head Nurses' Servant Leadership on Organizational Commitment among Clinical Nurses: Focused on the Mediating Effect of Empowerment
Seon Young Lee, Myung Ha Lee, Hyun Kyung Kim, Ok Lae Park, Byung Ju Sung
J Korean Acad Nurs Adm 2015;21(5):552-560.   Published online December 31, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.5.552
PURPOSE
This study was performed to identify the mediating effect of empowerment in the relationship between head nurses' servant leadership and organizational commitment among clinical nurses.
METHODS
A cross-sectional survey design was used. A convenience sample of 249 nurses was recruited from three hospitals located in J province, South Korea. Data were collected by self-report questionnaires, including general characteristics, servant leadership, empowerment, and organizational commitment. Data were analyzed with descriptive statistics, Pearson correlation coefficients, independent t-test, One-way ANOVA, and linear regression using the SPSS 22.0 program.
RESULTS
Head nurses' servant leadership perceived by clinical nurses significantly influenced their organization commitment. Empowerment partly mediated the effect of servant leadership on organizational commitment.
CONCLUSION
The findings suggest the importance of improving nurse managers' servant leadership and empowering nurses to increase their organizational commitment.

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PURPOSE
This study was designed to construct a structural equation model and identify the effects and relationships of self-efficacy, career plateau, job embeddedness, organizational commitment and intent to turnover for nurses. Also, an attempt was made to derive a hypothetical model from these factors and to verify whether the model has validity as a means of explaining and anticipating turnover intention of nurses.
METHODS
Data were collected from six randomly selected hospitals: a university hospital located in J city, Kyungnam and five general hospitals located in two cities (cities B and C), each having 400 to 720 beds. Also, 318 nurses were surveyed. Data were analyzed using SPSS 21.0 and AMOS 18.0 program.
RESULTS
Job embeddedness and organizational commitment were identified as the most likely paths to turn over intention. Also, organizational commitment had the highest direct effect on turnover intention followed by job embeddedness and then self-efficacy, but career plateau had an indirectly effected turnover intention.
CONCLUSION
As turnover intention was found to be greatly affected by organizational commitment and job embeddedness, methods to improve organizational commitment and job embeddedness should be actively developed to reduce turnover intention among nurses.

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Job Satisfaction, Organizational Commitment and Turnover Intention among Male Nurses
Min Kweon Ahn, Myung Ha Lee, Hyun Kyung Kim, Seok Hee Jeong
J Korean Acad Nurs Adm 2015;21(2):203-211.   Published online March 31, 2015
DOI: https://doi.org/10.11111/jkana.2015.21.2.203
PURPOSE
This study aimed to investigate job satisfaction, organizational commitment and turnover intention among male nurses in South Korea.
METHODS
Data were collected in May, 2013 and a total of 150 male hospital nurses participated in this study. Job satisfaction, organizational commitment and turnover intention were measured using a structured questionnaire. Collected data were analyzed using SPSS/WIN 20.0 for windows.
RESULTS
There were statistically significant correlations between job satisfaction and organizational commitment (r=.74, p<.001), job satisfaction and turnover intention (r=-.56, p<.001), and organizational commitment and turnover intention (r=-.69, p< .001). There was a statistically significant difference in job satisfaction of participants according to education, work unit, and salary. Organizational commitment showed significant difference according to age, education, work unit, and salary. Turnover intention was significantly different according to duration of employment in the hospital, and salary. The most influential factor for turnover intention was organizational commitment (beta=-.69, p<.001). This factor accounted for 47.8% of the variance in turnover intention.
CONCLUSION
The results of this study indicate that to reduce turnover intention for men in nursing, it is necessary to increase job satisfaction, and organizational commitment.

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