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.

Citations

• The Journey to First‐Line Nursing Management: A Qualitative Study in a Spanish University Hospital
  Beatriz Esquisábel‐Soteras, Glenn Robert, Aitor Acilu‐Fernández, Alberto González‐García, Sofía Neddermann‐Carrillo, Mónica Vázquez‐Calatayud, Miren Idoia Pardavila‐Belio
  Journal of Advanced Nursing.2025;[Epub]     CrossRef
• Effect of Leader-Member Exchange on Patient Safety Culture in Perioperative Nurses: The Mediating Role of Organizational Silence
  Nayeop Lee, Yoonju Lee
  Journal of Korean Academy of Nursing Administration.2024; 30(5): 462.     CrossRef
• The Effect of Professional Autonomy and Nursing Work Environment on Nurses’ Patient Safety Activities: A Perspective on Magnet Hospitals
  Songyi Yuk, Soyoung Yu, Shawn Yong-Shian Goh
  Journal of Nursing Management.2023; 2023: 1.     CrossRef
• The Effect of Nurses’ Perceived Leader-Member Exchange on Psychological Ownership, Job Engagement, and Turnover Intention
  Eun Ah Cho, Myun Sook Jung, Eun Ju Heo
  Journal of Korean Academy of Nursing Administration.2023; 29(3): 298.     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
• Association of Nursing Work Environment, Relationship with the Head Nurse, and Resilience with Post-Traumatic Growth in Emergency Department Nurses
  Sun-Young Jung, Jin-Hwa Park
  International Journal of Environmental Research and Public Health.2021; 18(6): 2857.     CrossRef
• Factors Influencing Retention Intention of Nurses at Long-Term Care Hospitals in Korea
  So Young Shin, Joo Hee Kim
  Journal of Gerontological Nursing.2021; 47(10): 44.     CrossRef
• Why Do They Stay? Intention to Stay among Registered Nurses in Nursing Homes
  Ji Yeon Lee, Juh Hyun Shin
  International Journal of Environmental Research and Public Health.2020; 17(22): 8485.     CrossRef
• Analyzing the Job Demands-Control-Support Model in Work-Life Balance: A Study among Nurses in the European Context
  Virginia Navajas-Romero, Antonio Ariza-Montes, Felipe Hernández-Perlines
  International Journal of Environmental Research and Public Health.2020; 17(8): 2847.     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
• Mediating Effect of Nursing Professionalism on the Relationship between Nurses' Character and Organizational Commitment of the Nurse
  Sun Young Jung, Hyun Deuk Lee
  Journal of Korean Academy of Nursing Administration.2019; 25(3): 239.     CrossRef

PURPOSE
Purpose of this research was to identify effects of application of a modified primary nursing system.
METHODS
Measurement was done of direct nursing time and satisfaction of nurses and patients before and after one month of the modified primary nursing system in a surgery unit in C university hospital, Seoul.
RESULTS
There was no statistically significant difference between average for patient satisfaction (4.24) before and (4.11) after application of the modified primary nursing system. Total average for nurse satisfaction with the nursing delivery system was 2.89 before application and, 3.34 after, indicating some significant differences (t=-4.06, p<.001). The KPCS-1 was 10.19 before application of the modified primary nursing system and 9.52 after application. Recalculated into direct nursing time, the average direct nursing time for one patient was 92 minutes before application, and 85.98 minutes after, indicating no significant difference.
CONCLUSION
Through this research an attempt was made to build and test a modified primary nursing system. Results indicate that the most important thing is to clearly regulate office work and safely implement the new system.

Citations

• Exploring the Subjective Frame of Patient Satisfaction among Patients Admitted to the Comprehensive Nursing Care Service: Q Methodology Application
  Ye-Na Lee, Jeehyoung Kim, Geon Go, Purum Kang
  Journal of Korean Academy of Nursing Administration.2021; 27(5): 323.     CrossRef
• Compare Value Congruence of Nurse-Patient Assignment with Work Performance in Neonatal Intensive Care Unit
  Hye Min Kim, Dong Yeon Kim, Ji Young Kim, Ga Young Kim, Seol Hee Moon
  Journal of Korean Academy of Nursing Administration.2021; 27(5): 355.     CrossRef
• Adaption, benefit and quality of care associated with primary nursing in an acute inpatient setting: A cross‐sectional descriptive study
  Rahel Naef, Jutta Ernst, Heidi Petry
  Journal of Advanced Nursing.2019; 75(10): 2133.     CrossRef
• Comparative Analysis Research of Inpatient Satisfaction with Nursing on Comprehensive Nursing Service Units & General Units and Nurses' Work Stress
  Su Mi Jung, Sook Hee Yoon
  Journal of Korean Academy of Nursing Administration.2017; 23(3): 229.     CrossRef
• Effects of a New Nursing Delivery System on Nurses' Satisfaction, Self-efficacy, Job Stress, and Nursing Performance in a University Hospital
  Eun-Kyung Kim, Eun Ha Choi
  Journal of Korean Academy of Nursing Administration.2017; 23(3): 301.     CrossRef
• Nurses' Self-image Perceived by Clinical Nurses: An Application of Q-Methodology
  Eun-Ho Ha, Kyoung Soon Hyun
  Korean Journal of Adult Nursing.2014; 26(1): 117.     CrossRef