DOI QR코드

DOI QR Code

Path Analysis for Workplace Incivility, Empowerment, Burnout, and Organizational Commitment of Hospital Nurses

병원간호사의 근무지에서 무례함, 소진, 조직몰입과의 경로분석 연구

  • Kim, Se Young (Department of Nursing, Mokpo University) ;
  • Kim, Jong Kyung (Department of Nursing, Dankook University) ;
  • Park, Kwang-Ok (Department of Nursing, Sunchon National University, College of Life Science and Natural Resources)
  • 김세영 (목포대학교 간호학과) ;
  • 김종경 (단국대학교 간호학과) ;
  • 박광옥 (국립순천대학교 생명산업과학대학 간호학과)
  • Received : 2013.06.11
  • Accepted : 2013.09.24
  • Published : 2013.12.31

Abstract

Purpose: The purpose of this study was to examine nurses' experience of workplace incivility from coworkers, supervisors, patients or patients' families, and doctors. The researcher identified the relationships among empowerment, burnout, and organizational commitment of hospital nurses. Methods: The sample included 415 hospital nurses. Data were collected through questionnaires and analyzed using SPSS and AMOS. Results: The average incivility score was 2.94 from doctors and 2.89 from patients or patients' families, higher than from supervisors (1.90) and coworkers (1.87). The variables affecting burnout included direct effect of empowerment (${\beta}$=-.46, p<.001), direct effect of patients or patients' family incivility (${\beta}$=.14, p<.001), direct effect of supervisor incivility (${\beta}$=.12, p<.001), and direct effect of doctor incivility (${\beta}$=.09, p<.001). The variables affecting organizational commitment were direct effect of burnout (${\beta}$=-.58, p<.001), indirect effect of empowerment (${\beta}$=-.23, p<.001), indirect effect of patients or patients' family incivility (${\beta}$=-.12, p<.001), indirect effect of supervisor incivility (${\beta}$=-.10, p<.001), and indirect effect of doctor incivility (${\beta}$=-.09, p<.001). Conclusion: The results indicate that incivility affecting nurses results in a high degree of burnout and a low degree of organizational commitment. Therefore, it is necessary to assess incivility cases and to hold workshops designed to curb incivility and establish healthy workplaces.

Keywords

References

  1. Anderson, L. M., & Pearson, C. M. (1999). Tit for tat? The spiraling effect of incivility in the workplace. The Academy of Management Review, 24, 452-471. http://dx.doi.org/10.5465/ AMR.1999.2202131
  2. Boychuk Duchscher, J. E., & Cowin, L. (2004). Multigenerational nurses in the workplace. Journal of Nursing Administration, 34, 493-501. http://dx.doi.org/10.1097/00005110-2004110 00-00005
  3. Ceravolo, D. J., Schwartz, D. G., Foltz-Ramos, K. M., & Castner, J. (2012). Strengthening communication to overcome lateral violence. Journal of Nursing Management, 20, 599-606. http://dx.doi.org/10.1111/j.1365-2834.2012.01402.x.
  4. Cortina, L. M., Magley, V. J., Williams, J. H., & Langhout, R. D. (2001). Incivility in the workplace: Incidence and impact.Journal of Occupational Health Psychology, 6, 64-80. http:// dx.doi.org/10.1037/1076-8998.6.1.64
  5. Dion, M. J. (2006). The impact of workplace incivility and occupational stress on the job satisfaction and turnover intention of acute care nurses. Unpublished doctoral dissertation, University of Connecticut, Connecticut.
  6. Gopalkrishnam, P. (2011). Workplace incivility and employee strain reactions: The moderating effects of perceived organizational support and job insecurity. Unpublished master's thesis, Bowling Green State University, Bowling Green, OH, U.S.A.
  7. Guidroz, A. M., Burnfield, J. L., Clark, O., Schwetschenau, H. M., & Jex, S. M. (2007). The nursing incivility scale: Development of an occupation-specific incivility measure. Paper presented at the 22nd Annual Conference of the Society of Industrial and Organizational Psychology, New York City, U.S.A.
  8. Han, S. J. (2001). A study on the relationship between nursing organizational culture and organizational performance. Unpublished doctoral dissertation, Ewha Womans University, Seoul, Korea.
  9. Hong, G. P. (1984). (An) Analytic study on burnout in relation with personal and job related characteristics and social support . Unpublished doctoral dissertation, Yonsei University, Seoul, Korea
  10. Hutton, S., & Gates, D. (2008). Workplace incivility and productivity losses among direct care staff. American Association Health Nurses Journal, 56, 168-175.
  11. Jeong, H. J. (1998). A study on the influence of empowerment on job satisfaction and organizational commitment. Unpublished master's thesis, Seoul National University, Seoul, Korea.
  12. Kanter, R. M. (1979). Power failure in management circuits. Harvard Business Review, 57, 65-75.
  13. Kim, M. J. (2006). Relationship among spiritual well-being, work stress and burnout of nurses in oncology unit. Unpublished master's thesis, Kosin University, Pusan, Korea.
  14. Ko, J. W., & Yom, Y. H. (2003). The role of social support in the relationship between job stress and job satisfaction/organizational commitment. Journal of Korean Academy of Nursing, 33, 265-274.
  15. Kwon, H. J., Kim, H. S., Choe, K. S., Lee, K. S., & Sung, Y. H. (2007). A study on verbal abuse experienced at medical centers. Clinical Nursing Research, 13, 113-124.
  16. Leiter, M. P., Price, S. L., & Spence Laschinger, H. K. (2010). Generational differences in distress, attitudes and incivility among nurses. Journal of Nursing Management, 18, 970- 980. http://dx.doi.org/10.1111/j.1365-2834.2010.01168.x
  17. Liou, S. R., & Grobe, S. J. (2008). Perception of practice environment, organizational commitment, and intention to leave among Asian nurses working in U.S. hospitals. Journal for Nurses in Staff Development, 24, 276-282. http://dx.doi. org/10.1097/01.NND.0000342235.12871.ba
  18. Malakh-Pines, A., Aronson, E., & Kafry, D. (1981). Burnout: From tedium to personal growth. New York, NY: Free Press.
  19. McKenna, B. G., Smith, N. A., Poole, S. J., & Coverdale, J. H. (2003). Horizontal violence: Experiences of registered nurses in their first year of practice. Journal of Advanced Nursing, 42, 90-96. http://dx.doi.org/10.1891/1078-4535.17.2.80.
  20. McNamara, S. A. (2012). Incivility in nursing: Unsafe nurse, unsafe patients. AORN Journal, 95, 535-540. http://dx.doi. org/10.1016/j.aorn.2012.01.020.
  21. Meyer, J. P., Allen, N. J., & Smith, C. A. (1993). Commitment to organizations and occupations: Extension and test of a three-component conceptualization. Journal of Applied Psychology, 78, 538-551. http://dx.doi.org/10.1177/10384 11110378957
  22. Miller, L., Ressor, K., McCarrey, M., & Leikin, L. (1995). Nursing burnout. Employee Assistance Quarterly, 10, 29-52. http:// dx.doi.org/10.1300/J022v10n04_03
  23. Oore, D. G., Leblanc, D., Day, A., Leiter, M. P., Spence Laschinger, H. K., Price, S. L., et al. (2010). When respect deteriorates: Incivility as a moderator of the stressor-strain relationship among hospital workers. Journal of Nursing Management, 18, 878-888. http://dx.doi.org/10.1111/j.1365- 2834.2010.01139.x
  24. Park, H. H., Park, K. S., Yom, Y. H., & Kim, K. H. (2006). Impact of clinical nurses' power and empowerment on job satisfaction and organizational commitment. Journal of Korean Academy of Nursing, 36, 244-254.
  25. Smith, L. M., Andrusysayn, M. A., & Spence Laschinger, H. K. (2010). Effects of workplace incivility and empowerment on newly-graduated nurses' organizational commitment. Journal of Nursing Management, 18, 1004-1015. http://dx. doi.org/10.1111/j.1365-2834.2010.01165.x
  26. Spence Laschinger, H. K., Finegan, J., & Wiil, P. (2009). New graduate burnout: The impact of professional practice environment, workplace civility, and empowerment. Nursing Economics, 27, 377-383. http://dx.doi.org/10.1111/j.1365-2834. 2009.01046.x
  27. Spreitzer, G. M. (1995). Psychological empowerment in the workplace: Dimensions, measurement, and Validation. Journal of Academy of Management, 3, 1442-1465. http://dx.doi.org/ 10.2307/256865

Cited by

  1. Psychometric properties of the Korean version of the incivility in nursing education-revised (INE-R) survey vol.18, pp.4, 2016, https://doi.org/10.1111/nhs.12285
  2. Validity and Reliability of the Korean Version of a Tool to Measure Uncivil Behavior in Clinical Nursing Education vol.22, pp.4, 2016, https://doi.org/10.5977/jkasne.2016.22.4.537
  3. A model of workplace incivility, job burnout, turnover intentions, and job performance vol.35, pp.10, 2016, https://doi.org/10.1108/JMD-09-2015-0138
  4. Incivility experiences of nursing students in South Korea vol.25, pp.2, 2018, https://doi.org/10.1177/0969733016684546
  5. Factors affecting Organizational Commitment of General Hospital Nurses in Small and Medium Sized Cities vol.25, pp.1, 2019, https://doi.org/10.11111/jkana.2019.25.1.14
  6. 임상간호사의 감정노동, 긍정자원 및 직무소진에 대한 연구 vol.16, pp.2, 2013, https://doi.org/10.5762/kais.2015.16.2.1273
  7. 의료기관 종사자의 조직효과성 관련요인에 관한 메타분석 vol.10, pp.4, 2013, https://doi.org/10.12811/kshsm.2016.10.4.037
  8. 임상실습 중 간호대학생이 경함하는 무례함, 소진, 전공만족도 및 자기효능감과의 관계 vol.15, pp.1, 2013, https://doi.org/10.14400/jdc.2017.15.1.339
  9. 사회적 자본, 업무강도, 무례함이 아동간호사의 직무소진에 미치는 영향 vol.23, pp.1, 2017, https://doi.org/10.4094/chnr.2017.23.1.61
  10. 병원간호사가 경험하는 무례함이 직무 스트레스에 미치는 영향과 자기효능감의 조절효과 vol.23, pp.1, 2013, https://doi.org/10.11111/jkana.2017.23.1.8
  11. 간호대학생이 임상실습에서 경험하는 무례함, 소진, 대처와 임상실습만족도의 관계 vol.18, pp.1, 2017, https://doi.org/10.5762/kais.2017.18.1.316
  12. 간호사의 직장 내 괴롭힘 경험에 따른 조직문화, 조직몰입의 비교 vol.26, pp.3, 2017, https://doi.org/10.5807/kjohn.2017.26.3.197
  13. 치과위생사가 근무지에서 경험하는 무례함과 이직의도의 관련성 vol.17, pp.5, 2013, https://doi.org/10.13065/jksdh.2017.17.05.779
  14. 간호대학생이 임상실습에서 경험하는 무례함, 대처, 진로정체감 및 소진의 관계 vol.8, pp.12, 2013, https://doi.org/10.15207/jkcs.2017.8.12.407
  15. Meta-Analysis of the Correlation Effects between Empowerment and Related Factors among Nurses vol.23, pp.10, 2013, https://doi.org/10.9708/jksci.2018.23.10.157
  16. Impact of workplace incivility in hospitals on the work ability, career expectations and job performance of Chinese nurses: a cross-sectional survey vol.8, pp.12, 2013, https://doi.org/10.1136/bmjopen-2018-021874
  17. Workplace incivility, work engagement, and turnover intentions: Multi-group analysis vol.7, pp.1, 2013, https://doi.org/10.1080/23311908.2020.1743627
  18. 병원 간호사가 경험하는 무례함과 전문직 삶의 질 관계에서 조직시민행동의 매개효과에 관한 융합연구 vol.18, pp.1, 2013, https://doi.org/10.14400/jdc.2020.18.1.177
  19. Impact of workplace incivility on compassion competence of Korean nurses: Moderating effect of psychological capital vol.28, pp.3, 2013, https://doi.org/10.1111/jonm.12982
  20. Exploring the influence of workplace violence and bystander behaviour on patient safety in Korea: A pilot study vol.28, pp.3, 2013, https://doi.org/10.1111/jonm.12991
  21. 간호대학생의 자기효능감, 임상실습에서 경험하는 무례함, 진로정체감이 전문직관에 미치는 영향 vol.10, pp.9, 2013, https://doi.org/10.22156/cs4smb.2020.10.09.102
  22. Factors related to nursing performance in South Korean intensive care units vol.26, pp.6, 2013, https://doi.org/10.1111/ijn.12874
  23. Drivers or Drifters? The “Who” and “Why” of Leader Role Occupancy-A Mixed-Method Study vol.12, pp.None, 2013, https://doi.org/10.3389/fpsyg.2021.573924
  24. Workplace and classroom incivility and learning engagement: the moderating role of locus of control vol.17, pp.1, 2013, https://doi.org/10.1007/s40979-021-00071-z