Relationship of job satisfaction with perceived organizational support and quality of care among South Korean nurses: A questionnaire survey
Relationship of job satisfaction with perceived organizational support and quality of care among South Korean nurses: A questionnaire survey
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DOI：
10.1016/j.ijnurstu.2010.02.014
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发表时间：
2010-10-01
影响因子：
8.1
通讯作者：
Eun-Jung, Cho
中科院分区：
文献类型：
--
作者：
Kwak, Chanyeong;Chung, Bok Yae;Eun-Jung, Cho
背景资料：国际医院结果研究发现，组织/管理支持护理有显着的效果，护士的工作不满，倦怠和护理质量。然而，这些研究结果尚未在非西方国家使用相同的研究方法和工具进行验证。目的：本研究的目的是：（a）研究韩国护士报告的工作满意度和职业倦怠、组织支持和护理质量之间的关联，（B）通过多变量建模确定韩国护士工作满意度的最佳预测因素;（c）比较本研究与国际医院结果研究的结果。研究方法：本重复研究采用横断面调查设计。国际医院结局研究（IHOS）中使用的宾夕法尼亚州注册护士调查对韩国23家急性医院的496名注册护士进行了调查。结果：工作不满意度与职业倦怠总分（r = 0.42，p <0.001）和缺乏组织支持（r = 0.36，p <0.001）呈正相关。多变量分析发现，工作满意度与总倦怠得分、组织支持量和对护士身份的满意度在0.05水平上显著相关，比值比分别为0.92（p <0.001）、1.04（p <0.01）和11.93（p <0.001）。韩国护士报告低质量的护理在他们的实践设置和不太有信心，他们的病人出院后的自我管理能力。尽管病人与护士的比例很高，（每名护士22名患者），韩国护士的工作满意度较高（68.8%）和较低的倦怠得分（35.7）高于国际医院结局研究中的同行。高病人与护士的比例使韩国护士能够专注于技术性更强的任务，从而减少压力，并因此获得更高的工作满意度。这也导致韩国护士对病人出院后的自理能力缺乏信心。韩国护士也应该有机会提高自己的专业水平，并承认他们的能力，同时给予更多的责任，在他们的病人的护理临床决策。(C)2010爱思唯尔有限公司版权所有。
Background: The International Hospital Outcomes Study found that organizational/managerial support for nursing has a pronounced effect on nurses' job dissatisfaction, burnout and quality of care. However, these findings have not been validated in non-Western countries using the same study method and instrument.Objectives: The objectives of this study were to: (a) examine associations between job satisfaction and burnout, organizational support and quality of care reported by South Korean nurses, (b) identify the best predictors of job satisfaction among South Korean nurses through multivariate modeling and (c) compare findings of this study with those from the International Hospital Outcomes Study.Research method: This replication study used a cross-sectional survey design. The Pennsylvania Registered Nurse Survey used in the International Hospital Outcomes Study (IHOS) was administered to 496 registered nurses working at 23 acute hospitals in South Korea. A statistical model of job satisfaction was developed using logistic regression.Results: Job dissatisfaction was positively correlated to total burnout scores (r = .42, p < .001) and lack of organizational support (r = .36, p < .001). Multivariate analysis found that job satisfaction was significantly associated at the level of 0.05 with total burnout scores, amount of organizational support and satisfaction with nurse identity, with odds ratios of .92 (p < .001), 1.04 (p < .01) and 11.93 (p < .001), respectively. Korean nurses reported low quality of care in their practice setting and were less confident in their patients' ability of self-management after discharge. Yet despite a high patient-to-nurse ratio (22 patients per nurse), Korean nurses had a higher job satisfaction rate (68.8%) and lower burnout scores (35.7) than their counterparts in the International Hospital Outcomes Study.Conclusion: The high patient-to-nurse ratio allows South Korean nurses to focus on more technical tasks that give less stress and have higher job satisfaction because of it. However, this also leads to the South Korean nurses having less confidence in their patient's ability to take care of themselves upon discharge. South Korean nurses should also be given opportunity to advance themselves professionally and be recognized for their abilities while being given more responsibility for the clinical decision making in their patient's care. (C) 2010 Elsevier Ltd. All rights reserved.