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KMID : 0614820050110020066
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Journal of Korean Academy of Nursing Administration
2005 Volume.11 No. 2 p.66 ~ p.76
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A Study on the Nursing Organizational Change and Outcome in a General Hospital
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Kim Bok-Ja
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Abstract
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Purpose : The purpose of this study was to confirm the change of nursing organizational characteristics and to define the difference of organizational outcome by measuring the organizational commitment and job satisfaction perceived
by nursing staffs and patient satisfaction before and after organizational redesign.
Methods : The structured questionnaires of which contained organizational characteristics, organizational commitment and job satisfaction were developed from previous published studies after modification by researcher. The questionnaires were distributed to 1,200 and 679 nurses before and after nursing organizational change. patient satisfaction were measured before and after organizational change by direct interview with structured questionnaire from 1,566 and 1,291 patients.
Results : 1. The organizational characteristics were significantly increased and the leadership of team leader and head nurse was significantly increased among the factors of organizational characteristics. 2. Organizational commitment was showed decreased tendency, but the difference was not significant. Job satisfaction was increased significantly and administration, autonomy, and job tasks were increased significantly in the factors of job satisfaction. Patient satisfaction
was also increased significantly. 3. There was significant positive correlation between organizational commitment
and job satisfaction and also job satisfaction and nursing organizational characteristics. All factors of organizational
characteristics and satisfaction in present working unit were major factors to influence organizational commitment
and explained 43.8% in a significant level by multiple regression analysis. The major factor which affect job satisfaction
were the factors of nursing organizational charac- teristic except ‘interaction with team leader’ and satisfaction in present working unit among general characteristics and these factors explained 58.8% of job satisfaction.
Conclusion : In conclusion, the nursing organizational change was very effective to bring about desirable change in nursing organizational characteristics and also to improve job satisfaction and patient satisfaction. Therefore the nursing productivity and comparability would be increased when the nursing organizational change is accomplished by the way of improving the factors of organizational characteristics and it would be followed by the promotion of job satisfaction and organizational commitment.
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KEYWORD
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Organizational change, Job satisfaction, Patient satisfaction
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