Advanced Practice Nurses' Organization Commitment: Impact of Job Environment, Job Satisfaction, and Person-Organization Fit

IF 2.1 3区医学 Q2 NURSING Asian Nursing Research Pub Date : 2023-05-01 DOI:10.1016/j.anr.2023.03.002

Yeon Hee Kim , Soo Il Shin , Hye-Kyung Kim , Myunghee Jun , Michael Wreen

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引用次数: 5

Abstract

Purpose

The demand for advanced practice nurses (APNs) has increased globally due to a shortage of physicians and an increased demand for high-quality healthcare. Research is needed on the enhancement of advanced practice nurses' organization commitment. Organization commitment (OC) directly impacts the retention of APNs. This study aims to identify the key factors affecting the OC of advanced practice nurses.

Method

A cross-sectional survey was conducted at the largest hospital in South Korea. A total of 189 APNs answered survey questions. A partial least squares-structural equation modeling method was employed to analyze the survey responses.

Results

A pay scale of APNs is positively associated with person-organization fit (POF). However, the effect of job location and computer self-efficacy on POF is not significant. Job satisfaction plays a salient direct role in supervision and POF. Job satisfaction is also a significant moderator in the relationship between supervision and POF. POF is significantly associated with both OC and supervision. Supervision has a positive effect on organization commitment.

Conclusions

Pay scale, job satisfaction, supervision, and POF are significant factors affecting organization commitment. Establishing an intra-organization entity, such as APN steering committee, to ensure mutual consensus and transparent communication between administrators and APNs would enhance POF, the rating of supervision, and organization commitment.

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高级执业护士组织承诺:工作环境、工作满意度和个人与组织契合度的影响

目的由于医生短缺和对高质量医疗保健的需求增加，全球对高级执业护士（APN）的需求增加。需要研究如何增强高级实习护士的组织承诺。组织承诺（OC）直接影响APN的保留。本研究旨在找出影响高级实习护士OC的关键因素。方法在韩国最大的医院进行横断面调查。共有189个APN回答了调查问题。采用偏最小二乘结构方程建模方法对调查响应进行分析。结果APN的薪酬水平与人-组织匹配度呈正相关。然而，工作地点和计算机自我效能感对POF的影响并不显著。工作满意度在监督和POF中起着显著的直接作用。工作满意度也是监督和POF之间关系的重要调节因素。POF与OC和监督密切相关。监督对组织承诺有积极影响。结论支付量表、工作满意度、监督和POF是影响组织承诺的重要因素。建立一个组织内实体，如APN指导委员会，以确保管理员和APN之间的相互共识和透明沟通，将增强POF、监督评级和组织承诺。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Asian Nursing Research NURSING-

CiteScore

4.20

自引率

4.50%

发文量

审稿时长

45 days

期刊介绍： Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.