STAFF NURSE DECISIONAL INVOLVEMENT IN SOUTH KOREA: THE CONCEPT, MEASUREMENT, AND INFLUENCE OF NURSE DECISIONAL INVOLVEMENT ON NURSE JOB SATISFACTION, ORGANIZATIONAL COMMIMENT, AND TURNOVER INTENTION
Public Deposited- Last Modified
- March 20, 2019
- Creator
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Lee, Jumi
- Affiliation: School of Nursing
- Abstract
- Improving nurse work environment is essential to address the issue of increased staff nurse turnover. Staff nurse decisional involvement has been studied in terms of improving nurse work environment and reducing staff nurse turnover. Thus, nursing management’s involving staff nurse in decisions at their working unit level would be a good strategy to improve the nurse work environment and reduce staff nurse turnover. This dissertation is composed of three separate studies: The purpose of chapter two was to define the concept, theoretical framework, and related factors of staff nurse decisional involvement and to identify knowledge gaps in staff nurse decisional involvement in English-speaking, Western versus non-English-speaking, Asian countries. A total of 16 articles were selected from 102 articles originally retrieved to fill the knowledge gaps in staff nurse decisional involvement using the PRISMA method. The conceptual framework of staff nurse decisional involvement based on the content and context of nursing practice framework was defined, and the findings showed that staff nurses actually were less involved in decisions than they preferred in to be both Western and Asian countries. The purpose of chapter three was to translate the English Decisional Involvement Scale (DIS) (Havens & Vasey, 2003) into Korean (K-DIS) for use in South Korea. The DIS was refactored so that K-DIS was a five-factor, 19-item measure: Resources and Support Staff, Collaboration/Liaison Activities, Professional Practice Scope and Workforce for Quality of Care, RN Recruitment, and Leadership. The instrument demonstrated good reliability, but its validity was not strongly supported. Thus, further research on assessing the construct validity of the K-DIS is necessary. The purpose of chapter four was to examine the influence of staff nurse decisional involvement on nurse job satisfaction, organizational commitment, and turnover intention. A descriptive correlational design was used to analyze of the data (n=300) from staff nurses working in two university hospitals (i.e., two urban, academic medical centers) in South Korea. The results show that Korean staff nurses prefer more decisional involvement than they actually experienced. The dissonance between the actual and preferred levels was negatively correlated with nurse job satisfaction (rs= -.33, p<.0001) and organizational commitment (rs= -.24, p<.0001). In addition, it was positively correlated with staff nurse turnover intention (rs= .30, p<.0001). Staff nurses’ low decisional involvement in actuality means that staff nurses’ opinions are not reflected in nursing administration decisions to improve the nurse work environment and nursing policies; this may influence increasing nurse turnover. The clarity of the conceptual framework of the DIS will guide nurse administrators and researchers to apply the results of the K-DIS in nursing administration in South Korea. Further study is necessary to improve the construct validity of the K-DIS and to identify positive outcomes of staff nurse decisional involvement in nursing administration in South Korea.
- Date of publication
- August 2016
- Keyword
- DOI
- Resource type
- Rights statement
- In Copyright
- Advisor
- Sherwood, Gwen
- Havens, Donna
- Lynn, Mary
- Schwartz, Todd
- Yom, Young-Hee
- Degree
- Doctor of Philosophy
- Degree granting institution
- University of North Carolina at Chapel Hill Graduate School
- Graduation year
- 2016
- Language
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This work has no parents.
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