看護師の組織文化に対する認識と離職行動への影響に関する分析  [in Japanese] The Analysis on Nurses\' Turnover to Organizations and their Recognition on Organizational Culture  [in Japanese]

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Abstract

<p>看護師の所属する組織文化の認識が,看護師の定着-離職行動に及ぼす影響を明らかにすることを目的に,北陸3県に立地する400床未満の同意を得られた14病院に勤務する看護師(看護師・保健師・助産師・准看護師を含む)585名に自記式質問紙法により調査を実施した.調査内容は個人属性,定着可能度,組織文化の認識とした.配布数585名のうち回収数475名(回収率81.1%),有効回答数464名(有効回答率79.3%)であった.定着可能度分類による定着可能タイプⅠ群[定着可能群]326名(70.2%)Ⅱ群[定着不安定群]81名(17.5%),Ⅲ群[定着不可能群]57名(12.3%)であった.定着可能度分類と看護師の属性をみると,個人属性と定着可能度別に違いは認められなかった.[定着可能群]は[定着不安定群],[定着不可能群]と比較してそれぞれ組織文化の認識の平均点が高く,組織文化を肯定的に捉える傾向があることが分かった.北陸地区の中小規模病院において,定着を促進するためには仲間意識を持てない看護師,個人能力を尊重してほしいと考える看護師,専門的な科学的根拠や情報分析能力を自己に求めている看護師に対して対策を講じる必要があることが示唆された.また,地域住民の生活に密着した医療が求められる中小規模病院において,どのような専門性を発揮する必要があるのかについて,組織全体として明確にしておくことが看護師の定着を促進すると推察された.</p>

<p><b>Purpose</b>: The purpose of this study was to clarify the relationship between nurses' recognition on organizational culture and turnover patterns to their organization.</p><p><b>Method</b>: A total of 584 nurses from 14 middle size hospitals (less than 400 beds) were asked to respond to a questionnaire. The questionnaire included demographic data, turnover patterns to the organization, and recognition to the organization culture.</p><p><b>Results</b>: A total of 475 (81.1%) out of 584 nurses responded to the questionnaire, and 464 (79.3%) were qualified for study analysis. The subjects were classified into 3 types of organization turnover: type Ⅰ "adherence group" included 326 (70.2%) subjects, type Ⅱ "noncommittal group" included 81 (17.5%) subjects, and type Ⅲ "non-adherence group" included 57 (12.3%) subjects. There were no differences about demographic data among 3 adherence groups. Compare to the noncommittal group and the nonadherence group, the adherence group show higher points on organizational culture.</p><p><b>Conclusion</b>: To facilitate nurses' adherence to the middle size hospitals, it is necessary to take measures to those who cannot have fellowship in the organizational culture, who respect individual ability, who pursuit scientific evidence of care, and who value information analysis skills. In addition as a community based medical facility, a middle size hospital needs to clarify its own specialized area and share the organizational principles with employees so that the nurses can set their own goals as a specialist in the organization.</p>

Journal

  • The Journal of the Japan Academy of Nursing Administration and Policies

    The Journal of the Japan Academy of Nursing Administration and Policies 15(2), 126-134, 2011

    The Japan Academy of Nursing Administration and Policies

Cited by:  1

Codes

  • NII Article ID (NAID)
    130007553816
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    1347-0140
  • Data Source
    CJPref  J-STAGE 
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