Perspect Nurs Sci.  2014 Apr;11(1):49-62.

A Review of Research on Evaluation Indexes and Determinants of Organizational Effectiveness of Hospital Nursing Organizations

  • 1Assistant Professor, Department of Nursing, Busan Institute of Science and Technology, Busan, Korea.
  • 2Professor, College of Nursing, Seoul National University, Seoul, Korea.


The purpose of this study was to review journal articles, master's theses, and doctoral dissertations on organizational effectiveness in hospital nursing organizations in order to identify evaluation indexes, determinants, and overall trends and to suggest strategies for improvements.
A total of forty-one papers on organizational effectiveness in hospital nursing organizations were reviewed.
These papers were journal articles, master's theses and doctoral dissertations regarding nurses who worked in general hospitals and university hospitals, excluding special hospitals (ie. armed forces hospitals, mental hospitals). The review of literature identified 18 operational definitions (evaluation indexes) and 36 significant determinants of organizational effectiveness in hospital nursing organizations. The operational definitions were measured by using 46 instruments.
The study findings provide data on recent trends in organizational effectiveness; it also serves as basic evidence for the need to improve organizational effectiveness in hospital nursing organizations as well as indicates directions for future research.


Review; Hospitals; Nursing organization; Organizational effectiveness

MeSH Terms

Evaluation Studies as Topic*
Hospitals, General
Hospitals, Psychiatric
Hospitals, Special
Hospitals, University



1. Shortell SM, Kaluzny AD. Health care management: Organization, design, and behavior. 4th ed.New York: Cengage Learning;c1994.
2. Aiken LH, Clarke SP, Sloane DM. Hospital staffing, organization, and qualityof care: cross-national findings. Int J Qual Health Care. 2002; 14(1):5–13.
3. Etzioni A. Modernorganization. New Jersey: EnglewoodCliffs;1964.
4. Min J. [The Theory of Organizational management]. 4th ed.Seoul: Dae Young Co.;2012.
5. LeeYS.The effect of followership programonnurse's followership and organizational effectiveness [dissertation]. Jinju: Gyeongsang National University;2011.
6. Cho MR. Relationship of nurses' teamwork to organizational effectivenessat hospital [master's thesis]. Busan: CatholicUni-versity of Pusan;2012.
7. Park JH.Theinfluential factors internalmarketing activities of nurse's organizational effectiveness and customer orientation [master's thesis]. Seoul: Kyung Hee University;2012.
8. Kang YY. The influence of nurse manager's servant leadership on organization effectiveness [master's thesis]. Seoul: Kyung Hee University;2009.
9. Yom YH, Yee JA, Ko JW. The effect of job stress and organizational climate on the organizational effectiveness of hospital nurses. J Korean Acad Nurs Adm. 2002; 8(4):605–14.
10. Mowday RT, Steers RM, Porter LW. The measurement of organizational commitment. J Vocat Behav. 1979; 14(2):224–47.–8791(79)90072–1.
11. Stamps PL, Piedmont EB, Slavitt DB, Haase AM. Measurement of work satisfaction among health professionals. Med Care. 1978; 16(4):337–52.
12. Eun KS. A study on the influencing factors of organizational commitment and turnover intention related tothe equity perception of the personnel of mental hospitals [master's thesis]. Seoul: Yonsei University;2002.
13. Choi J. The character of the nursing organizational culture and organizational effectiveness [dissertation]. Seoul: Korea University;2003.
14. Jung BN. A study of the empowerment of nurses and organizational effect [master's thesis]. Changwon: Changwon University;2009.
15. Lim JY, Kim MS, Kim YH.The effects of job characteristics on the nursing organizational effectiveness. J Korean Acad Nurs Adm. 2008; 14(2):107–17.
16. Moon JY. Nurses's job characteristics influencing on the organizational effectiveness [master's thesis]. Seoul: Kyung Hee University;2010.
17. Choi J, Ha NS, Park JW. There lationship between managerial characteristics of the nursing organization and organizational effectiveness. J Korean Acad Nurs Adm. 2003; 9(4):625–39.
18. Yoon SH. A model for organizational effectiveness in nursing unit. J Korean Acad Nurs Adm. 2000; 8(3):457–74.
19. Han JY. The impact of the followership on the organizational effectiveness in nursing organization [dissertation]. Daegu: Kyungpook National University;2006.
20. Lee MH. Relationship between organizational culture types and organizational effectiveness in hospitals [dissertation]. Daejeon: Chungnam National University;1998.
21. ShinHJ.Relationshipbetweenorganizationalcultures andor-ganizational effectiveness in small to medium sized Hospitals [master'sthesis]. Gwangju: ChonnamNationalUniversity;2003.
22. Dalton DR, Todor WD, Spendolini MJ, Fielding GJ, Porter LW. Organizational structure and performance: a critical review. Acad Manage Rev. 1980; 5(1):49–54.
23. Goodman PS, Pennings JM. New perspectives on organizational effectiveness. San Francisco: Jossey-Bass;1977.
24. Draft RL. Understanding the theory and design of organizations. 10th ed.[place unknown]: Cengage Learning;2012.
25. Min J. A review of conceptualizations and re-conceptualizations of organizational effectiveness. Korea Public Adm Rev. 2003; 37(2):83–105.
26. Szilagyi AD, Wallace MJ. Organizational behavior and performance. 5th ed.Glenview: Scott Foresman;1990.
27. Smit PJ, Cronje GJ, de J. Management principles. 2nd ed.Kenwyn: Juta & Co, Ltd;1999.
28. Albert M. Developing a service-oriented health care culture. Hosp Health Serv Adm. 1989; 34(2):167–83.
29. Gujarati DN, Porter DC. Basic economics. 5th ed.Irwin: Mc-Graw-Hill;2010.
30. Kim JH, Astudy on theeffects of nursing administrator's transformational leadership and member's maturity on organizationaleffectiveness [master's thesis]. Jeonju: ChonbukNation-al University;2010.
31. Kang KH, Song GJ. The effect of learning organization construction and learning orientationonorganizational effectiveness among hospital nurses. J Korean Acad Nurs Adm. 2010; 16(3):267–75.
32. Lee BJ.Astudyontheeffectsof the jobstressonthe organizational effectiveness [master's thesis]. Daejeon: Hannam University;2000.
33. Lee KH, Choi OJ. Relationship among leadership, organizational culture, cultural strength and organizational effectiveness of nursing units in university hospitals. Korean J Hosp Manag. 2001; 6(4):1–29.
34. Park IS.Studyinleadershiptype of chief nurses and effectiveness of organization: focused on C hospital [master's thesis]. Seoul: Yonsei University;2010.
35. Lim KM.The effects of self-Leadershipand self-efficacy on organizational effectiveness and organizational citizenship behavior [dissertation]. Busan: Koshin University;2012.
36. Shin ES, Ahn SH. Perception of management by objectives and organizational effectiveness among clinical nurses. J Korean Acad Nurs Adm. 2008; 14(3):278–86.
37. Lee YM. The relationship between nursing performance and organizationaleffectiveness [master's thesis]. Gwangju: Chonnam National University;2006.
38. Woo JH. The effect of justice recognition for compensation on the organizational effectiveness: focused on the nursing organizations [master's thesis]. Seoul: Sahmyook University;2004.
39. Jeong SH. The effect of learning organization on organizationaleffectiveness innurses [dissertation]. Seoul: Yonsei University;2003.
40. Jeong SH. Relationship between knowledge management process and organizational effectiveness in clinical nurses. J Korean Acad Nurs Adm. 2003; 9(3):415–27.
41. Choi J, Ha NS, Park HM. The relationship between 7S factors of the nursing organizationalculture andorganizationaleffectiveness. J Korean Acad Nurs Adm. 2004; 10(2):255–64.
42. Yoon SH. The effect of clinical nurse's personality on job stress and organizational effectiveness. J Korean Acad Nurs Adm. 2002; 8(4):595–603.
43. Shin HS.Astudy on the relationshipbetween professionalism and organizational effectiveness of clinic nurses' [master's thesis]. Seoul: Hanyang University;2009.
44. Yoon SH. The effects of organizational managerial characteristics and job characteristics on job stress and job effectiveness: a survey on clinical nurses.Korean J IndOrgan Psychol. 2004; 17(3):451–66.
45. Kim BM, Lee YM, Yoon SH, Choi EO. A study of the head nurse's leadership and the organizational effectiveness as perceived by staff nurses. J Korean Acad Nurs Adm. 2007; 13(3):373–83.
46. Park WY. The influence of organization citizenship behavior in the relation of justice and organizational effectiveness per-ceivedbynurses [master's thesis]. Busan: InjeUniversity;2005.
47. Lim JY. A path analysis among the internal marketing activities, motivation, and nursing organizational effectiveness. J Korean Acad Nurs Adm. 2005; 11(4):371–84.
48. Jung YM. A correlation studyon power base, communication type and organizational effectiveness within hospital nursing organization [master'sthesis]. Seoul: Hanyang University;1997.
49. LeeM J. Astudy onleadershiptypeof immediatesenior officer and effectiveness of nursing system [master's thesis]. Seoul: Kyung Hee University;1999.
50. Kim MH. A study on the effects of nursing leadership type of nurse team on effectiveness of organization [master's thesis]. Sunchon: Sunchon National University;2007.
51. Cho CH, Kim MS. An effect of nurses' job stress on job burnout and job effectiveness: focusing on large-sized hospital in Daegu·Gyeongbuk area.Health Serv Manag Rev. 2011; 5(1):1–13.
52. Kim JK. Determinants of organizational effectiveness on hospital nursing [dissertation]. Seoul: Seoul National University;2005.
53. Kim JH, Park SA. The relationship between coping strategies and a nursing organizational effectiveness in staff nurses. J Korean Acad Nurs Adm. 2002; 8(1):97–105.
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