J Korean Acad Nurs Adm.  2011 Sep;17(3):357-367.

Influence of Decentralization, Participation in Decision Making, Job Satisfaction on Nurse Managers' Organizational Commitment

• Yu M
• Kim K

Abstract

PURPOSE
The purpose of this study was to examine the influence of decentralization, participation in decision making, job satisfaction on organizational commitment among hospital nurse managers.
METHODS
The data were derived from the self-reported questionnaire responses of 198 nurse managers from January to March, 2006 at four general hospitals over 900 beds in Seoul and Gyungi province and analyzed by frequency and percentage, t-test, ANOVA and Sheffe's test and stepwise multiple regression.
RESULTS
Mean of decentralization was 3.53+/-0.52, participation in decision making was 5.04+/-0.83, job satisfaction 3.54+/-0.48, and organizational commitment was 5.30+/-0.76. There were significant differences between participation in decision-making and career of manager, field of practice, span of control, especially in staffing decision. A significant correlation was found between organizational commitment and decentralization (r=.22, p<.001), participation in decision making (r=.40, p<.001), job satisfaction (r=.64, p<.001). The job satisfaction has the highest significant predictor of organizational commitment (R2=43%).
CONCLUSIONS
Nursing managers' job satisfaction and organizational commitment will be promoted by granting participation in decision-making.

Keyword

Decentralization; Decision making; Job satisfaction; Organizational commitment

MeSH Terms

Decision Making
Financing, Organized
Hospitals, General
Humans
Job Satisfaction
Nurse Administrators
Politics
Surveys and Questionnaires