J Korean Clin Nurs Res.  2023 Dec;29(3):238-248. 10.22650/JKCNR.2023.29.3.238.

The Impact of Perceived Positive Nursing Organizational Culture and Organizational Communication Satisfaction on Work Engagement among Nurses in Tertiary Hospitals

Affiliations
  • 1RN, Department of Nursing, Asan Medical Center, Seoul, Korea
  • 2Assistant Professor, Department of Clinical Nursing, University of Ulsan Graduate School of Industry, Ulsan, Korea
  • 3Professor, Department of Clinical Nursing, University of Ulsan Graduate School of Industry, Ulsan, Korea

Abstract

Purpose
This study aimed to examine the relationships between positive nursing organizational culture, organizational communication satisfaction, and the level of work engagement among nurses working in tertiary hospitals, as well as to identify influencing factors on work engagement.
Methods
This study used a descriptive research design. Data were collected from 184 general nurses working in four tertiary hospitals in Seoul using self-report questionnaires from March 13 to 30, 2023. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson correlation, and hierarchical regression.
Results
In the hierarchical regression analysis, the variables that significantly influenced work engagement in Model 1 were marital status (β=.26, p=.002), graduate or higher degree (β=.41, p<.001), more than 1 year and less than 3 years (β=.18, p=.030) and 3 years or more but less than 5 years of clinical experience in present hospital (β=.17, p=.023), and satisfaction (β=.27, p=.002) and moderate satisfaction with pay (β=.18, p=.033). In model 2, adding the subdomains of positive nursing organizational culture and organizational communication satisfaction to the Model 1, the variables that had a significant effect on work engagement were trust-based organizational relationships (β=.50, p<.001) and organizational communication satisfaction (β=.25, p=.005).
Conclusion
The results suggest that education level, clinical experience, and satisfaction with pay should be considered to improve nurses' work engagement. In addition, it was identified that organizational relationship based on trust and organizational communication satisfaction are the main influencing factors for improving work engagement.

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