Yoon Goo Noh; Myun Sook Jung

doi:10.4040/jkan.2016.46.6.824

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Original Article
Path analysis of the Influence of Hospital Ethical Climate Perceived by Nurses on Supervisor Trust and Organizational Effectiveness: Yoon Goo Noh, Myun Sook Jung; Journal of Korean Academy of Nursing 2016;46(6):824-835.
DOI: https://doi.org/10.4040/jkan.2016.46.6.824
Published online: December 30, 2016

¹Department of Nursing, Changwon National University, Changwon, Korea.

²College of Nursing·Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.

Address reprint requests to: Jung, Myun Sook. College of Nursing, Gyeongsang National University, 15, Jinju-daero 816beon-gil, Jinju, Gyeongsangnam-do, 52727, Korea. Tel: +82-55-772-8256, Fax: +82-55-751-8711, msjung@gnu.ac.kr

• Received: November 30, 2015 • Revised: August 17, 2016 • Accepted: September 7, 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The purpose of this study was to analyze the paths of influence that a hospital's ethical climate exerts on nurses' organizational commitment and organizational citizenship behavior, with supervisor trust as the mediating factor, and verify compatibility of the models in hospital nurses.
Methods
The sample consisted of 374 nurses recruited from four hospitals in 3 cities in Korea. The measurements included the Ethical Climate Questionnaire, Supervisor Trust Questionnaire, Organizational Commitment Questionnaire and Organizational Citizenship Behavior Questionnaire. Ethical Climate Questionnaire consisted of 6 factors; benevolence, personal morality, company rules and procedures, laws and professional codes, self-interest and efficiency. Data were analysed using SPSS version 18.0 and AMOS version 18.0.
Results
Supervisor trust was explained by benevolence and self-interest (29.8%). Organizational commitment was explained by benevolence, supervisor trust, personal morality, and rules and procedures (40.4%). Organizational citizenship behavior was explained by supervisor trust, laws and codes, and benevolence (21.8%).
Conclusion
Findings indicate that managers need to develop a positive hospital ethical climate in order to improve nurses' trust in supervisors, organizational commitment and organizational citizenship behavior.
Keywords: Ethics; Trust; Organizational Efficiency; Nurses

This is manuscript is a condensed form of the first author's doctoral dissertation from Gyeongsang National University.

The authors declared no conflicts of interest.

REFERENCES

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Fig. 1

Conceptual framework.

Fig. 2

Path of modified model.

Table 1

General Characteristics of Participans (N =374)

Table 2

Comparison of Model Fit of Modified Model to Hypothetic Model

GFI=Goodness-of Fit Index; AGFI=Adjusted Goodness-of Fit Index; CFI=Comparative Fit Index; TLI=Turker-Lewis index; RMR=Root Mean Square Residual; RMSEA=Root mean square error of approximation.

Table 3

Standardized Estimates, CR, SMC, Standardized Direct, Indirect, and Total Effect for Modified Model

SE=Standard estimates; CR=Critical ratio; SMC=Squared multiple correlation.

Figure & Data

REFERENCES

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Path analysis of the Influence of Hospital Ethical Climate Perceived by Nurses on Supervisor Trust and Organizational Effectiveness

J Korean Acad Nurs. 2016;46(6):824-835. Published online December 30, 2016

DOI: https://doi.org/10.4040/jkan.2016.46.6.824

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Figure

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Path analysis of the Influence of Hospital Ethical Climate Perceived by Nurses on Supervisor Trust and Organizational Effectiveness

Fig. 1 Conceptual framework.

Fig. 2 Path of modified model.

Fig. 1

Fig. 2

Path analysis of the Influence of Hospital Ethical Climate Perceived by Nurses on Supervisor Trust and Organizational Effectiveness

Table 1

General Characteristics of Participans (N =374)

Table 2

Comparison of Model Fit of Modified Model to Hypothetic Model

GFI=Goodness-of Fit Index; AGFI=Adjusted Goodness-of Fit Index; CFI=Comparative Fit Index; TLI=Turker-Lewis index; RMR=Root Mean Square Residual; RMSEA=Root mean square error of approximation.

Table 3

Standardized Estimates, CR, SMC, Standardized Direct, Indirect, and Total Effect for Modified Model

SE=Standard estimates; CR=Critical ratio; SMC=Squared multiple correlation.

Table 1 General Characteristics of Participans (N =374)

Table 2 Comparison of Model Fit of Modified Model to Hypothetic Model

GFI=Goodness-of Fit Index; AGFI=Adjusted Goodness-of Fit Index; CFI=Comparative Fit Index; TLI=Turker-Lewis index; RMR=Root Mean Square Residual; RMSEA=Root mean square error of approximation.

Table 3 Standardized Estimates, CR, SMC, Standardized Direct, Indirect, and Total Effect for Modified Model

SE=Standard estimates; CR=Critical ratio; SMC=Squared multiple correlation.