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Factors related to Nurses¡¯ Patient Identification Behavior and the Moderating Effect of Personorganization Value Congruence Climate within Nursing Units

Journal of Korean Academy of Nursing 2014³â 44±Ç 2È£ p.198 ~ 208
KMID : 0806120140440020198
±è¿µ¹Ì ( Kim Young-Mi ) - ¼­¿ï´ëÇб³º´¿ø °£È£ºÎ

°­½Â¿Ï ( Kang Seung-Wan ) - Seoul National University Medical Research Center Institutes of Complementary and Integrative Medicine
±è¼¼¿µ ( Kim Se-Young ) - Ã¢¿ø´ëÇб³ °£È£Çаú

Abstract

Purpose: This research was an empirical study designed to identify precursors and interaction effects related to nurses¡¯ patient identification behavior. A multilevel analysis methodology was used.

Methods: A self-report survey was administered to registered nurses (RNs) of a university hospital in South Korea. Of the questionnaires, 1114 were analyzed.

Results:The individual-level factors that had a significantly positive association with patient identification behavior were person-organization value congruence, organizational commitment, occupational commitment, tenure at the hospital, and tenure at the unit. Significantly negative group-level precursors of patient identification behavior were burnout climate and the number of RNs. Two interaction effects of the person-organization value congruence climate were identified. The first was a group-level moderating effect in which the negative relationship between the number of RNs and patient identification behavior was weaker when the nursing unit¡¯s value congruence climate was high. The second was a cross-level moderating effect in which the positive relationship between tenure at the unit and patient identification behavior was weaker when value congruence climate was high.

Conclusion: This study simultaneously tested both individual-level and group-level factors that potentially influence patient identification behavior and identified the moderating role of person-organization value congruence climate. Implications of these results are discussed.
KeyWords
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Patient safety, Identification, Behavior, Social value, Multilevel analysis
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