임상간호사의 간호근무환경과 간호업무성과 간의 관계에서 의사소통능력과 조직공정성의 매개효과

The Mediating Effects of Communication Ability and Organizational Justice on the Relationship between Nursing Work Environment and Nursing Performance in Clinical Nurses

Purpose : This present study investigated communication ability, organizational justice, and their mediating effects on the relationship between nursing work environment and nursing performance among clinical nurses. Methods : This cross-sectional study included 192 participants. Data were collected between May 1 to May 24, 2023 using a structured questionnaire and analyzed using SPSS 25.0 and SPSS PROCESS Macro (4.0). Results : The mean score for nursing performance was 3.77±0.49 (range 1∼5). Nursing performance was significantly associated with the nursing work environment (r＝.39, p＜.001), communication ability (r＝.68, p＜.001), and organizational justice (r＝.49, p＜.001). Using PROCESS macro model 4, nursing work environment was found to directly affect nursing performance (β＝.39, p＜.001). Additionally, nursing work environment directly affected nurses’ communication ability (β＝.49, p＜.001) and organizational justice (β＝.50, p＜.001). The full mediating effect of communication ability(β＝.08, p＝.214, 95% bootstrap. CI: 0.25∼0.45), and organizational justice (β＝.20, p＝.006, 95% bootstrap. CI: 0.13∼0.32) partial mediation effect on nursing work environment and nursing performance. Conclusion : Communication ability and organizational justice in Clinical Nurses should be considered when developing nursing interventions to enhance nursing work environments and improve nursing performance.