2020 Volume 24 Issue 1 Pages 1-10
[Objective] The purpose of this study was to establish a scale for the extent of participation in hospital management by nurses employed at municipal DPC hospitals and to evaluate the reliability and validity of the scale.
[Method] This survey was conducted with 1419 nurses from four institutions. The extent of participation in hospital management by nurses was analyzed by an investigation of the survey items followed by exploratory factor analysis and confirmatory factor analysis. A multiple regression analysis was performed with the basic attributes and the values in the work of nurses and level of satisfaction by Nakayama (2001) as related factors.
[Result] There were 579 effective responses (40.8%) in this survey. The extent of participation in hospital management by nurses constituted 24 items of the seven factors, which were understanding the management index of the institution, understanding the financial circumstances and medical fee system, awareness of the contribution as a member of the organization, motivation for learning about hospital management, cost-conscious efforts, involvement in the organizational target, and effort for higher work efficiency. The reliability coefficient α was 0.853, and the suitability of the model was GFI=0.890, AGFI=0.865, RMSEA=0.065. Also, the extent of participation in hospital management by nurses was significantly related to the factors of self-fulfillment as a nurse.
[Conclusion] The extent of participation in hospital management by nurses constituted 24 items of the seven factors with confirmed reliability and validity.
