Research Article
Year 2025,
Volume: 28 Issue: 2, 140 - 147, 17.06.2025
Abstract
Objective: This study aimed to investigate the effects of nurses' sociodemographic characteristics, professional characteristics, and organizational culture on nurses’ attitudes toward productivity.
Methods: This descriptive and relational study was conducted between January 2018 and April 2018 with 352 nurses who had been working in four hospitals in Istanbul (Türkiye) for at least six months. Data were collected using the “Individual Descriptive Characteristics Form,” the “Denison Organizational Culture Scale,” and the “Attitudes Towards Productivity Scale”. Descriptive statistics, Pearson correlation, and multiple regression analysis (backward method) were used for the analysis of the data.
Results: While the participating nurses’ attitudes towards productivity levels were close to average, their organizational culture levels were moderate. A positive, strong, and highly significant relationship was found between organizational culture and nurses’ productivity attitudes (r=0.61; P <.001). Regression analysis demonstrated that nurses’ productivity attitudes were affected by seven variables (R2: 46, P<.001, Durbin Watson: 1.82).
Conclusion: The results of the study show that the two sub-dimensions of the Denison Organizational Culture Scale, work unit, willingness to work in the unit, workload perception, type of institution, and satisfaction with institution were important factors affecting nurses’ productivity attitudes. Hospital administrators and executive nurses should develop strategies of developing nurses' productivity attitudes by considering organizational culture.
Project Number
Yok
References
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- 2. McHugh ML. Productivity measurement in nursing. Appl Nurs Res. 1989;2(2):99-102. https://doi.org/10.1016/s0897-1897(89)80056-4
- 3. Edwardson SR. Measuring nursing productivity. Nurs Econ. 1985;3(1):9-14. https://pubmed.ncbi.nlm.nih.gov/3918276/
- 4. Öztürk NŞ, Akbulut Y. Determination of nurses' attitudes towards organizational factors affecting workforce productivity. ASHD. 2011;10(1):19-30. https://dergipark.org.tr/en/download/article-file/572957
- 5. Hall LM. Nursing intellectual capital: A theoretical approach for analyzing nursing productivity. Nurs Econ. 2003;21(1):14-19. https://research.ebsco.com/c/3oxw32/viewer/pdf/og27bbiqhv
- 6. Hogan SJ, Coote LV. Organizational culture, innovation and performance: A test of Schein’s model. J Bus Res. 2014;67:1609-1621. https://doi.org/10.1016/j.jbusres.2013.09.007
- 7. Denison DR, Mishra AK. Toward a theory of organizational culture and effectiveness. Organ Sci. 1995;6(2):204-223. https://www.jstor.org/stable/2635122
- 8. Wu MC, Chiang WJ, Chiang SL, Trung PM, Lindayani L. A study on major factors revitalizing nursing staff's work enthusiasm ∼ a cross-national study on organizational culture, organizational empowerment and self-efficacy. Int J Healthc Manag. 2023;16(1):93-103. https://doi.org/10.1080/20479700.2022.2076043
- 9. Kantek, F. Organizational Culture. In: Tatar Baykal, Ü, Ercan Türkmen, E, eds. Nursing Services Management, 1st edition, İstanbul, Akademi Kitabevi;2014: 679- 696.
- 10. Alp FY, Ardahan M. Nursing and organizational culture. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2015;8(4):258-262. https://dergipark.org.tr/tr/download/article-file/753174
- 11. Karatuzla M. The role of executive nurses in the development of organizational culture. IGUSABDER. 2020;11:291-303. https://doi.org/10.38079/igusabder.701491
- 12. Göktepe N, Baykal Ü. Comparing nurses’ attitudes toward productivity with the organizational and managerial structures in hospitals. HEAD. 2012;9(1):16-22. https://jag.journalagent.com/jern/pdfs/JERN_9_1_16_22.pdf
- 13. Chiok Foong Loke, J. Leadership behaviours: effects on job satisfaction, productivity and organizational commitment. J Nurs Manag. 2001;9(4):191-204. https://doi.org/10.1046/j.1365-2834.2001.00231.x 14. McNeese-Smith DK. Staff nurse views of their productivity and nonproductivity. HCMR. 2001;26(2):7-19. https://doi.org/10.1097/00004010-200104000-00002
- 15. Nayeri N, Salehi T, Ali Asadi Noghabi A. Quality of work life and productivity among Iranian nurses. Contemp Nurse. 2011; 39(1), 106-118. https://doi.org/10.5172/conu.2011.39.1.106
- 16. Wright S, McSherry W. Evaluating the productive ward at an acute NHS trust: experiences and implications of releasing time to care. J Clinl Nurs. 2014;23(13-14):1866-1876. https://doi.org/10.1111/jocn.12435 17. Gullick JG, West SH. Building research capacity and productivity among advanced practice nurses: an evaluation of the community of practice model. J Adv Nurs. 2016;72(3):605–619. https://doi.org/10.1111/jan.12850
- 18. Ziapour A, Khatony A, Kianipour N, Jafary, F. Identification and analysis of labor productivity components based on achieve model case study: Staff of Kermanshah University of medical sciences. Glob J Health Sci. 2015;7(1):315-321. https://doi.org/10.5539/gjhs.v7n1p315
- 19. Nayeri ND, Nazari A A, Salsali M, Ahmadi F, Hajbaghery MA. Iranian staff nurses’ views of their productivity and management factors improving and impeding it: A qualitative study. Nurs Health Sci. 2006;8(1):51–56. https://doi.org/10.1111/j.1442-2018.2006.00254.x
- 20. Pfannstiel MA. Bayreuth productivity analysis-a method for ascertaining and improving the holistic service productivity of acute care hospitals. Int J Health Plann Manage. 2016;31(1):65-86. https://doi.org/10.1002/hpm.2250
- 21. Holcomb BR, Hoffart N, Fox MH. Defining and measuring nursing productivity: a concept analysis and pilot study. J Adv Nurs. 2002;38(4):378-386. https://onlinelibrary.wiley.com/doi/pdf/10.1046/j.1365-2648.2002.02200.x
- 22. Moody RC. Nurse productivity measures for the 21st century. HCMR. 2004;29(2):98-106. https://doi.org/10.1097/00004010-200404000-00003
- 23. Letvak S, Buck R. Factors influencing work productivity and intent to stay in nursing. Nurs Econ. 2008;26(3):159-165. https://libres.uncg.edu/ir/uncg/f/S_Letvak_Factors_2008.pdf
- 24. Dikmen Y, Yılmaz DK, Başaran H, Filiz, NY. Determining the Factors Affecting Labor Productivity of Nurses. J Contemp Med. 2016;6(4):334-342. https://doi.org/10.16899/gopctd.282902
- 25. Özgener Ş, Küçük F. The effect of modern management philosophy on productivity in hospitals: An application in Gevher Nesibe hospital. SUSBED. 2008;(19):341-358. https://dergipark.org.tr/tr/download/article-file/1723944
- 26. Park E, Lee HY, Park CS-Y. Association between sleep quality and nurse productivity among Korean clinical nurses. J Nurs Manag. 2018;26:1051–1058. https://doi.org/10.1111/jonm.12634
- 27. Yahyagil MY. An empirical study on the validity and reliability tests of Denison Organizational Culture questionnaire. Yönetim. 2004;47:53-76. https://kutuphane.dogus.edu.tr/mvt/pdf.php
- 28. Göktepe N, Baykal Ü. Developing a scale for attitudes toward productivity. HEMAR-G. 2012;14(2):29-41. https://dergipark.org.tr/en/download/article-file/985195
- 29. Bayer N, Gölbaşı Z. Nurses' attitudes towards productivity and affecting factors. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2021;8(1):1-7. https://doi.org/10.31125/hunhemsire.906603
- 30. Durmaz Talay S, Harmancı Seren A. Comparison of nurses’ productivity attitudes according to different shifts with their personal and professional caharcteristics. Verimlilik Dergisi. 2022;4:771-782. https://doi.org/10.51551/verimlilik.979159
- 31. Farhadi P, Ravangard R, Sajjadnia Z, Jafari A, Ghasemi H, Rahgoshay I. Study of factors affecting the productivity of nurses based on the ACHIEVE model and prioritizing them using analytic hierarchy process technique. Arch Pharma Pract. 2013;4:63-70. https://archivepp.com/article/study-of-factors-affecting-the-productivity-of-nurses-based-on-the-achieve-model-and-prioritizing-them-using-analytic-hierarchy-process-technique-2012
- 32. Nazari A, Alimohammadzadeh K, Hosseini, SM. A study of relationship Quality of Working Life and its relation with the productivity of nurses in hospitals in Qom: 2016. J Res Dev Nurs Midw. 2019;16(1):25-23. http://dx.doi.org/10.29252/jgbfnm.16.1.26
- 33. Doğan EM, Tatlı H. Nurse’s perception about productivity of hospitals: An application at Bingol State hospital. Ekev Akademi Dergisi, 2011;15(46):461-476. https://www.researchgate.net/publication/288987917_Hastane_Verimliligi_Konusunda_Hemsirelerin_Algilari_Bingol_Devlet_Hastanesinde_Bir_Uygulama_Nurse's_Perception_about_Productivity_of_Hospitals_An_Application_at_Bingol_State_Hospital
- 34. North N, Hughes F. A systems perspective on nursing productivity. J Health Organ Manag. 2012;26(2):192-214, https://doi.org/10.1108/14777261211230772
Year 2025,
Volume: 28 Issue: 2, 140 - 147, 17.06.2025
Abstract
Amaç: Bu çalışmada hemşirelerin sosyodemografik özellikleri, mesleki özellikleri ve örgüt kültürünün hemşirelerin verimliliğe yönelik tutumları üzerindeki etkilerinin incelenmesi amaçlanmıştır.
Yöntemler: Tanımlayıcı ve ilişkisel tipteki bu çalışma, Ocak 2018-Nisan 2018 tarihleri arasında İstanbul'da (Türkiye) dört hastanede en az altı aydır çalışan 352 hemşire ile yürütülmüştür. Veriler "Bireysel Tanımlayıcı Özellikler Formu", "Denison Örgüt Kültürü Ölçeği" ve "Verimliliğe İlişkin Tutum Ölçeği" kullanılarak toplanmıştır. Verilerin analizi için tanımlayıcı istatistikler, Pearson korelasyonu ve çoklu regresyon analizi (backward yöntemi) kullanılmıştır.
Bulgular: Katılımcı hemşirelerin verimliliğe yönelik tutum düzeyleri ortalamaya yakın iken, örgüt kültürü düzeyleri orta düzeydedir. Örgüt kültürü ile hemşirelerin verimlilik tutumları arasında pozitif, güçlü ve oldukça anlamlı bir ilişki bulunmuştur (r=0,61; P<,001). Regresyon analizi, hemşirelerin verimlilik tutumlarının yedi değişkenden etkilendiğini göstermiştir (R2: 46, P<,001, Durbin Watson: 1,82).
Sonuç: Araştırma sonuçları, Denison Örgüt Kültürü Ölçeği’nin iki alt boyutu ile çalışılan birim, birimde çalışma isteği, iş yükü algısı, kurum türü ve kurumdan memnuniyetin hemşirelerin verimlilik tutumlarını etkileyen önemli faktörler olduğunu göstermektedir. Hastane yöneticileri ve yönetici hemşireler, örgüt kültürünü dikkate alarak hemşirelerin verimlilik tutumlarını geliştirmeye yönelik stratejiler geliştirmelidir.
Ethical Statement
The study was approved by the Koç University Social Sciences Research Ethics Committee (Decision no: 2018.005.IRB3.005).
Supporting Institution
-
Project Number
Yok
Thanks
Acknowledgments We would like to thank all nurses who participated in this study.
References
- 1. Ofei AMA, Paarima Y, Barnes T, Poku CA. Toxic leadership behaviour of nursemanagers on perceived job satisfaction and productivity ofnursing workforce in sub-Saharan Ghana: A multi-centrecross-sectional study. J Nurs Manag. 2022;30(7):2733-2742. https://doi.org/10.1111/jonm.13741
- 2. McHugh ML. Productivity measurement in nursing. Appl Nurs Res. 1989;2(2):99-102. https://doi.org/10.1016/s0897-1897(89)80056-4
- 3. Edwardson SR. Measuring nursing productivity. Nurs Econ. 1985;3(1):9-14. https://pubmed.ncbi.nlm.nih.gov/3918276/
- 4. Öztürk NŞ, Akbulut Y. Determination of nurses' attitudes towards organizational factors affecting workforce productivity. ASHD. 2011;10(1):19-30. https://dergipark.org.tr/en/download/article-file/572957
- 5. Hall LM. Nursing intellectual capital: A theoretical approach for analyzing nursing productivity. Nurs Econ. 2003;21(1):14-19. https://research.ebsco.com/c/3oxw32/viewer/pdf/og27bbiqhv
- 6. Hogan SJ, Coote LV. Organizational culture, innovation and performance: A test of Schein’s model. J Bus Res. 2014;67:1609-1621. https://doi.org/10.1016/j.jbusres.2013.09.007
- 7. Denison DR, Mishra AK. Toward a theory of organizational culture and effectiveness. Organ Sci. 1995;6(2):204-223. https://www.jstor.org/stable/2635122
- 8. Wu MC, Chiang WJ, Chiang SL, Trung PM, Lindayani L. A study on major factors revitalizing nursing staff's work enthusiasm ∼ a cross-national study on organizational culture, organizational empowerment and self-efficacy. Int J Healthc Manag. 2023;16(1):93-103. https://doi.org/10.1080/20479700.2022.2076043
- 9. Kantek, F. Organizational Culture. In: Tatar Baykal, Ü, Ercan Türkmen, E, eds. Nursing Services Management, 1st edition, İstanbul, Akademi Kitabevi;2014: 679- 696.
- 10. Alp FY, Ardahan M. Nursing and organizational culture. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2015;8(4):258-262. https://dergipark.org.tr/tr/download/article-file/753174
- 11. Karatuzla M. The role of executive nurses in the development of organizational culture. IGUSABDER. 2020;11:291-303. https://doi.org/10.38079/igusabder.701491
- 12. Göktepe N, Baykal Ü. Comparing nurses’ attitudes toward productivity with the organizational and managerial structures in hospitals. HEAD. 2012;9(1):16-22. https://jag.journalagent.com/jern/pdfs/JERN_9_1_16_22.pdf
- 13. Chiok Foong Loke, J. Leadership behaviours: effects on job satisfaction, productivity and organizational commitment. J Nurs Manag. 2001;9(4):191-204. https://doi.org/10.1046/j.1365-2834.2001.00231.x 14. McNeese-Smith DK. Staff nurse views of their productivity and nonproductivity. HCMR. 2001;26(2):7-19. https://doi.org/10.1097/00004010-200104000-00002
- 15. Nayeri N, Salehi T, Ali Asadi Noghabi A. Quality of work life and productivity among Iranian nurses. Contemp Nurse. 2011; 39(1), 106-118. https://doi.org/10.5172/conu.2011.39.1.106
- 16. Wright S, McSherry W. Evaluating the productive ward at an acute NHS trust: experiences and implications of releasing time to care. J Clinl Nurs. 2014;23(13-14):1866-1876. https://doi.org/10.1111/jocn.12435 17. Gullick JG, West SH. Building research capacity and productivity among advanced practice nurses: an evaluation of the community of practice model. J Adv Nurs. 2016;72(3):605–619. https://doi.org/10.1111/jan.12850
- 18. Ziapour A, Khatony A, Kianipour N, Jafary, F. Identification and analysis of labor productivity components based on achieve model case study: Staff of Kermanshah University of medical sciences. Glob J Health Sci. 2015;7(1):315-321. https://doi.org/10.5539/gjhs.v7n1p315
- 19. Nayeri ND, Nazari A A, Salsali M, Ahmadi F, Hajbaghery MA. Iranian staff nurses’ views of their productivity and management factors improving and impeding it: A qualitative study. Nurs Health Sci. 2006;8(1):51–56. https://doi.org/10.1111/j.1442-2018.2006.00254.x
- 20. Pfannstiel MA. Bayreuth productivity analysis-a method for ascertaining and improving the holistic service productivity of acute care hospitals. Int J Health Plann Manage. 2016;31(1):65-86. https://doi.org/10.1002/hpm.2250
- 21. Holcomb BR, Hoffart N, Fox MH. Defining and measuring nursing productivity: a concept analysis and pilot study. J Adv Nurs. 2002;38(4):378-386. https://onlinelibrary.wiley.com/doi/pdf/10.1046/j.1365-2648.2002.02200.x
- 22. Moody RC. Nurse productivity measures for the 21st century. HCMR. 2004;29(2):98-106. https://doi.org/10.1097/00004010-200404000-00003
- 23. Letvak S, Buck R. Factors influencing work productivity and intent to stay in nursing. Nurs Econ. 2008;26(3):159-165. https://libres.uncg.edu/ir/uncg/f/S_Letvak_Factors_2008.pdf
- 24. Dikmen Y, Yılmaz DK, Başaran H, Filiz, NY. Determining the Factors Affecting Labor Productivity of Nurses. J Contemp Med. 2016;6(4):334-342. https://doi.org/10.16899/gopctd.282902
- 25. Özgener Ş, Küçük F. The effect of modern management philosophy on productivity in hospitals: An application in Gevher Nesibe hospital. SUSBED. 2008;(19):341-358. https://dergipark.org.tr/tr/download/article-file/1723944
- 26. Park E, Lee HY, Park CS-Y. Association between sleep quality and nurse productivity among Korean clinical nurses. J Nurs Manag. 2018;26:1051–1058. https://doi.org/10.1111/jonm.12634
- 27. Yahyagil MY. An empirical study on the validity and reliability tests of Denison Organizational Culture questionnaire. Yönetim. 2004;47:53-76. https://kutuphane.dogus.edu.tr/mvt/pdf.php
- 28. Göktepe N, Baykal Ü. Developing a scale for attitudes toward productivity. HEMAR-G. 2012;14(2):29-41. https://dergipark.org.tr/en/download/article-file/985195
- 29. Bayer N, Gölbaşı Z. Nurses' attitudes towards productivity and affecting factors. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2021;8(1):1-7. https://doi.org/10.31125/hunhemsire.906603
- 30. Durmaz Talay S, Harmancı Seren A. Comparison of nurses’ productivity attitudes according to different shifts with their personal and professional caharcteristics. Verimlilik Dergisi. 2022;4:771-782. https://doi.org/10.51551/verimlilik.979159
- 31. Farhadi P, Ravangard R, Sajjadnia Z, Jafari A, Ghasemi H, Rahgoshay I. Study of factors affecting the productivity of nurses based on the ACHIEVE model and prioritizing them using analytic hierarchy process technique. Arch Pharma Pract. 2013;4:63-70. https://archivepp.com/article/study-of-factors-affecting-the-productivity-of-nurses-based-on-the-achieve-model-and-prioritizing-them-using-analytic-hierarchy-process-technique-2012
- 32. Nazari A, Alimohammadzadeh K, Hosseini, SM. A study of relationship Quality of Working Life and its relation with the productivity of nurses in hospitals in Qom: 2016. J Res Dev Nurs Midw. 2019;16(1):25-23. http://dx.doi.org/10.29252/jgbfnm.16.1.26
- 33. Doğan EM, Tatlı H. Nurse’s perception about productivity of hospitals: An application at Bingol State hospital. Ekev Akademi Dergisi, 2011;15(46):461-476. https://www.researchgate.net/publication/288987917_Hastane_Verimliligi_Konusunda_Hemsirelerin_Algilari_Bingol_Devlet_Hastanesinde_Bir_Uygulama_Nurse's_Perception_about_Productivity_of_Hospitals_An_Application_at_Bingol_State_Hospital
- 34. North N, Hughes F. A systems perspective on nursing productivity. J Health Organ Manag. 2012;26(2):192-214, https://doi.org/10.1108/14777261211230772
There are 32 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Nursing Management |
| Journal Section | Research Articles |
| Authors | |
| Project Number | Yok |
| Early Pub Date | April 29, 2025 |
| Publication Date | June 17, 2025 |
| Submission Date | April 5, 2024 |
| Acceptance Date | February 6, 2025 |
| Published in Issue | Year 2025 Volume: 28 Issue: 2 |
