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.
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Kim et al. (2024) studied this question.
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