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Raising Nurses' Job Satisfaction Through Patient-Oriented Perception and Organizational Citizenship Behaviors

Chang, Ching Sheng; Chen, Su-Yueh; Lan, Yi Ting

Nursing Research:
doi: 10.1097/NNR.0b013e3181e507dd

Background: Because nurses deliver care to patients on behalf of hospitals, hospitals have to enhance first-line nurses' patient-oriented perception and spontaneous organizational citizenship behaviors for the sake of higher patient satisfaction and better patient care.

Objectives: The purpose of this study was to investigate how patient-oriented perception among nurses could affect their organizational citizenship behaviors and job satisfaction.

Methods: SPSS 12.0 and Amos 7.0 (structural equation modeling) statistical software packages were used for data analysis and processing. Of the 500 questionnaires distributed, 232 valid ones were collected, with a valid response rate of 46.4%.

Results: Nurses' patient-oriented perception has a positive influence on organizational citizenship behaviors (γ11 = .795, p < .05), and their organizational citizenship behaviors (β21 = .681, p < .05) have a positive influence on job satisfaction.

Discussion: Nurses' patient-oriented perception has the most positive influence on interpersonal altruistic behavior but the least positive influence on organizational public welfare behavior.

Author Information

Ching Sheng Chang, MBA, is Instructor and Doctoral Candidate, Department of Medical Information Management, College of Health Science, Kaohsiung Medical University, Taiwan.

Su-Yueh Chen, MSN, RN, is Head Nurse, Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Taiwan.

Yi Ting Lan, BA, is MBA Student, Postgraduate Programs in Management, College of Management, I-Shou University, Taiwan.

Accepted for publication March 3, 2010.

Corresponding author: Ching Sheng Chang, MBA, Department of Medical Information Management, College of Health Science, Kaohsiung Medical University, 100, Shih-Chuan 1st Road, Kaohsiung, 80708, Taiwan (e-mail:

© 2011 Lippincott Williams & Wilkins, Inc.