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Influence of Communication Competence and Burnout on Nursing Performance of Intensive Care Units Nurses

중환자실 간호사의 의사소통 능력, 소진이 간호업무성과에 미치는 영향

  • Son, Youn-Jung (Department of Nursing, College of Medicine, Soonchunhyang University) ;
  • Lee, Youn A (Intensive Care Unit, Soonchunhyang University Cheonan Hospital) ;
  • Sim, Kyoung Nan (Intensive Care Unit, Soonchunhyang University Cheonan Hospital) ;
  • Kong, Seong Sook (Department of Nursing, College of Medicine, Soonchunhyang University) ;
  • Park, Young-Su (College of Nursing, Yonsei University)
  • 손연정 (순천향대학교 의과대학 간호학과) ;
  • 이연아 (순천향대학교 천안병원 중환자실) ;
  • 심경란 (순천향대학교 천안병원 중환자실) ;
  • 공성숙 (순천향대학교 의과대학 간호학과) ;
  • 박영수 (연세대학교 간호대학)
  • Received : 2013.06.13
  • Accepted : 2013.08.26
  • Published : 2013.08.31

Abstract

Purpose: The purpose of this study was to investigate the influence of communication competence and burnout on nursing performance in intensive care units (ICU). Method: The participants were 209 nurses from four university hospitals. Measurements included a socio-demographic and job related survey, communication competence inventory, the Maslach burnout inventory and a nursing performance scale. Data were collected from February 6 to 24, 2012, with a self-report questionnaire. The statistical analyses were performed with SPSS 18.0 software. Results: The mean scores for communication competence, burnout and nursing performance were 50.49, 84.72, and 62.18, respectively. Communication competence (r=.44, p<.001) and burn out (r=-.32, p<.001) were significantly correlated with nursing performance. In the multiple linear regression, factors influencing nursing performance were communication competence, age and burnout. These variables explained about 46% of the total variance of nursing performance. Communication competence (${\beta}$=.34, p<.001) was the most influential factor. Conclusion: Nurses' poor communication skills and burnout can influence the occurrences of medical errors in ICU nursing performance. The results suggest that good communication and burnout resolution skills programs should be implemented to improve nursing performance efficiency.

Keywords

References

  1. Azoulay, E., & Herridge, M. (2011). Understanding ICU staff burnout: The show must go on. American Journal of Respiratory and Critical Care Medicine, 184, 1099-1100. https://doi.org/10.1164/rccm.201109-1638ED
  2. Bae, J. Y. (2008). The relationships among the level of communication competence, the types of communication, and the level of nursing performance. Unpublished master's thesis, Kosin University, Busan.
  3. Baek, K. S. (2009). A study on the factors affecting intensive care unit nurses' job stress and their burnout. Unpublished master's thesis, Kyunghee University, Seoul.
  4. Byun, D. S., & Yom, Y. H. (2009). Factors affecting the burnout of clinical nurses: Focused on emotional labor. Journal of Korean Academy of Nursing Administration, 15, 444-454.
  5. Cho, K. H. (2003). The influence of self-leadership about job-satisfaction and outcome of nursing practice. Unpublished master's thesis, Korea University, Seoul.
  6. Choi, H. Y., & Chung, N. W. (2003). Perfectionism tendency, social support, and burnout among counselors. Korean Journal of Health Psychology, 8, 279-300.
  7. Deneckere, S., Euwema, M., Lodewijckx, C., Panella, M., Mutsvari, T., Sermeus, W., et al. (2013). Better interprofessional teamwork, higher level of organized care, and lower risk of burnout in acute health care teams using care pathways: A cluster randomized controlled trial. Medical Care, 51, 99-107. http://dx.doi.org/10.1097/MLR.0b013e3182763312
  8. Dingley, C., Daugherty, K., Derieg, M. K., & Persing, R. (2008). Improving patient safety through provider communication strategy enhancements. In Henriksen, K., Battles, J. B., Keyes, M. A., & Grady, M. L. (Ed.), Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools). Rockville (MD): Agency for Healthcare Research and Quality.
  9. Embriaco, N., Papazian, L., Kentish-Barnes, N., Pochard, F., & Azoulay, E. (2007). Burnout syndrome among critical care healthcare workers. Current Opinion in Critical Care, 13, 482-488. https://doi.org/10.1097/MCC.0b013e3282efd28a
  10. Emold, C., Schneider, N., Meller, I., & Yagil, Y. (2011). Communication skills, working environment and burnout among oncology nurses. European Journal of Oncology Nursing, 15, 358-363. https://doi.org/10.1016/j.ejon.2010.08.001
  11. Fassier, T., & Azoulay, E. (2010). Conflicts and communication gaps in the intensive care unit. Current Opinion in Critical Care, 16, 1-12. https://doi.org/10.1097/MCC.0b013e32833500bc
  12. Finney, C., Stergiopoulos, E., Hensel, J., Bonato, S., & Dewa, C. S. (2013). Organizational stressors associated with job stress and burnout in correctional officers: A systematic review. BMC Public Health, 29, 13-82.
  13. Ha, N. S., & Choi, J. (2010). An analysis of nursing competency affecting on job satisfaction and nursing performance among clinical nurses. Journal of Korean Academy of Nursing Administration, 16, 286-294. https://doi.org/10.11111/jkana.2010.16.3.286
  14. Happ, M. B., Garrett, K., Thomas, D. D., Tate, J., George, E., Houze, M., et al. (2011). Nurse-patient communication interactions in the intensive care unit. American Journal of Critical Care, 20(2), e28-e40. https://doi.org/10.4037/ajcc2011433
  15. Hur, G. H. (2003). Construction and validation of global interpersonal communication competence scale. Korean Journal of Journalism and Communication Studies, 47, 380-426.
  16. Im, S. I., Park, J., & Kim, H. S. (2012). The effects of nurse’s communication and self-leadership on nursing performance. Korean Journal of Occupational Health Nursing, 21, 274-282. https://doi.org/10.5807/kjohn.2012.21.3.274
  17. Ko, Y. K., Lee, T. W., & Lim, J. Y. (2007). Development of a performance measurement scale for hospital nurses. Journal of Korean Academy Nursing, 37, 286-294. https://doi.org/10.4040/jkan.2007.37.3.286
  18. Lee, H. S., & Kim, J. K. (2010). Relationship among communication competence, communication types, and organizational commitment in hospital nurses. Journal of Korean Academy of Nursing Administration, 16, 488-496. https://doi.org/10.11111/jkana.2010.16.4.488
  19. Manojlovich, M., Antonakos, C. L., & Ronis, D. L. (2009). Intensive care units, communication between nurses and physicians, and patients' outcomes. American Journal of Critical Care, 18, 21-30. https://doi.org/10.4037/ajcc2009353
  20. Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Occupational Behaviour, 2, 99-113. https://doi.org/10.1002/job.4030020205
  21. Melzer, L. S., & Huckabay, L. M. (2004). Critical care nurses' perceptions of futile care and its effect on burnout. American Journal of Critical Care, 13, 202-208.
  22. Mrayyan, M. T., & Al-Faouri, I. (2008). Predictors of career commitment and job performance of Jordanian nurses. Journal of Nursing Management, 16, 246-256. https://doi.org/10.1111/j.1365-2834.2007.00797.x
  23. Oh, E. H., & Chung, B. Y. (2011). The effect of empowerment on nursing performance, job satisfaction, organizational commitment, and turnover intention in hospital nurses. Journal of Korean Academy of Nursing Administration, 17, 391-401. https://doi.org/10.11111/jkana.2011.17.4.391
  24. Park, E. K. (2010). Moderating effects of self-efficacy and leadership between antecedents and burn-out and mediating effects of burn-out on nursing performance. Unpublished master's thesis, Inje University, Busan.
  25. Payne, H. J. (2005). Reconceptualizing social skills in organizations: Exploring the relationship between communication competence, job performance, and supervisory roles. Journal of Leadership & Organizational Studies, 11(2), 63-77. http://dx.doi.org/10.1177/107179190501100207
  26. Pronovost, P., Berenholtz, S., Dorman, T., Lipsett, P. A., Simmonds, T., & Haraden, C. (2003). Improving communication in the ICU using daily goals. Journal of Critical Care, 18(2), 71-75. https://doi.org/10.1053/jcrc.2003.50008
  27. Reder, T. W., Flin, R., & Cuthbertson, B. H. (2007). Communication skills and error in the intensive care unit. Current Opinion in Critical Care, 13, 732-736. https://doi.org/10.1097/MCC.0b013e3282f1bb0e
  28. Shimizu, T., Mizoue, T., Kubota, S., Mishima, N., & Nagata, S. (2003). Relationship between burnout and communication skill training among Japanese hospital nurses: A pilot study. Journal of Occupational Health, 45, 185-190. https://doi.org/10.1539/joh.45.185
  29. Spooner-Lane, R. S., & Patton, W. A. (2007). Determinants of burnout among public hospital nurses. Australian Journal of Advanced Nursing, 25(1), 8-16.
  30. Yoon, A. J. (1995). A study on organizational characteristics and efficiency on work performance on - Especially hospital nursing organization. Unpublished doctoral dissertation, Daegu Univerity, Daegu.

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