DOI QR코드

DOI QR Code

Effects of Head Nurses' Managerial Competencies and Professional Nurse Autonomy in Nursing Performance

수간호사의 관리역량과 전문직 자율성 인식이 간호업무성과에 미치는 영향

  • Received : 2014.05.29
  • Accepted : 2014.08.08
  • Published : 2014.09.30

Abstract

Purpose: The aim in this study was to identify head nurses' nursing performance according to their managerial competencies and professional nurse autonomy. Methods: From January 15 to January 31, 2013 a survey was distributed to 200 head nurses working in 5 tertiary hospitals in B city and J city. The response rate was 80% (160 responses). The survey content included the Managerial Competencies Scale (MCS), Schutzenhofer professional nurse autonomy Scale (SPNA), and Nursing Performance Scale (SPNA). Results: The score for MCS was 4.53, for SPNA, 177.05, and for SPNA, 4.62. Nursing performance was related to managerial competencies (${\beta}=0.741$; p<.001; SE=0.059) and professional autonomy (${\beta}=0.135$; p=.010; SE=0.001). These factors accounted for 64.8~67.3% of the variability in nursing performance. Conclusion: Results indicate that head nurses' performance would be improved through increased nursing managerial competencies and expansion of professional autonomy suggesting a need to develop work systems designed to achieve high managerial competency and professional autonomy in head nurses.

Keywords

References

  1. Manenti SA, Ciampone MHT, Mira VL, Minami LF, Soares JMS. The construction process of managerial profile competencies for nurse coordinators in the hospital field. Revista da Escola de Enfermagem da USP. 2012;46:727-733. https://doi.org/10.1590/S0080-62342012000300027
  2. Tang JH. Evidence-based protocol: Nurse retention. Journal of Gerontological Nursing. 2003;29(3):5-14.
  3. Lee SH, Yoo JS. Influencing factors on task performance of wound ostomy continence nurses in Korea. Journal of Korean Academy Society of Nursing Education. 2012;18:533-541. http://dx.doi.org/10.5977/jkasne.2012.18.3.533
  4. Top M. Organizational variables on nurses' job performance in Turkey: Nursing assessments. Iranian Journal of Public Health. 2013;42(:261-271.
  5. Sorrentino EA, Nalli B, Schriesheim C. The effect of head nurse behaviors on nurse job satisfaction and performance. Hospital & Health Services Administration. 1992;37(1):103-113.
  6. Kim IS. Analysis of the work of the head nurse and a work model for the head nurse in university hospitals in Korea [dissertation]. Seoul: Yonsei University; 1988.
  7. Lorber M, Skela Savic B. Perceptions of managerial competencies, style, and characteristics among professionals in nursing. Croatian Medical Journal. 2011;52:198-204. http://dx.doi.org/10.3325/cmj.2011.52.198
  8. Tornabeni J. The competency game: my take on what it really takes to lead. Nursing Administration Quarterly. 2001;25(4):1-13.
  9. Lee SM. An analysis of nursing managerial competencies [master's thesis]. Seoul: Yonsei University; 1996.
  10. Baek HJ. Comparison of nurses' perception on nursing managerial competency [master's thesis]. Daejon: Chungnam National University; 2004.
  11. Byeon HS. A study on the nursing managerial competency of head nurses in the general hospitals [master's thesis]. Gwangju: Chonnam National University; 2000.
  12. Bae KO. The influence of transformational leadership of nursing unit manager on job satisfaction and job performance of staff nurses [master's thesis]. Seoul: Ewha Womans University; 2007.
  13. Chi SA, Yoo HS. Concept analysis of professional nurse autonomy. Journal of Korean Academy of Nursing. 2001;31:781-792. https://doi.org/10.4040/jkan.2001.31.5.781
  14. Kim NJ. Study of professional autonomy on employed on complex organization. The Korean Civic Ethics Review. 1998; 11:23-40.
  15. Sung MH, Eum OB. Professional autonomy and clinical decision making ability in clinical nurse. Journal of Korean Academy of Fundamental Nursing. 2010;17:274-281.
  16. Go JS. Gaps among necessity, possession and exercise of nursing management skills and its causes of head nurses at general hospitals [master's thesis]. Kimhae: Inje University; 2004.
  17. Schutzenhofer KK. The measurement of professional autonomy. Journal of Professional Nursing. 1987;3:278-283. http://dx.doi.org/10.1016/s8755-7223(87)80039-x
  18. Strickland OL, Waltz CF. Measurement of nursing outcomes, In: Volume two, measuring nursing performance: Practice, education, and research. Han KJ, Lee EO, Park SA, Ha YS, Kim GS, translators. The instruments of nursing research. Seoul: Hyunmoonsa; 1994.
  19. Yang CS. Relationship between professional nurse autonomy and nursing performance [master's thesis]. Seoul: Yonsei University; 2004.
  20. Kron T. The management of patient care. Philadelphia: Saunders Company; 1981.
  21. Park SA. An exploratory study on the relationship between leadership style and performance in Korean nursing units [dissertation]. Seoul: Seoul National University; 1989.
  22. Coughlin C. Saving nursing management. Journal of Nursing Administration. 2002;32:178-179. https://doi.org/10.1097/00005110-200204000-00003
  23. Mathena KA. Nursing manager leadership skills. Journal of Nursing Administration. 2002;32:136-142. https://doi.org/10.1097/00005110-200203000-00006
  24. Kang CM, Chiu HT, Hu YC, Chen HL, Lee PH, Chang WY. Comparisons of self-ratings on managerial competencies, research capability, time management, executive power, workload and work stress among nurse administrators. Journal of Nursing Management. 2012;20:938-947. http://dx.doi.org/10.1111/j.1365-2834.2012.01383.x
  25. Edwards PA, Roemer L. Are nurse managers ready for the current challenges of healthcare? Journal of Nursing Administration. 1996;26(9):11-17.
  26. Kim ES. Study on attitudes toward professional autonomy and job satisfaction of clinical nurses [master's thesis]. Seoul: Ewha Womans University; 1994.
  27. Fujino Y, Tanaka M, Yonemitsu Y, Kawamoto R. The relationship between characteristics of nursing performance and years of experience in nurses with high emotional intelligence. International Journal of Nursing Practice. 2014. http://dx.doi.org/10.1111/ijn.12311
  28. Oh EH, Chung BY. The effect of empowerment on nursing performance, job satisfaction, organizational commitment, and turnover intention in hospital nurses. Journal of Korean Academy of Nursing Administration. 2011;17:391-401. http://dx.doi.org/10.11111/jkana.2011.17.4.391
  29. Kim SI. Nursing management, strategies for its success. Taehan Kanho. 1990;29(5):46-53.

Cited by

  1. The role type analysis of nursing leader for effective environment at the practice field that nursing students recognize - Q methodology - vol.16, pp.11, 2015, https://doi.org/10.5762/KAIS.2015.16.11.7801
  2. Comparison of satisfaction and need on nursing service perceived by the patients and nurses vol.26, pp.1, 2015, https://doi.org/10.7465/jkdi.2015.26.1.169
  3. A Study on the Classification of Nursing Management Competencies and Development of related Behavioral Indicators in Hospitals vol.46, pp.3, 2016, https://doi.org/10.4040/jkan.2016.46.3.375
  4. The mediating role of work alienation in the effect of workplace loneliness on nurses’ performance pp.09660429, 2018, https://doi.org/10.1111/jonm.12710
  5. Factors Influencing Managerial Competence of Frontline Nurse Managers vol.24, pp.5, 2018, https://doi.org/10.11111/jkana.2018.24.5.435
  6. 간호사의 전자의무기록(EMR) 인식도와 만족도에 따른 자율성 및 간호업무성과 vol.16, pp.9, 2014, https://doi.org/10.5762/kais.2015.16.9.6061
  7. 간호사의 멘토링 기능과 조직시민행동이 간호업무성과에 미치는 영향 vol.17, pp.2, 2016, https://doi.org/10.5762/kais.2016.17.2.179
  8. 임상간호사의 기본심리욕구, 셀프리더십, 직무스트레스가 간호업무 성과에 미치는 영향 vol.14, pp.8, 2016, https://doi.org/10.14400/jdc.2016.14.8.343
  9. 병원 간호단위관리자의 핵심직무 ­- 핵심역량 매트릭스 개발 vol.23, pp.2, 2014, https://doi.org/10.22650/jkcnr.2017.23.2.189
  10. 병원 간호사의 지각된 간호관리역량에 대한 중요도와 수행도 vol.23, pp.3, 2014, https://doi.org/10.5977/jkasne.2017.23.3.252
  11. 간호대학생의 환자안전에 대한 지식, 간호전문직관과 환자안전관리활동의 관련성 vol.24, pp.2, 2014, https://doi.org/10.14371/qih.2018.24.2.26
  12. 간호사의 전문직 자율성과 공감능력이 환자안전문화에 미치는 융복합적 영향 vol.17, pp.2, 2014, https://doi.org/10.14400/jdc.2019.17.2.231