Journal of the Korean Data Analysis Society

Korean Data Analysis Society (한국자료분석학회)
권호 표지

The Relationship of General Characteristics and Core Competency of Hospital Nurses with Nursing Self-Efficacy

임상간호사의 간호핵심역량이 간호효능감에 미치는 영향

  • Park, Hyun Hee (Department of Nursing, National Health Insurance Service Ilsan Hospital) ;
  • Kim, Yoon Shin (Dept. of Occupational and Environmental Medicine, College of Medicine) ;
  • Oh, In Ohg (Department of Nursing, National Health Insurance Service Ilsan Hospital)
  • 박현희 (국민건강보험 일산병원 간호부) ;
  • 김윤신 (한양대학교 직업환경의학과) ;
  • 오인옥 (국민건강보험 일산병원 간호부)
  • Received : 2014.07.19
  • Accepted : 2015.01.15
  • Published : 2015.02.28
⟨ Previous Next ⟩

Abstract

The aim of this study was to investigate nursing core competency and self-efficacy and identify the relationship of general characteristics and core competency with nursing self-efficacy in general hospital. A cross-sectional study was conducted using a structured questionnaire survey with 250 registered nurses in a general hospital in Gyeonggido. Data were collected from November 4 to November 7, 2013. Collected data were analyzed using t-test, ANOVA and stepwise multiple regression. Level of education, nursing professional competency, temperament and attitude competency and organization and cultural competency were significant variables in accounting 51.6% of variance of the level of nursing self-efficacy. Especially, temperament and attitude competency was the most influential factor predicting on nursing self-efficacy. This finding suggests that temperament and attitude competency is important to improve nursing self-efficacy with nursing professional competency organization and cultural competency and carrier. Also supporting and encouragement for advanced education of staff nurses may help to improve their nursing self-efficacy.

본 연구는 일 종합병원 간호사의 일반적 특성 및 간호핵심역량과 간호효능감 간의 관계를 확인하고 간호효능감에 영향을 미치는 요인을 파악함으로써 간호효능감 향상을 통한 효과적인 간호 인적자원 관리 전략을 마련하고자 시도된 상관관계 연구이다. 자료수집은 경기도 소재 일 종합병원에 근무하는 간호사 250명을 대상으로 2013년 11월 4일부터 2013년 11월 7일 까지 이루어졌다. 본 연구결과 간호효능감에 가장 큰 영향을 미치는 역량 요인은 자질 및 태도역량(${\beta}=.327$, p<.001)이었고, 다음으로 간호전문역량(${\beta}=.227$, p<.001) 조직문화역량(${\beta}=.185$, p=.007), 순이었다. 그 외 일반적 특성에서는 경력(${\beta}=.151$, p<.001)이 간호효능감에 영향을 미치는 변인으로 나타났다. 이들 변수들의 간호효능감에 대한 설명력은 51.6%로 나타났으며, 자질 및 태도역량은 44.4.%로 간호효능감의 가장 큰 예측요인으로 나타났다. 간호효능감을 향상시키기 위해서는 간호핵심역량 강화를 위한 구체적방안의 모색이 필요하며, 특히 간호사로서의 자질 및 태도역량 강화에 비중을 둘 필요가 있다. 또한, 경력간호사들의 이직을 줄이기 위한 노력과 꾸준한 자기계발을 할 수 있도록 돕는 조직 차원의 지원을 강화하는 것도 간호효능감을 향상시킴으로써 조직 경쟁력을 강화하는 방안이 될 수 있겠다.

Keywords

References

  1. An, M. S., Yi, Y. J. (2013). The predictive factors on leave planning of nurses working at medium-sized hospital in the metropolitan area, Journal of the Korean Data Analysis Society, 15(1), 323-334. (in Korean).
  2. Bong, Y. S., So, H. S., You, H. S. (2009). A study on the relationship between job stress, self-efficacy and job satisfaction in nurses, Journal of Korean Academy of Nursing Administration, 15(3), 425-433. (in Korean).
  3. Campbell, B., Mackay, G. (2001). Continuing competence: an ontario nursing regulatory program that support nurses and employers, Nursing Administration Quarterly, 25(2), 22-30. https://doi.org/10.1097/00006216-200101000-00006
  4. Chang, Y. H., Cho, M. S., Kwak, M. J. (2006). A study of factors related nursing competency in nurses, Journal of Korean Clinical Nursing Research, 12(1), 7-19. (in Korean).
  5. Ha, N. S., Choi, J. (2010). An analysis of nursing competency affecting on job satisfaction and nursing performance among clinical nurses, The Journal of Korean Academy of Nursing Administration, 16(3), 289-294. (in Korean).
  6. Hsu, N., Chen, B. T. H., Lee, L. L., Chen, C. H., Lai, C. F. (2005). The comparison of nursing competence pre and post implementing clinical ladder system, Journal of Clinical Nursing, 14(2), 264-265. https://doi.org/10.1111/j.1365-2702.2004.00980.x
  7. Jang, G. S. (2000). Study on establishment of clinical career development model of nurses. Doctoral dissertation, Yonsei University, Seoul. (in Korean).
  8. Kim, I. S. (2009). The role of self-efficacy and social support in the relationship between emotional labor and burn out, turn over intention among hospital nurses, The Journal of Korean Academy of Nursing Administration, 15(4), 515-526. (in Korean).
  9. Kim, S. D. (2013). Importance and satisfaction on nursing core competency of nurse managers in a community hospitals, Journal of Academia-Industrial Technology, 14(6), 2844-2851. (in Korean).
  10. Kim, W. T. (1997). A study of empowerment process: self efficacy. Doctoral dissertation, Seokang University, Seoul. (in Korean).
  11. Kim, Y. S., Eo, Y. S. (2013). The effect of core competencies and cognition of job competency of their senior nurses on work performance in hospital nurses, The Journal of Korean Academic Society of Nursing Education, 19(4), 617-626. (in Korean). https://doi.org/10.5977/jkasne.2013.19.4.617
  12. Kim, J. H., Kim, I. K. (2014). A study on the emotional labor, burnout and turnover intention of clinical nurses, Journal of the Korean Data Analysis Society, 16(3), 1653-1667. (in Korean).
  13. Kim, J., Kim, H. J., Cho, G. (2012). A study on the perception of medical technology, self efficacy and professional self-concept among operating nurses, The Korean Journal of Health Service Management, 6(1), 1-13. (in Korean). https://doi.org/10.12811/kshsm.2012.6.1.001
  14. Ko, Y. K., Kang, K. H. (2006). A study on the relationship between self-efficacy, collective-efficacy and job stress in the nursing staff, Journal of Korean Academy of Nursing Administration, 12(2), 276-286. (in Korean).
  15. Lee, K. H. (2014). The effect of learning orientation on self-efficacy and job satisfaction of nurses, Journal of the Korean Data Analysis Society, 16(3), 1669-1683. (in Korean).
  16. Lee, Y. W. (2000). A study on the effectiveness of empowerment approach, Doctoral dissertation, Yonsei University, Seoul. (in Korean).
  17. Lee, C. Y., Byun, E. K., Jun, S. S. (2011). The effects of self-growth program on the self-efficacy and depression in nurses, Journal of the Korean Data Analysis Society, 13(2), 721-730. (in Korean).
  18. Lee, M. A., Gong, S. W., Cho, S. J. (2012). Relationship among nursing service quality, medical service satisfaction, and hospital revisit intent, Journal of Korean Academy of Nursing Administration, 18(1), 96-105. (in Korean). https://doi.org/10.11111/jkana.2012.18.1.96
  19. Lee, J. O., Song, M. K. (2013). Effects of core competency and teaching style on preceptor self-efficacy among preceptors, Journal of Korean Clinical Nursing Research, 19(2), 275-284. (in Korean). https://doi.org/10.22650/JKCNR.2013.19.2.275
  20. Lim, C. H., Chai, J. H. (2014). The effect of core competencies of hospital nurses on organizational performance, The Journal of International Trade & Commerce, 10(2), 707-726. (in Korean). https://doi.org/10.16980/jitc.10.2.201404.707
  21. Moon, Y. S., Han, S. J. (2011). Impact of self-efficacy and nursing professionalism on the organizational commitment in nurses, Journal of Academic Society of Nursing Education, 17(1), 72-79. (in Korean). https://doi.org/10.5977/JKASNE.2011.17.1.072
  22. Nelson, J. M., Cook, P. F. (2008). Evaluation of a career ladder program in an ambulatory care environment, Nursing Economics, 26(6), 353-360.
  23. Park, S. S. (2005). The effect of self-efficacy and work stress on job satisfaction in hospital nurses, Doctoral dissertation, Daejeon University, Daejeon. (in Korean).
  24. Park, W. W. (1997). Empowerment: its meaning and application, Korean Management Review, 26(1), 115-138. (in Korean).
  25. Sherer, M., Adams, C. H. (1983). Construct validation of the self efficacy scale, Psychological Reports, 53(3), 899-902. https://doi.org/10.2466/pr0.1983.53.3.899
  26. Song, Y. (2009). A correlation study on self-efficacy, disposition to critical thinking and nursing competency of new nurses, Journal of Fundamental of Nursing, 16(1), 56-63. (in Korean).
  27. Spencer, L. M., Spencer, S. M. (1993). Competency at work : model for superior performance. John Wiley and Sons, New York.
  28. Sung, Y. H., Jung, J. H. (2006). Defining the core competencies of the nurses in a tertiary hospital and comparing different units based on their respective characteristics, The Journal of Korean Academy of Nursing Administration, 12(1), 76-93. (in Korean).
  29. Tanner, C. A. (2006). Thinking like a nurse: a research-based model of clinical judgement in nursing, Journal of Nursing Education, 45(6), 204-211.
  30. Thomas, K. W., Velthouse, B. A. (1990). Cognitive elements of empowerment: an interpretative model of intrinsic task motivation, Academy of Management Review, 15, 666-681.
  31. Virgimia, E., Susan, E. (1996). Improving self efficacy in nursing research, Clinical Nurse Specialist, 10(2), 83-87. https://doi.org/10.1097/00002800-199603000-00009
  32. Yang, G. M. (1999). Analysis of the relationship between the empowerment, the job-related individual characteristics and the work performance of nurses, Doctoral dissertation, Kyung Hee University, Seoul. (in Korean).
  33. Yang, Y. K. (2011). A study on burnout, emotional labor and self-efficacy in nurses, Journal of Korean Academy of Administration, 17(4), 423-463. (in Korean). https://doi.org/10.11111/jkana.2011.17.4.423