DOI QR코드

DOI QR Code

Influence of teamwork skill and decision making competency on nursing work performance

간호사의 팀워크스킬과 의사결정역량이 간호업무성과에 미치는 영향

  • Mun, Mi Yeong (Graduate School, College of Nursing, Hanyang University) ;
  • Kim, Mi Yeon (Department of Nursing, Konkuk University)
  • 문미영 (한양대학교 간호학부 대학원) ;
  • 김미연 (건국대학교 간호학과)
  • Received : 2016.06.27
  • Accepted : 2016.08.03
  • Published : 2016.09.30

Abstract

This study was undertaken to investigate the influence of teamwork skill and decision making competency on nursing work performance. A total of 170 nurses more than one years working experience were recruited from two university hospitals. Data were collected during March, 16 to 25, 2016 using a structured self-report questionnaires. Data were analyzed using the IBM SPSS/WIN 21.0 program. Teamwork skill and decision making competency for nursing work performance showed significant positive correlation. The significant predictors of nursing work performance among nurses were total clinical experience (${\beta}=.23$, p<.001), teamwork skill (${\beta}=.61$, p<.001) and decision making competency (${\beta}=.13$, p=.015). These variables explained 66% of the variance in nursing work performance among nurses. The results indicate that nurses' teamwork skill and decision making competency are factors positively influencing on nursing work performance.

본 연구는 간호사의 팀워크스킬과 의사결정역량이 간호업무성과에 미치는 영향을 파악하고자 시행되었다. 2기관의 대학병원에서 2명 이상이 함께 근무하며 인계를 주고받아 지속적인 연계성 있는 환자의 직 간접 간호를 주 업무로 수행하는 경력 1년 이상의 간호사를 대상으로 2016년 3월 16일부터 3월 25일까지 자료를 수집하였다. 수집된 자료는 IBM SPSS/WIN 21.0을 이용하여 통계 분석하였다. 간호사의 팀워크스킬과 의사결정역량 모두가 간호업무성과에 긍정적인 영향을 미치고 있는 것으로 확인되었다. 간호업무성과에 영향을 주는 예측요인은 일반적 특성 중 총 임상경력 (${\beta}=.23$, p<.001)과 팀워크스킬 (${\beta}=.61$, p<.001), 의사결정역량 (${\beta}=.13$, p=.015)으로 66%의 설명력을 나타냈다. 따라서 간호사의 팀워크스킬과 의사결정역량을 효과적으로 증진시킬 수 있는 조직차원의 지원과 다양한 교육기회를 제공하고 차별화된 교육프로그램 개발 및 적용이 필요하다.

Keywords

References

  1. Ahn, M. K. (2003). The effect of nurse's job stress on health practice behavior, Master Thesis, Yonsei University, Seoul.
  2. Byeon, Y. S., Lim, N. Y., Kang, K. S., Sung, M. S., Won, J. S., Ko, I. S., Chang, S. O., Jang, H. J., Yang, S. H. and Kim, H. S. (2003). Clinical nursing competency for new graduate nurses : A grounded theory approach. Journal of Korean Academy of Fundamentals of Nursing, 10, 47-56.
  3. Cannon-Bowers, J. A., Tannenbaum, S. I., Salas, E., and Volpe, C. E. (1995). Defining competencies and establishing team training requirements. In Team effectiveness and decision making in organizations, edited by Guzzo, R. A., Salas, E., Jossey-Bass, San Francisco, 333-380.
  4. Cho, M. R. (2011). Relationship of nurses' teamwork to organizational effectiveness at hospital, Master Thesis, Catholic University of Pusan, Busan.
  5. Choi, J. H., Tae, Y. S., Heo, J. E. and Kim, Y. S. (2016). The relationship among anger-in, forgiveness, and quality of life in clinical nurses. Journal of East-West Nursing Research, 22, 78-86, http://dx.doi.org/10.14370/jewnr.2016.22.1.78.
  6. Choi, J. Y., Kim, E. K. and Kim, S. Y. (2014). Effects of empowerment and job satisfaction on nursing performance of clinical nurses. Journal of Korean Academy of Nursing Administration, 20, 426-436, http://dx.doi.org/10.11111/jkana.2014.20.4.426.
  7. Choi, W. H. and Kim, M. H. (2004). Analysis of decision-making situations and alternatives for clinical nurses in a university hospital. Journal of Korean Academy of Nursing Administration, 10, 449-457.
  8. Duchscher, JB. (2008). A process of becoming: The stages of new nursing graduate professional role transition. The Journal of Continuing Education in Nursing, 39, 441-450, http://dx.doi.org/10.3928/00220124-20081001-03.
  9. Ha, N. S. and 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, http://dx.doi.org/10.11111/jkana.2010.16.3.286.
  10. Im, S. I., Park, J. and 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, http://dx.doi.org/10.5807/kjohn.2012.21.3.274.
  11. Kalisch, B. J., Curley, M. and Stefanov, S. (2007). An intervention to enhance nursing staff teamwork and engagement. Journal of Nursing Administration, 37, 77-84, http://dx.doi.org/10.1097/00005110-200702000-00010.
  12. Kim, E. H. and Lee, E J. (2015). Nursing outcomes of inpatient on level of nursing staffing in long term care hospitals. Journal of the Korean Data & Information Science Society, 26, 7151-727, http://dx.doi.org/10.7465/jkdi.2015.26.3.715.
  13. Kim, H. S., Min, S. and Im, S. I. (2013). The effect of nurse's competency empowerment and boss' job competency recognition level on work performance. Korean Journal of Occupational Health Nursing, 22, 75-82, http://dx.doi.org/10.5807/kjohn.2013.22.2.75.
  14. Kim, J. A. (2014).Impact of nursing professionalism and decision making competency on retention intention and turnover impulse among hospital nurses, Master Thesis, Hanyang University, Seoul.
  15. Kim, M. Y. and Choi, H. J. (2016). Structural equation modeling on nurses' emotional labor including antecedents and consequences .Journal of the Korean Data & Information Science Society , 27, 143-154, http://dx.doi.org/10.7465/jkdi.2016.27.1.143.
  16. Kim, N. R. and Chi, S. A. (2002). A study on the knowledge and attitude about team building of hospital members. The Chung-Ang Journal of Nursing, 6, 45-54.
  17. Kim, Y. M. and Yi, Y. J. (2012). Influence of job stress and empowerment on clinical nurses' performance in small and medium hospitals. Korean Journal of Occupational Health Nursing, 21, 258-265, http://dx.doi.org/10.5807/kjohn.2015.24.4.281.
  18. Ko, Y. K., Lee, T. W. and Lim, J. Y. (2007). Development of a performance measurement scale for hospital nurses. Journal of Korean Academy of Nursing, 37, 286-294. https://doi.org/10.4040/jkan.2007.37.3.286
  19. Lee, A. S., Yoon, C. K. and Park, J. K. (2012). Effects of social support and ego-resilience on nursing performance of hospital nurses. Korean Journal of Occupational Health Nursing, 21, 283-289, http://dx.doi.org/10.5807/kjohn.2012.21.3.283.
  20. Lee, B. Y., Lee, K. J. and Kim, S. S. (2015). Associations of nurse's teamwork with emotional intelligence and teamwork skills. Nursing Science,27, 1-11.
  21. Lee, H. S. and Yom, Y. H. (2015). Role of self-leadership and social support in the relationship between job embeddedness and job performance among general hospital nurses. Journal of Korean Academy of Nursing Administration, 21, 375-385, http://dx.doi.org/10.11111/jkana.2015.21.4.375.
  22. Lee, S. M. (2013). Relationships of nurses' teamwork skills to team effectiveness in nursing units, Master Thesis, Catholic University of Pusan, Busan.
  23. Lee, Y. M. and Jang, K. S. (2007). The relationship between nursing performance and organizational effectiveness. Chonnam Journal of Nursing Science, 12, 111-127.
  24. Lee, Y. S. (2013). Impact of professional autonomy and nurse work environment on clinical decision making abilites of clinical nurses, Master Thesis, Chungnam National University, Daejeon.
  25. Miller, D. C. and Byrnes, J. P. (2001). To achieve or not to achieve: A self-regulation perspective on adolescents' academic decision making. Journal of Educational Psychology, 93, 677-685, http://dx.doi.org/10.1037//0022-0663.93.4.677.
  26. Miller, V. A. and Drotar, D. (2007). Decision-making competence and adherence to treatment in adolescents with diabetes. Journal of Pediatric Psychology, 32, 178-188, http://dx.doi.org/10.1093/jpepsy/jsj122.
  27. Nam, S. K. (2011). The relationship between indivbidual decision making competency and organizational productivity and creativity. Social science review,30, 151-173.
  28. Oh, E. H. and 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, http://dx.doi.org/10.11111/jkana.2011.17.4.391.
  29. Park, M. J., Ham, Y. L. and Oh, D. N. (2012). Levels and their correlations of decision making competency, adjustment to college life, satisfaction to college life in freshmen. The Korea Contents Association, 12, 327-337, http://dx.doi.org/10.5392/jkca.2012.12.04.327.
  30. Park, M. Y., Park, M. J., Yoo, H. N. and Kim, J. H. (2008). A relationship between self-regulation, job satisfaction, and job stress of Korean nurses. Journal of Korean Academy of Nursing Administration, 14, 321-331.
  31. Son, Y. J., Lee, Y. A., Sim, K. N. and Park, Y. S. (2013). Influence of communication competence and burnout on nursing performance of intensive care units nurses. Journal of Korean Academy Fundamentals of Nursing, 20, 278-288, http://dx.doi.org/10.7739/jkafn.2013.20.3.278.
  32. Westli, H. K., Johnsen, B. H., Eid, J., Rasten, I. and Brattebo, G. (2010). Teamwork skills, shared mental models, and performance in simulated trauma teams: An independent group design. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 18, 47-54, http://dx.doi.org/10.1186/1757-7241-18-47.
  33. Wright, M. C., Phillips-Bute, B. G., Petrusa, E. R., Griffin, K. L., Hobbs, G. W. and Taekman, J. M. (2009). Assessing teamwork in medical education and practice : Relating behavioral teamwork ratings and clinical performance. Medical Teacher, 31, 30-38, http://dx.doi.org/10.1080/01421590802070853.
  34. Yoon, H. K., Choi, J. H., Lee, E. Y., Lee, H. Y. and Park, M. J. (2013). Effects of decision making competency, nursing professionalism, and job satisfaction on turnover impulse among nurses. Journal of Korean Academy of Nursing Administration, 19, 658-667, http://dx.doi.org/10.11111/jkana.2013.19.5.658.
  35. Yoon, W. J. (2007). Development of scale for individual's teamwork skill and study for validity, Master Thesis, Sungkyunkwan University, Seoul.

Cited by

  1. The Influences of Emotional Intelligence, Self-leadership, and Job Embeddedness on Nursing Work Performance vol.12, pp.2, 2018, https://doi.org/10.12811/kshsm.2018.12.2.051
  2. SBAR 적용 시뮬레이션 교육이 간호학생의 의료팀간 의사소통능력 향상에 미치는 효과 vol.28, pp.2, 2016, https://doi.org/10.7465/jkdi.2017.28.2.407
  3. 지방의료원 간호사의 의료기관인증제 인식이 환자안전관리활동과 간호업무성과에 미치는 영향 vol.23, pp.4, 2017, https://doi.org/10.11111/jkana.2017.23.4.416
  4. 긍정심리자본, 전문직 자아개념, 셀프 리더십이 간호업무성과에 미치는 영향 : 중소병원 간호사를 중심으로 vol.18, pp.11, 2016, https://doi.org/10.5392/jkca.2018.18.11.087
  5. Effects of Nurse-Physician Collaboration on Nursing Performance and Organizational Commitment in Intensive Care Unit Nurses vol.25, pp.3, 2016, https://doi.org/10.11111/jkana.2019.25.3.186
  6. 수술실 간호사의 셀프리더십, 전문직 자아개념, 긍정심리자본이 간호업무성과에 미치는 영향 vol.26, pp.2, 2016, https://doi.org/10.14370/jewnr.2020.26.2.139
  7. Conflict management and teamwork in workplace from the perspective of nurses vol.57, pp.2, 2016, https://doi.org/10.1111/ppc.12584