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The influence of nurses' clinical career and communication within organization on teamwork competency

간호사의 임상경력과 조직 내 의사소통이 팀워크 역량에 미치는 영향

  • Received : 2015.12.23
  • Accepted : 2016.02.20
  • Published : 2016.02.28

Abstract

The purpose of this study was to explore the influence of nurses's clinical career and communication within organization on teamwork competency. A cross sectional descriptive survey design was used. Convenience sampling method of 141 nurses who work at a university hospital located in S city was used. The structured questionnaire was administered from July $20^{th}$, 2015, to July, $31^{th}$, 2015. The average working periods of research subjects was 8.84 years. The regression model with communication within organization and clinical career against teamwork competency was statistically significant. And this model could explain 37.7% of teamwork competency(Adj $R^2=.377$). Especially, vertical communication and clinical career, horizontal communication were identified as the influencing factors on nurses' teamwork competency.

Keywords

Nurse;Teamwork;Competency;Communication;Clinical career

Acknowledgement

Supported by : 한남대학교

References

  1. S. Y. Kang, H. K. Kwon , M. R. Cho, "Effects of nurses' teamwork on job satisfaction at hospital: mediating effect of self-efficacy. Journal of the Korea Contents Association", Vol. 14, No. 12, pp. 881-894, 2014. https://doi.org/10.5392/JKCA.2014.14.12.881
  2. M. Leonard, S. Graham, D. Bonacum, "The human factor: the critical importance of effective teamwork and communication in providing safe care. Quality and Safety in Health Care", Vol. 13(suppl 1), pp. i85-i90, 2004. https://doi.org/10.1136/qshc.2004.010033
  3. B. J. Kalisch, K. H. Lee. "Nurse staffing levels and teamwork: a cross-sectional study of patient care units in acute care hospitals. Journal of Nursing Scholarship", Vol. 43, No. 1, pp. 82-88, 2011. https://doi.org/10.1111/j.1547-5069.2010.01375.x
  4. S. G. Leggat. "Effective healthcare teams require effective team members: defining teamwork competencies. BMC health services research", Vol. 7, No. 17, pp. 17-20, 2007. https://doi.org/10.1186/1472-6963-7-17
  5. Y. Kim. "The teamwork and job satisfaction of clinical nurses". Master thesis, p.43, Ajou University, 2014.
  6. M. G. Choi. "The research of enjoyment, teamwork and role learning of students participating in sports education model. The Journal of Sports Science", Vol. 23, pp. 1-19, 2011.
  7. J. T. Park. "Investigation of emotional experience in elementary students in physical education class with physical education program (TOPPE). The Journal of Korea elementary education", Vol. 26, No. 3, pp. 39-55, 2015.
  8. B. Ahn. "The impact of express hotel and convention center's organizational culture on teamwork and work satisfaction. Korea Research Academy of Distribution and Management Review", Vol. 16, No. 6, pp. 67-79, 2013.
  9. M. Cleary, J. Horsfall, J. Mannix, M. O'Hara-Aarons, D. Jackson. "Valuing teamwork: Insights from newly-registered nurses working in specialist mental health services. International Journal of Mental Health Nursing", Vol. 20, No. 6, pp. 454-459, 2011. https://doi.org/10.1111/j.1447-0349.2011.00752.x
  10. S. Lee. "Relationships of nurses' teamwork skills to team effectiveness in nursing units." Master thesis, p.48, Busan Catholic University, 2013.
  11. E. Hong. "A study on hospital nurses' level of communications and their perception of the organizational activities." Master Thesis, p.76, Kyunghee University, 2007.
  12. J. Y. Lee. "Effective communication for patient safety. Journal of Korean Medicine Association", Vol. 58, No. 2, pp. 100-104, 2015. https://doi.org/10.5124/jkma.2015.58.2.100
  13. M. W. Leonard, A. S. Frankel. "Role of effective teamwork and communication in delivering safe, high quality care. A Journal of Translational and Personalized Medicine", Vol. 78, No. 6, pp. 820-826, 2011. https://doi.org/10.1002/msj.20295
  14. C. Lee. "The effects of positive psychological capital of organizational members on organizational creativity and mediation effects of teamwork competency." Master thesis, p.97, Chung-Ang University, 2014.
  15. M. H. Cohen. "Professional communication and teamwork. Creative Nursing", Vol. 14, No. 1, pp. 17-23, 2008. https://doi.org/10.1891/1078-4535.14.1.17
  16. J. I. Hwang, J. Ahn. "Teamwork and clinical error reporting among nurses in Korean hospitals. Asian Nursing Research", Vol. 9, pp. 14-20, 2015. https://doi.org/10.1016/j.anr.2014.09.002
  17. L. Hatcher, T. L. Rose. "From individual incentive and organization wide gain sharing plan: Effects on teamwork and product quality. Journal of Organizational Behavior", Vol. 12, No. 3, pp. 169-183, 1991. https://doi.org/10.1002/job.4030120302
  18. M. J. Chung. "A Study on the effects of emotional ability on teamwork capability and business creation intention: centering on airline flight attendants." Ph.D. Dissertation, p.163, Kyonggi University, 2011.
  19. B. K. Cha. "Introduction of communication. Seoul: Seayongsa", 2002.
  20. C. W. Downs, M. D. Hazen. "A factor analytic study of communication satisfaction. The Journal of Business Communication", Vol. 14, pp. 63-73, 1977. https://doi.org/10.1177/002194367701400306
  21. F. Faul, E. Erdfelder, A. G. Lang, A. Buchner, "G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods", Vol. 39, No. 2, pp. 175-191, 2007. https://doi.org/10.3758/BF03193146
  22. M. J. Shapiro, J. C. Morey, S. D. Small, V. Langford, C. J. Kaylor, L. Jagminas, S, Suner, M. L. Salibury, R. Simon, G. D. Jay. " Simulation based teamwork training for emergency department staff: dose it improve clinical team performance when added to an existing didactic teamwork curriculum? Qulity of Safety Health Care", Vol. 13, No, 6, pp. 417-421. 2004. http://dx.doi.org/10.1136/qshc.2003.005447 https://doi.org/10.1136/qshc.2003.005447
  23. S. E. Kim, C. W. Kim, S. J. Lee, J. H. Oh, D. H. Lee, T. H. Lim, H. J. Choi, H. S. Chung, J. Y. Ryu, H. Y. Jang, Y. H. Choi, S. J. Kim, J. H. Jung. " A questionnaire survey exploring healthcare professionals' attitudes towards teamwork and safety in acute care areas in South Korea. BMJ open", Vol. 5. No. 7, e007881, 2015.http://dx.doi.org/10.1136/bmjopen-2015-007881 https://doi.org/10.1136/bmjopen-2015-007881
  24. J. C. Morey, R. Simon, G. D. Jay, R. L. Wears, M. Salisbury, K. A. Dukes, S. D. Berns. "Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams Project. Health Service Research", Vol. 37, No. 6, pp. 1553-1581, 2002. https://doi.org/10.1111/1475-6773.01104
  25. E. Salas, N. J. Sims, C. S. Burke, "Is there a "big five" in teamwork? Small Group Research", Vol. 36, pp. 555-599, 2005. https://doi.org/10.1177/1046496405277134
  26. T. Manser. "Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiologica Scandianvica", Vol. 53, pp. 143-151, 2009. https://doi.org/10.1111/j.1399-6576.2008.01717.x
  27. D. A. Wiegmann, A. W. ElBardissi, J. A. Dearani, R. C. Daly, T. M. Sundt. "Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Surgery", Vol. 142, pp. 658-665, 2007. https://doi.org/10.1016/j.surg.2007.07.034
  28. L. Lingard, S. Espin, S. Whyte, G. Regehr, G. R. Baker, R. Reznick, J. Bohnen, B. Orser, D. Doran, E. Grober. "Communication failures in the operating room: an observational classification of recurrent types and effects. Quality of Safe Health care", Vol. 13, pp. 330-334, 2004. https://doi.org/10.1136/qshc.2003.008425
  29. R. Flin, G. Fletcher, P. McGeorge, A. Sutherland, R. Patey. "Anaesthetist's attitudes to teamwork and safety. Anaesthesia", Vol. 58, pp. 233-242, 2003. https://doi.org/10.1046/j.1365-2044.2003.03039.x
  30. W. Ummenhofer, F. Amsler, P. M. Sutter, B. Martina, J. Martin, D. Scheidegger. "Team performance in the emergency room assessment of inter disciplinary attitudes. Resuscitation", Vol. 49, pp. 39-46, 2001. https://doi.org/10.1016/S0300-9572(00)00304-X
  31. J. B. Sexton, E. J. Thomas, R. L. Helmrdic. "Error, stress, and teamwork in medicine and aviation: cross sectional survey. BMJ", Vol. 320, pp. 745-749, 2000. https://doi.org/10.1136/bmj.320.7237.745
  32. Y. H. Kim. "The relation of organizational structure and culture perception, conflict experience, commitment of hospital employees in Korea." Ph. D. Dissertation, p.100, Yonsei University, 2001.
  33. J. B. Sexton, M. A. Makary, A. R. Tersigni, D. Pryor, A. Hendrich, E. J. Thomas, C. G. Holzmueller, A. P. Knight, Y. Wu, P. J. Pronovost. "Teamwork in the operating room; frontline perspectives among hospitals and operating room personnel. Anesthesiology", Vol. 105, pp. 877-884, 2006. https://doi.org/10.1097/00000542-200611000-00006
  34. J. Stain-Purbery, J. Liaschenko. "Understanding collaboration between nurses and physicians as knowledge at work. American Journal of Critical Care", Vol. 16, pp. 470-477, 2007.
  35. L. Lingard, S. Whyte, S. Espin, G. R. Baker, B. Orser, D. Doran. "Towards safer interprofessional communication: constructing a model of "utility" from preoperative team briefings. Journal of Interprofessional care", Vol. 20, pp. 471-483, 2006. https://doi.org/10.1080/13561820600921865
  36. P. J. Pronovost, J. King, C. G. Holzmueller, M. Sawer, S. Bivens. M. Micheal, et al. "A web based tool for the comprehensive unit based safety program(CUSP). Joint Commission Journal on Quality and Patient Safety", Vol, 32, No. 2, pp. 119-129, 2006. https://doi.org/10.1016/S1553-7250(06)32017-X
  37. J. Timmel, P. S. Kent, C. G. Holzmueller, L. Paine, R. D. Schulick, P. J. Pronovost. "Impact of the comprehensive unit based safety program(CUSP) on safety culture in a surgical inpatient unit. The Joint Commission Journal on Quality and Patient Safety", Vol. 36, No. 6, pp. 252-260, 2010. https://doi.org/10.1016/S1553-7250(10)36040-5
  38. M. Cooper, M. A. Makary. "A comprehensive unit based safety program(CUSP) in surgery: improving quality through transparency. The Surgical Clinics of North America", Vol. 92, pp. 51-63, 2012. https://doi.org/10.1016/j.suc.2011.11.008
  39. J. Weller, M. Boyed, D. Cumin. "Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgraduate Medical Journal", Vol. 90, pp. 149-154, 2014. http://dx.doi.org/10.1136/postgradmdej-2012-131168 https://doi.org/10.1136/postgradmedj-2012-131168
  40. Mi-Jin Kim, Gyun-Young Kang, "The Convergence Study on the Relationship between the Job Stress and Mental Health of Nurses", Journal of the Korea Convergence Society, Vol. 6, No. 5, pp. 39-47, 2015. https://doi.org/10.15207/JKCS.2015.6.5.039
  41. Eun-Yeon Lee, Kyung-Hee Shon, "An analysis of research trends related with job stress in nursing", Journal of the Korea Convergence Society, Vol. 6, No. 3, pp. 87-95, 2015.