Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
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The Relationship between Nursing Professionalism, Clinical Decision Making Abilities, and Job Performance in Advanced Practice Nurses

전문간호사의 전문직업성, 임상적 의사결정능력 및 간호업무성과의 관계

  • Received : 2013.09.10
  • Accepted : 2013.12.03
  • Published : 2013.12.31
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Abstract

Purpose: To identify the extents of nursing professionalism, clinical decision making abilities and job performance of advanced practice nurses and investigate the relationship among the variables Methods: Participants, selected by a convenience sampling method, were 135 advanced practice nurses working in 4 tertiary care general hospitals in 'B' Metropolitan City and in 1 tertiary care general hospital in 'J' city. Data collection was done from January 15 to February 28, 2013 using self-reporting questionnaires. Results: The average score for nursing professionalism of study participants was $81.19{\pm}7.56$. for clinical decision making abilities, $140.42{\pm}9.62$ and for job performance, $102.54{\pm}10.30$. These averages are relatively high. The relationship between the extent of nursing professionalism and the extent of clinical decision making abilities showed an intermediate level positive correlation (r=.45, p<.001). The relationship between the extent of nursing professionalism and the extent of job performance was also an intermediate level positive correlation (r=.42, p<.001). The extent of clinical decision making abilities and the extent of job performance was an intermediate level positive correlation (r=.41, p<.001). Conclusion: Developing a program, which can improve nursing professionalism and clinical decision making abilities of nurse, is required to enhance their job performance.

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References

  1. Baek, H. C., & Kim-Godwin, Y. S. (2007). Translation and validation of Korean version of Hall's professionalism inventory. Journal of Korean Academy of Nursing Administration, 13, 509-515.
  2. Baek, M. K. (2005). Relationship between level of autonomy and clinical decision-making in nursing scale of E.T. nurse . Unpublished master's thesis, Yonsei University, Seoul, Korea.
  3. Cha, I. J. (2008). Clinical nurses' professionalism and job satisfaction, organization commitment. Unpublished master's thesis, Hanyang University, Seoul, Korea.
  4. Cheong, H. J. (2009). Legal responsibilities of nurse practitioners . Unpublished master's thesis, Ewha Womans University, Seoul, Korea.
  5. Cho, K. H. (2003). Influence of self-leadership about job-satisfaction and outcome of nursing practice. Unpublished master's thesis, Korea University, Seoul, Korea.
  6. Cho, M. K., Cho, Y. A., Kwon, I. G., Seo, M. J., & Baek, H. J. (2011). Importance, satisfaction and contribution of advanced practice nurses' role recognized by health care professionals. Journal of Korean Academy of Nursing Administration, 17, 168-179. http://dx.doi.org/10.11111/jkana.2011. 17.2.168
  7. Choi, H. J. (1997). A study on nurse's decision making process and related factors for patient care. Unpublished doctoral dissertation, Seoul National University, Seoul, Korea.
  8. Choo, H. S. (2011). A study on clinical nurses's professionalism and the factors affecting it. Unpublished master's thesis, Hanyang University, Seoul, Korea.
  9. Davis, B., & Hughes, A. M. (1995). Clarification of advanced nursing practice: Characteristics and competencies. Clinical Nurse Specialist, 16, 147-152.
  10. Hall, R. H. (1968). Professionalism and bureaucratization. American Sociological Review, 33, 92-104. http://dx.doi.org/10. 2307/2092242 https://doi.org/10.2307/2092242
  11. Hwang, H. Y. (2009). The development job standards for advanced health insurance review nurses. Unpublished doctoral dissertation, Ewha Womans University, Seoul, Korea.
  12. Jenkins, H. M. (1985). A research tool for measuring perceptions of clinical decision making consistency. Research in Nursing and Health, 13, 189-197.
  13. Jung, S. C., & Jung, D. Y. (2011). Relationship between critical thinking disposition, clinical decision making and job satisfaction of cancer center nurses. Journal of Korean Academy of Nursing Administration, 17 , 443-450. http://dx.doi.org/ 10.11111/jkana.2011.17.4.443
  14. Kim, M. R. (2008). Clinical nurses' professionalism, nursing performance and intention of retention. Unpublished master's thesis, Hanyang University, Seoul, Korea.
  15. Kim, Y. H., & Moon, H. J. (2004). Major issues in contemporary nursing (top). Kyung Hee University Publication Station
  16. Kron, T. (1981). The management of patient care. Philadelphia: Saunders.
  17. Kwon, K. J., Chu, M. S., & Kim, J. A. (2009). The impact nursing professionalism on the nursing performance, job satisfaction and retention intention among clinical nurses. Journal of Korean Academy of Nursing Administration, 15, 182-192.
  18. Lee, J. W. (2010). Effect of nurse's professionalism on customer orientation, job satisfaction and service delivery level in specialty hospital. The Journal of the Korea Contents Association, 11 (11), 266-276. http://dx.doi.org/10.5392/JKCA. 2011.11.1.266
  19. Lee, K. J., Byeon, Y. S., Kim, S. S., Kim, M. S., Lee, K. H., Lee, J. H., et al. (2003). New scheme for the graduate school of nursing. Nursing Science, 15 (1), 40-49.
  20. Moon, K. H. (2004). A study on restructuring to a patient-oriented primary care team model. Unpublished master's thesis, Yonsei University, Seoul, Korea.
  21. No, Y. S. (2010). Relationship of clinical decision making abilities and nursing performance of emergency nurses. Unpublished master's thesis, Ajou University, Suwon, Korea.
  22. Northcott, N. (1997). Reflection on performance. Nursing Times, 93 (26), 49-52.
  23. Orme, L., & Maggs, C. (1993). Decision-making in clinical decision making of staff nurses. Journal of Nurse Education Today, 13, 270-276. https://doi.org/10.1016/0260-6917(93)90052-4
  24. Park, J. H. (2004). Study on empowerment level, job stress and nursing work performance. Unpublished master's thesis, Chung-Ang University, Seoul, Korea.
  25. Park, M. S. (2006). The level of professional autonomy and clinical decision making abilities of advanced practice nurses. Unpublished master's thesis, Ulsan University, Ulsan, Korea.
  26. Park, S. A. (1988). An exploratory study on the relationship between leadership style and performance in Korean nursing units. The Seoul Journal of Nursing, 4, 45-61.
  27. Shin, H. S. (2009). A study on the relationship between professionalism and organizational effectiveness of clinic nurses': Focus on job performance, organization commitment & career commitment. Unpublished master's thesis, Hanyang University, Seoul, Korea.
  28. Shin, Y. J., & Lee, B. S. (2000). The influence of leadership of head nurses on job satisfaction and job performance of staff nurses. Journal of Korean Academy of Nursing Administration, 6, 405-418.
  29. Snizek, W. E. (1972). Hall's professionalism scale: An empirical reassessment. American Sociological Review, 37, 109-114. http://dx.doi.org/10.2307/2093498
  30. Song, H. S. (2012). A study on the empowerment and job satisfaction, job performance in hospital nurses. Unpublished master's thesis, Woosuk University, Wanju, Korea.

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