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한국어판 간호사의 위임에 대한 태도 및 준비성 측정도구의 타당도와 신뢰도

Reliability and Validity of the Korean Version of Nurses' Attitudes and Preparedness towards Delegation

  • 김미영 (이화여자대학교 건강과학대학 간호학부) ;
  • 박진화 (대구가톨릭대학교 간호대학 간호학과) ;
  • 최미란 (이화여자대학교 대학원 간호학과)
  • Kim, Miyoung (Division of Nursing Science, College of Health Sciences, Ewha Womans University) ;
  • Park, Jinhwa (Department of Nursing, College of Nursing, Catholic University of Daegu) ;
  • Choi, Miran (Department of Nursing, Graduate School, Ewha Womans University)
  • 투고 : 2015.10.12
  • 심사 : 2016.01.04
  • 발행 : 2016.01.31

초록

Purpose: The purpose of this study was to develop and test the validity and reliability of the Korean version of nurses' attitudes toward delegation and preparedness to delegate (APD). Methods: The Korean version of APD was developed through forward-backward translation methods. Internal consistency reliability, criterion validity, and construct validity using exploratory and confirmatory factor analysis were conducted using IBM SPSS Statistics 19 and AMOS 20.0. Survey data were collected from 161 nurses working in 2 general hospitals. Results: The Korean version of APD showed Cronbach's alphas of .68 and .85. Factor loadings of the 8 attitude items on the 3 subscales ranged from .60 to .86 and the 15 preparedness items on the 4 subscales ranged from .47 to .90. The model of 3 subscales for the Korean nurses' attitude toward delegation and the model of 4 subscales for the Korean nurses' preparedness to delegate were both validated by confirmatory factor analysis(NC<3, CFI>.90, RMSEA<.10). Criterion validity compared to job satisfaction showed significant correlation. Conclusion: The findings of this study demonstrate that this modified Korean version of APD is applicable for measuring Korean nurses' attitude toward delegation and preparedness to delegate.

키워드

참고문헌

  1. Kærnested B, Bragadottir H. Delegation of registered nurses revisited: Attitudes towards delegation and preparedness to delegate effectively. Nordic Journal of Nursing Research & Clinical Studies. 2012;32(1):10-15. http://dx.doi.org/1177/010740831203200103 https://doi.org/10.1177/010740831203200103
  2. Bulechek GM, Butcher HK, Dochterman JM. Nursing interventions classification (NIC). 5th ed. St. Louis: Mosby Elsevier; 2008.
  3. Grohar-Murray ME, DiCroce HR. Leadership and management in nursing. 2nd ed. Stamford, Connecticut: Appleton & Lange; 1997.
  4. Corrazzini KN, Anderson RA, Rapp CG, Mueller C, McConnell ES, Lekan D. Delegation in long-term care: Scope of practice or job description? Online Journal of Issues in Nursing. 2010;15(2):4. http://dx.doi.org/10.3912/OJIN.Vol15No02Man04
  5. Bystedt M, Eriksson M, Wilde-Larsson B. Delegation within municipal health care. Journal of Nursing Management. 2011;19:534-541. http://dx.doi.org/10.1111/j.1365-2834.2010.01202.x
  6. Gravlin G, Bittner NP. Nurses' and nursing assistants' reports of missed care and delegation. The Journal of Nursing Administration. 2010;40(7/8):329-335. http://dx.doi.org/10.1097/NNA.0b013e3181e9395e
  7. Kalisch BJ. Missed nursing care: A qualitative study. Journal of Nursing Care Quality. 2006;21(4):306-313; quiz 314-305. https://doi.org/10.1097/00001786-200610000-00006
  8. Berkow S, Virkstis K, Stewart J, Conway L. Assessing new graduate nurse performance. The Journal of Nursing Administration. 2008;38(11):468-474. http://dx.doi.org/10.1097/01.NNA.0000339477.50219.06
  9. American Nurses Association. Principles for delegation [internet]. Silver Spring, MD: American Nurses Association; 2005 [cited 2013 April 28]. Available from: http://www.nursingworld.org/principles
  10. Lee JS. A Phenomenological study on the burnout experience for nurse in geriatric hospital. [master's thesis]. Busan: Catholic University of Pusan; 2010.
  11. Park SE. Nursing activities and delegation status of registered nurses in geriatric hospital. [master's thesis]. Daejon: Chungnam National University; 2011.
  12. Quallich SA. A bond of trust: Delegation. Urologic Nursing. 2005;25(2):120-123.
  13. McInnis LA, Parsons LC. Thoughtful nursing practice: Reflections on nurse delegation decision-making. The Nursing Clinics of North America. 2009;44(4):461-470. http://dx.doi.org/10.1016/j.cnur.2009.07.002.
  14. Kim MH, Jeong CY. A survey of the nursing activities performed by nursing staffs in long-term care hospitals. Journal of the Korea Academia-Industrial Cooperation Society. 2014;15(2):940-951. http://dx.doi.org/10.5762/KAIS.2014.15.2.940
  15. Yang YS, Kim DH. Nurses' professionalism and job satisfaction on the level of delegation of nursing activities in longterm care hospitals. Journal of Korean Gerontological Nursing. 2013;15(2):175-184.
  16. Parsons LC. Building RN confidence for delegation decisionmaking skills in practice. Journal for Nurses in Staff Development. 1999;15(6):263-269. http://dx.doi.org/10.1097/00124645-199911000-00009
  17. Schiriesheim CA, Neider LL, Scandur TA. Delegation and leader-member exchange: Main effects, moderators, and measurement issues. Academy of Management Journal. 1998;41(3):298-318. http://dx.doi.org/10.2307/256909
  18. Krein TJ. How to improve delegation habits. Management Review. 1982 May:58-61.
  19. Geirsdottir TI. The allocation projects of nursing. [master's thesis]. Iceland: University of Iceland; 1998. Cited by Kaernested B, Bragadottir H. Delegation of registered nurses revisited: Attitudes towards delegation and preparedness to delegate effectively. Nordic Journal of Nursing Research & Clinical Studies. 2012;32(1):10-15. http://dx.doi.org/1177/010740831203200103
  20. Anderson JC, Gerbing DW. The effect of sampling error on convergence, improper solutions, and goodness-of-fit indices for maximum likelihood confirmatory factor analysis. Pyshometrika. 1984;49(2):155-183. https://doi.org/10.1007/BF02294170
  21. Stamps PL, Piedmont EB, Slavitt DB, Haase AM. Measurement of work satisfaction among health professionals. Medical Care. 1978;16(4):337-352. https://doi.org/10.1097/00005650-197804000-00006
  22. Park HT. Transformational and transactional leadership styles of the nurse administrators and job satisfaction, organizational commitment in nursing service. Journal of Korean Academy of Nursing. 2000;27(1):228-241.
  23. Bollen KA. Structural equations with latent variables. New York: Willey; 1989.
  24. Loehlin JC. Latent variable models: an introduction to factor, path, and structural analysis. 3rd ed. Mahwah, N.J.: Lawrence Erlbaum; 1998.
  25. Kang YS, Shin MJ, Kwon YM, Kim DW, Kim EK, Seomun GA, et al. Nursing management and leadership. Rev ed. Seoul: Hyunmoonsa; 2012. p. 252-261.
  26. Merenda PF. A guide to the proper use of factor analysis in the conduct and reporting of research: Pitfalls to avoid. Measurement and Evaluation in Counseling and Development. 1997;30:156-164.
  27. Standing T, Anthony M, Hertz J. Nurses' narratives of outcomes after delegation to unlicensed assistive personnel. Outcomes Management for Nursing Practice. 2001;5(1):18-23.
  28. Potter P, Deshields T, Kuhrik M. Delegation practices between registered nurses and nursing assistive personnel. Journal of Nursing Management. 2010;18:157-165. http://dx.doi.org/10.1111/j.1365-2834.2010.01062.x
  29. Zimmermann PG. Delegating to assistive personnel. Journal of Emergency Nursing. 1996;22(3):206-212. https://doi.org/10.1016/S0099-1767(96)80106-1

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