DOI QR코드

DOI QR Code

Nursing Competency, Self-Esteem, and Job Stress between Floating Nurses and Clinical Nurses

플로팅 간호사와 일반 간호사의 간호역량, 자아존중감, 직무 스트레스 비교 연구

  • Ju, Won Jin (Department of Nursing Science, Ewha Womans University, Department of Nursing, Asan Medical Center) ;
  • Kim, Miyoung (College of Nursing, Ewha Womans University)
  • 주원진 (이화여자대학교.서울아산병원) ;
  • 김미영 (이화여자대학교 간호대학)
  • Received : 2017.04.28
  • Accepted : 2017.06.20
  • Published : 2017.08.31

Abstract

Purpose: This study was aimed to compare nursing competency, self-esteem, and job stress between floating nurses and clinical nurses. Methods: The data were collected between October $1^{st}$ and December $31^{st}$, 2015, from 43 floating nurses and 57 clinical nurses working at a tertiary care hospital in Seoul. The collected data were analyzed with SPSS/WIN 23.0, using descriptive statistics and the t-test, $x^2$ test, ANCOVA, ANOVA, $Scheffe{\acute{e}}$ test, Pearson correlation coefficients, and Stepwise multiple regression. Results: The nursing competency of clinical nurses was significantly higher than that of floating nurses (F=4.370, p=.039). For both floating and clinical nurses, nursing competency was positively correlated with self-esteem (floating nurses, r=.47, p=.002; clinical nurses, r=.62, p<.001). Also, For both floating and clinical nurses, the most significant predictor of nursi ng competency was self-esteem(floating nurses, ${\beta}=0.45$, p=.001; clinical nurses, ${\beta}=0.60$, p<.001). Conclusi on: Efforts are needed to increase the nursing competency of the floating nurse through the improvement of the floating system, the nursing work environment, and continuous education. Also, as self- esteem is the most effective predictor of nursing competence, nursing intervention is needed to improve self-esteem of the floating nurse.

Keywords

References

  1. Larson L, Sendelbach S, Missal B, Fliss J, Gaillard P. Staffing patterns of scheduled unit staff nurses vs. float pool nurses: A pilot study. Medsurg Nursing. 2012;21(1):27-32, 39.
  2. Dziuba-Ellis J. Float pools and resource teams: A review of the literature. Journal of Nursing Care Quality. 2006;21(4):352-359. http://dx.doi.org/10.1097/00001786-200610000-00013
  3. McKee MR, Allen JM, Tamez R. The effect of mobile support devices on the anxiety and self-efficacy of hospital float staff. Performance Improvement Quarterly. 2014;27(2):59-81. http://dx.doi.org/10.1002/piq.21171
  4. Bae SH, Brewer CS, Kelly M, Spencer A. Use of temporary nursing staff and nosocomial infections in intensive care units. Journal of Clinical Nursing. 2014;24(7-8):980-990. http://dx.doi.org/10.1111/jocn.12718
  5. Oh IS, Suh YW, Shin KH. The conceptualization of internal/external career movement and identification and measurement of their antecedents. The Korean Journal of Industrial and Organizational Psychology. 2004;17(2):279-303.
  6. Rudy S, Sions J. Floating managing a recruitment and retention issue. The Journal of Nursing Administration. 2003;33(4):196-198. https://doi.org/10.1097/00005110-200304000-00002
  7. Bae SH, Mark B, Fried B. Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units. Health Care Management Review. 2010;35(4):333-344. http://dx.doi.org/10.1097/HMR.0b013e3181dac01c
  8. Linzer P, Tilley AM, Williamson MV. What floats a float nurse's boat? Creative Nursing. 2011;17(3):130-138. https://doi.org/10.1891/1078-4535.17.3.130
  9. Lee EY, Kim NH. Relationship among nurses' attitude on job rotation, job stress and organizational commitment. Korean Journal of Occupational Health Nursing. 2012;21(2):154-163. http://dx.doi.org/10.5807/kjohn.2012.21.2.154
  10. Benner P. Issues in competency based testing. Nursing Outlook. 1982;30(5):303-309.
  11. Järvi M, Uusitalo T. Job rotation in nursing: A study of job rotation among nursing personnel from the literature and via a questionnaire. Journal of Nursing Management. 2004;12(5): 337-347. http://dx.doi.org/10.1111/j.1365-2834.2004.00445.x
  12. Bates KJ. Floating as a reality: Helping nursing staff keep their heads above water. Medsurg Nursing. 2013;22(3):197-199.
  13. Rosenberg M. Society and the adolescent self-image. Princeton, NJ: Princeton University Press; 1965.
  14. Feng D, Xu L. The relationship between perceived discrimination and psychological distress among Chinese pulmonary tuberculosis patients: The moderating role of self-esteem. Psychology, Health & Medicine. 2015;20(2):177-185. http://dx.doi.org/10.1080/13548506.2014.958505
  15. Kim JK. The influences of self-esteem and subjective norm on employee's work duty reallocation attitude and behavior in hotel industry [master's thesis]. Busan: Dong-a University; 2005. p. 1-102.
  16. Kim HB, Kim DW. A study on the factors on influencing the self-esteem of the correctional officers. Korean Criminal Psychology Review. 2012;8(1):53-76.
  17. Kang JS, Lim JY. Effects of clinical nurses' resilience on job stress and burnout. Journal of the Korea Contents Association. 2015;15(11):263-273. http://dx.doi.org/10.5392/JKCA.2015.15.11.263
  18. Kim HS, Yim HY, Lee JY, Cho HJ, Jo SJ, Lee WC. Influence of self-esteem and social support on the depression stati of some clinical nurses. Annals of Occupational and Environmental Medicine. 2007;19(2):125-134.
  19. Lee JS, Joo EJ, Choi KS. Perceived stress and self-esteem mediate the effects of work-related stress on depression. Stress and Health. 2013;29(1):75-81. http://dx.doi.org/10.1002/smi.2428
  20. Kim SJ, Choi MS, Sung KW. Variables affecting competency of nurses in nursing homes. Journal of Korean Gerontological Nursing. 2010;12(1):29-39.
  21. Park MR, Kim NC. Development of a nursing competence measurement scale according to nurse's clinical ladder in general wards. Journal of Korean Academy of Nursing Administration. 2014;20(3):257-271. http://dx.doi.org/10.11111/jkana.2014.20.3.257
  22. Jon BJ. Self-esteem: A test of its measurability. Yonsei Nonchong. 1974;11(1):107-130.
  23. Kim MG, Gu MO. The development of the stresses measurement tool for staff nurses working in the hospital. Journal of Korean Academy of Nursing. 1984;15(3):39-49.
  24. Ahn MJ. The effect of nurse's job stress on health practice behavior [master's thesis]. Seoul: Yonsei University; 2003. p. 1-49. http://dx.doi.org/10.1002/smi.2428
  25. Tsai CW, Tsai SH, Chen YY, Lee WL. A study of nursing competency, career self-efficacy and professional commitment among nurses in Taiwan. Journal of Contemporary Nurse. 2014;49(1):96-102. http://dx.doi.org/10.1080/10376178.2014.11081959
  26. Kim EJ, Gu MO. Recognition for nursing competency importance, nursing competency level, and their influencing factors of nurses in the long-term care hospitals. Journal of the Korea Academia-Industrial Cooperation Society. 2015;16 (3):1989-2001. http://dx.doi.org/10.5762/KAIS.2015.16.3.1989
  27. Kim HB, Lee JY. A study on the competence of the private security guards. Korean Security Science Review. 2011;27:83-105.
  28. Van Eckert S, Gaidys U, Martin CR. Self-esteem among German nurses: Does academic education make a difference? Journal of Psychiatric and Mental Health Nursing. 2012;19 (10):903-910. http://dx.doi.org/10.1111/j.1365-2850.2011.01862.x
  29. Olthuis G, Leget C, Dekkers W. Why hospice nurses need high self-esteem. Nursing Ethics. 2007;14(1):62-71. http://dx.doi.org/10.1177/0969733007071359
  30. Drennan J. Masters in nursing degrees: An evaluation of management and leadership outcomes using a retrospective pre-test design. Journal of Nursing Management. 2012;20(1): 102-112. http://dx.doi.org/10.1111/j.1365-2834.2011.01346.x